PURPOSE: The aim of this study was to investigate the feasibility of implementing constraint-induced movement therapy (CIMT) in Jordan, a country with a different culture to that of the western world where CIMT has previously been investigated. METHOD: Twenty children with unilateral cerebral palsy (CP) were randomised to either CIMT or neurodevelopmental treatment (NDT). NDT is the usual treatment method in Jordan for children with CP and was used in the control group. Fourteen children fulfilled the treatment; mean age was 47 months (SD 19 months) in the CIMT group and 65 months (SD26 months) in the NDT group. Jordanian therapists learned the CIMT method in a 2-day workshop. CIMT was based on 2-h per day for eight weeks, with the families being responsible for the training aside from a weekly session with the therapist, i.e. a home-based model. Children in the NDT group had 2 h of training per week by therapists. RESULTS: Hand function, measured with Assisting Hand Assessment on a scale of 0-100 AHA-units, improved from 41.6 (12.6) to 48 (11.6) in the CIMT group and from 56 (18.7) to 56.6 (18.8) among controls. ANOVA show a group effect of treatment (F(1,12) = 7.77; p = 0.016). CONCLUSIONS: A treatment effect of CIMT can be seen after a 2-day workshop in a novel environment.
RCT Entities:
PURPOSE: The aim of this study was to investigate the feasibility of implementing constraint-induced movement therapy (CIMT) in Jordan, a country with a different culture to that of the western world where CIMT has previously been investigated. METHOD: Twenty children with unilateral cerebral palsy (CP) were randomised to either CIMT or neurodevelopmental treatment (NDT). NDT is the usual treatment method in Jordan for children with CP and was used in the control group. Fourteen children fulfilled the treatment; mean age was 47 months (SD 19 months) in the CIMT group and 65 months (SD26 months) in the NDT group. Jordanian therapists learned the CIMT method in a 2-day workshop. CIMT was based on 2-h per day for eight weeks, with the families being responsible for the training aside from a weekly session with the therapist, i.e. a home-based model. Children in the NDT group had 2 h of training per week by therapists. RESULTS: Hand function, measured with Assisting Hand Assessment on a scale of 0-100 AHA-units, improved from 41.6 (12.6) to 48 (11.6) in the CIMT group and from 56 (18.7) to 56.6 (18.8) among controls. ANOVA show a group effect of treatment (F(1,12) = 7.77; p = 0.016). CONCLUSIONS: A treatment effect of CIMT can be seen after a 2-day workshop in a novel environment.
Authors: Laura W M E Beckers; Mellanie M E Geijen; Jos Kleijnen; Eugene A A Rameckers; Marlous L A P Schnackers; Rob J E M Smeets; Yvonne J M Janssen-Potten Journal: BMJ Open Date: 2020-10-06 Impact factor: 2.692
Authors: Roslyn N Boyd; Jenny Ziviani; Leanne Sakzewski; Laura Miller; Joanne Bowden; Ross Cunnington; Robert Ware; Andrea Guzzetta; Richard Al Macdonell; Graeme D Jackson; David F Abbott; Stephen Rose Journal: BMC Neurol Date: 2013-06-28 Impact factor: 2.474
Authors: Brian J Hoare; Margaret A Wallen; Megan N Thorley; Michelle L Jackman; Leeanne M Carey; Christine Imms Journal: Cochrane Database Syst Rev Date: 2019-04-01
Authors: Kathleen M Friel; Preston T J A Williams; Najet Serradj; Samit Chakrabarty; John H Martin Journal: Front Neurol Date: 2014-11-24 Impact factor: 4.003
Authors: Roslyn N Boyd; Jenny Ziviani; Leanne Sakzewski; Iona Novak; Nadia Badawi; Kerstin Pannek; Catherine Elliott; Susan Greaves; Andrea Guzzetta; Koa Whittingham; Jane Valentine; Cathy Morgan; Margaret Wallen; Ann-Christin Eliasson; Lisa Findlay; Robert Ware; Simona Fiori; Stephen Rose Journal: BMJ Open Date: 2017-09-18 Impact factor: 2.692
Authors: Roslyn N Boyd; Emmah Baque; Adina Piovesana; Stephanie Ross; Jenny Ziviani; Leanne Sakzewski; Lee Barber; Owen Lloyd; Lynne McKinlay; Koa Whittingham; Anthony C Smith; Stephen Rose; Simona Fiori; Ross Cunnington; Robert Ware; Melinda Lewis; Tracy A Comans; Paul A Scuffham Journal: BMC Neurol Date: 2015-08-19 Impact factor: 2.474