Therapy effects on Fine and Gross Motor Function of a Child With Triplegic Cerebral Palsy

Cerebral Palsy treatment

In the American Physical therapy association (APTA) magazine pediatric Physical Therapy, Dr Schrank from the Physical Medicine and Rehabilitation Department, Mayo Clinic Health System-Minnesota reports on a case study detailing Constraint Induced Movement Therapy on 10-year-old boy with spastic triplegic cerebral palsy. Triplegic Cerebral Palsy is characterized by the paralysis of three limbs. It is usually associated with paralysis of both legs and one arm . We can consider this as a combination of hemiplagia (paralysis of arm and leg of one side of the body) with overlaying diplegia (paralysis of both legs).

A three week course of constraint-induced movement therapy (CIMT) using a cast for 90% of the boy’s waking time forced the upper extremities and right lower extremity.
The outcome measure used was the Gross Motor Function Measure and the Functional Independence Measure for Children. The boy showed significant progress in his ability to bear weight and shift weight to his involved side.
The HandTutor and ArmTutor for upper extremityes and the LegTutor for lower extremity is used by rehabilitation clinics and out patients in their home to increase the dose of customized intensive exercise practice. The Tutor system is used in conjunction with CIMT.



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