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Q [C.Bailey-Lloyd] How long has this treatment been in use and how successful is it?
In the Pediatric Paper Conclusion, "...Pediatric CI therapy produced major and sustained improvement in motoric function in the young children with hemiparesis in the study."
1. Taub, E., Ramey, S., DeLuca, S., Echols, K., Efficacy of Constraint-Induced Therapy (CI) Movement Therapy for Children with Cerebral Palsy, Pediatrics.
Key References:
Taub, E., Pidikiti, R.D., DeLuca,[link widoczny dla zalogowanych], S.C., Crago, J.E. (1996). Effects of motor restriction of an unimpaired upper extremity and training on improving functional tasks and altering brain/behaviors. Imaging and Neurologic Rehabilitation. 133-154.




DeLuca,[link widoczny dla zalogowanych], S.C. (2002) Intensive movement therapy with casting for children with hemiparetic cerebral palsy: a randomized controlled crossover trial. Dissertation, University of Alabama at Birmingham.

OTHER PUBLICATIONS
Q [C.Bailey-Lloyd] Could you explain exactly how the therapy works?


A [Stephanie C. DeLuca] That still needs to be addressed with research.
On the question of Pediatric CI Therapy effectiveness opposed to other conventional medical treatments, Dr. DeLuca referred me to recently published research efforts in a Pediatric paper. According to the research team, the stated results were"... Children receiving pediatric CI therapy compared with controls acquired significantly more new classes of motoric skills (9.3 vs 2.2); demonstrated significant gains in the mean amount (2.1 vs 0.1) and quality (1.7 vs 0.3) of more-affected arm use at home; and in a laboratory motor function test displayed substantial improvement including increases in unprompted use of the more-affected upper extremity (52.1% vs 2.1% of items). Benefits were maintained over 6 months, with supplemental evidence of quality-of-life changes for many children."
A [Stephanie C. DeLuca] We are the only clinic using the entire protocol that we are aware of.

3. UAB Health Systems [link widoczny dla zalogowanych]
Echols, K., DeLuca, S.C., Taub, E., Ramey, S. (2001). Constraint-induced movement therapy in young children: a protocol and outcomes compared to traditional measures. Pediatric Physical Therapy. 12,[link widoczny dla zalogowanych], 2, 210 Morris,[link widoczny dla zalogowanych], D., Crago,[link widoczny dla zalogowanych], J.E.,[link widoczny dla zalogowanych], DeLuca, S.C., Pidikiti, R.D., & Taub, E. (1997). Constraint-Induced movement therapy for motor recovery after stroke. NeuroRehabilitation. 9, 29- 43.
A [Stephanie C. DeLuca] We have been implementing this approach for almost 5 years with approximately 65 children and have seen very dramatic results. But again where children end up is dependent on where they start.




Echols, K., DeLuca, S.C., Ramey, S., & Taub, E. (2002). Constraint-induced movement therapy versus traditional therapeutic services for young children with cerebral palsy: a randomized controlled trial. Developmental Medicine & [link widoczny dla zalogowanych]ld Neurology. 44, S 91, 29
2. Pediatric Neuromotor Research Clinic [link widoczny dla zalogowanych]

Q [C.Bailey-Lloyd] Who utilizes this therapy (in practice) and how widely is it used across the nation?
C. Bailey-Lloyd/LadyCamelot
Public Relations' Director & Staff Writer for Holistic Junction -- Your source of information for <a target="_blank" href="http://www.holisticjunction.com/categories/HPD/alternative-therapy.html"Alternative Therapy; Alternative Medicine Schools; Holistic Health Care; Insightful Literature and so much more!
In closing, Pediatric CI Therapy offers a promising alternative treatment to children with neuromotor disabilities. To learn more about Pediatric CI Therapy or if you are a Pediatric Practitioner wanting to learn how to properly administer Pediatric CI Therapy, please contact Dr. Stephanie C. DeLuca at [link widoczny dla zalogowanych] or through her Website at [link widoczny dla zalogowanych]


A [Stephanie C. DeLuca] In general there have been very few negative side effects. Minor discomfort with relation to the cast but that is usually very transient.


Taub, E., Crago, J. E., Burgio, L.D., Groomes, T.E., Cook, E.W., DeLuca, S.C., & Miller, N.E. (1994). An operant approach to rehabilitation medicine: Overcoming learned nonuse by shaping. Journal of Experimental Analysis of Behavior, 61, 281-293.

A [Stephanie C. DeLuca] The therapy is aimed at children who have asymmetric abilities with their upper extremities because of a lesion within the central nervous system. It involves casting the child's stronger arm and hand with a lightweight splint which the children wear 24 hours a day for 3 weeks. Children are then treated for 6 hours each day for 21 consecutive days.





Echols, K., DeLuca, S.C., Ramey, S., & Taub, E. (2001). Constraint-induced Movement therapy in the child with cerebral palsy. Developmental Medicine & Child Neurology. 43, S 88, 37
A [Stephanie C. DeLuca] This varies from child to child and is dependent on the child's incoming abilities. But children routinely develop numerous new motor abilities with the weaker arm and hand.
CI Therapy, also known as "Taub Therapy," was initially developed by Dr. Edward Taub, Director of Taub Therapy Clinic in Birmingham, AL. A medical innovation that is successful in over 95% of stroke patients in helping regain significant movement, Taub therapy is an effective stroke rehabilitation therapy that consists of restricting the use of unaffected limbs to "rewire" neurons in the brain.
Ramey, SL, DeLuca, SC, Echols, K. (2003) Resilience for Today, in E. Grotberg, (Ed). Resilience In Families With Children Who Are Exceptional. Greenwood Publishing Group.
Taub, E., Ramey, S.L., DeLuca, S.C., Echols, K. (2004). Efficacy of constraint-induced (CI) movement therapy for children with cerebral palsy. Pediatrics: 113, 2, 305-12


Q [C. Bailey-Lloyd] What can one expect from this therapy, and on average, how long is treatment necessary?

Echols, K, DeLuca, SC. (submitted). Dosage in the treatment of children: Making therapy count. Journal of the American Physical Therapy Association.
? 2004 Pediatric CI Therapy - An Interview with Dr. Stephanie C. DeLuca
by C. Bailey-Lloyd/LadyCamelot



4. New Strategies after Stroke: Restraining, Rewiring, Relearning [link widoczny dla zalogowanych]
Q [C.Bailey-Lloyd] Are there any side effects to this treatment? Please explain

DeLuca, S.C. (2001) Constraint-induced movement therapy in pediatrics: a review and case study. Thesis, University of Alabama at Birmingham.


Q [C Bailey-Lloyd] Is this therapy effective on neurological disorders/ diseases other than Cerebral Palsy and Stroke patients?
To explore Pediatric CI Therapy, I asked Dr. Deluca a few questions about this particular therapy in an informal interview:

As each day passes, medical research communities strive to find alternative means of evaluating and treating specific conditions. One of those communities is comprised of a professional and highly educated team of PhDs at Alabama University at Birmingham, located in Birmingham, AL. Sharon Ramey, PhD developer and head of research efforts (of Pediatric CI Therapy) with co-researchers, Stephanie C. Deluca, PhD, K. Echols, PhD., Pt. PCS, and E. Taub, PhD. broadened Pediatric CI investigations. Pediatric Constraint-Induced Therapy, (also called Pediatric CI Therapy) was initiated to further advance treatment in children suffering from neuromotor disabilities. Funded by a grant from the Alabama Health Service Foundation, the Pediatric Neuromotor Research Clinic was established and is now being co-directed by Drs. Echols and DeLuca.


DeLuca, S.C., Echols, K., Ramey, S.L. & Taub, E. (2003). Pediatric constraint-induced movement therapy for a young child: two episodes of care. Journal of the American Physical Therapy Association: 83, 11, 1003-13.