Can constraint induced movement therapy improve In-Hand Manipulation skills: a single subject design

This study describes a single subject design (aba) that shows the effective use of constraint induced movement therapy in improvement of quality and performance of in-hand manipulation skills for a 10 year old boy and a 9 years old girl with hemiplegic cerebral palsy, as dickerson (2007) showed it in arm movement and function. objective: to determine the effectiveness of cimt by the use of c-statistic analysis and visual analysis. the first step was to design a child friendly group activity and home based intervention program through occupation. the possible effectiveness of cimt was evaluated by daily measurements and video recording of 6 sub skills of in-hand manipulation according to pont category (2009) in defined activity. practice implication: for making the treatment more cost effective, families can produce a simple clinical setting at home and participate in their child treatment plan actively. conclusion: a client center intervention will facilitate the use and quality of fingers and hand motion. also a group activity can motivate participants to participate more and better.