Constraint-induced movement therapy effects on gross motor function of a child with triplegic cerebral palsy

Abstract

Background and purpose: The purpose of this case report is to describe physical therapy interventions used and gross motor functional outcomes achieved during a 3-week course of constraint-induced movement therapy for a child with cerebral palsy.

Case description: A 10-year-old boy with spastic triplegic cerebral palsy underwent fine and gross motor interventions to force use of the left extremities and right lower extremity.

Intervention: For weeks 1 to 2, he received 2 occupational and physical therapy sessions each week. For weeks 3 to 5, he participated in constraint-induced movement therapy, while wearing a cast 90% of waking hours.

Outcomes: The Gross Motor Function Measure-88 score increased from 44.55% to 62.35% after treatment. Although he improved in one area of the Functional Independence Measure for Children, he demonstrated remarkable progress in his ability to bear weight and shift weight to his involved side in various developmental positions.