Abstract:
:Using resting state functional magnetic resonance imaging (MRI), we aim to understand the neurologic basis of improved function in children with hemiplegic cerebral palsy treated with constraint-induced movement therapy. Eleven children including 4 untreated comparison subjects diagnosed with hemiplegic cerebral palsy were recruited from 3 clinical centers. MRI and clinical data were gathered at baseline and 1 month for both groups, and 6 months later for the case group only. After constraint therapy, the sensorimotor resting state network became more bilateral, with balanced contributions from each hemisphere, which was sustained 6 months later. Sensorimotor resting state network reorganization after therapy was correlated with a change in the Quality of Upper Extremity Skills Test score at 1 month (r = 0.79, P = .06), and Canadian Occupational Performance Measure scores at 6 months (r = 0.82, P = .05). This clinically correlated resting state network reorganization provides further evidence of the neuroplastic mechanisms underlying constraint-induced movement therapy.
journal_name
J Child Neuroljournal_title
Journal of child neurologyauthors
Manning KY,Menon RS,Gorter JW,Mesterman R,Campbell C,Switzer L,Fehlings Ddoi
10.1177/0883073815588995subject
Has Abstractpub_date
2016-02-01 00:00:00pages
220-6issue
2eissn
0883-0738issn
1708-8283pii
0883073815588995journal_volume
31pub_type
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