Korean Journal of Occupational Therapy

Article

Effects of Constraint-Induced Movement Therapy for the Upper-extremity Function in Children With Cerebral Palsy Suffering From Hemiplegia : Meta-analysis

Author
오영주(Young-Ju Oh), 조바회 (Ba-Hoe Cho), 이재신(Jae-Shin Lee)
Information
pp. 69~84 / 2014 Vol.22 No.3
e-ISSN2671-4450
p-ISSN1226-0134
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Abstract

Objective : The purpose of this study was to determine through a meta-analysis the effect of Constraint- InducedMovement Therapy for the upper-extremity function in children with cerebral palsy suffering from hemiplegia. Methods : The data were collected using domestic and foreign search engines. The fourteen studies selected werepublished from 2006 to 2013. The studies that meet the selection criteria were conducted through a qualitativeassessment using the PEDro score. The average and standard deviations and the sample size of the pre-test andpost-test, depending on the topic, were determined through a meta- analysis. Results : The fourteen studies that meet the selection criteria were 6 points over the PEDro score and involved527 study participants. The effect size of the affected upper-extremity function, amount of use, and quality asindicated by a “large effect size,” was statistically significant (p<.001). The effect size of the dissociatedmovement, visual motor integration, and bilateral hand use as indicated by a “medium effect size,” was alsostatistically significant (p<.05). Conclusion : Constraint-Induced Movement Therapy is more effective than conventional therapy for improving theupper-extremity function of children with cerebral palsy suffering from hemiplegia. This evidence can be used toimprove the upper-extremity function of such children in a clinical setting.

Keywords

강제 유도 운동치료 뇌성마비 메타분석 상지기능 Cerebral palsy Constraint-induced movement therapy Meta-analysis Upper extremity function