Constraint Induced Movement Therapy in Infants and Toddlers with Hemiplegic Cerebral Palsy: A Scoping Review
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Cerebral Palsy (CP) is the leading cause of motor disability in childhood. Hemiplegic cerebral palsy is defined by motor impairments to one side of the body causing limited reach, grasp, and manipulation of the affected limb. Recent studies have been looking into the effectiveness of constraint induced movement therapy (CIMT) as an effective early intervention treatment. This review aims to identify current evidence for CIMT protocols, clinical applications for practice, and gaps in research. 10 studies were selected for the review. There was strong evidence of improvements in functional performance and motor skills for infants and toddlers that received CIMT. Important components of CIMT protocols consisted of caregiver education, individualized intervention plans, and conducting sessions in the child’s usual environment. Future research is needed to determine the effects of different dosages in early CIMT, and the long term developmental effects throughout childhood.