FIGURE 4.

Spontaneous use of the more impaired arm (Pediatric Motor Activity Log score) of young (2–6 years) children with hemiparetic CP receiving Constraint-Induced Movement therapy or standard occupational therapy. Data for the Constraint-Induced Movement therapy group are shown before and during treatment and 1, 6, and 12 months after treatment. Data for the control subjects are shown at corresponding times for 6 months after treatment, at which time they were crossed over to Constraint-Induced Movement therapy. After crossover data are shown for treatment and 1 and 6 months afterward. The data are similar to those for adults shown in Figure 1. For both the children given CI therapy first and those given the intervention after crossover, the amount of spontaneous use of the more affected arm in the ADL in the real-world environment increased from approximately 15% compared to use of the less affected arm to approximately 65%. Reprinted from Taub et al. (2011).