Comment proposer une thérapie précoce pour l’enfant de moins de douze mois à risque de développer une paralysie cérébrale unilatérale dans le but de favoriser l’utilisation de son membre supérieur à l’aide d’un outil de type Constraint Induced Movement Therapy ?

Abstract

Aim

This article is a case study of an early rehabilitation of the upper limb of children under twelve months of age at risk of unilateral cerebral palsy. The aim is to propose a constraint-induced movement therapy in a private practice, to analyze its benefits and to confront it with the existing literature on the subject.

Method

After a selection of articles from the scientific literature, it is introduced the case of a child who has had a stroke at the second day of life, and the early rehabilitation established with the Baby-CIMT tool in private practice and the family support in the home rehabilitation.

Results

This technique, adaptated to the private practice, allowed to promote the activity and participation of the child and her family, it also promoted the use of the affected upper limb.

Discussion and conclusions

It seems that despite the contributions allowed by the Baby-CIMT, the transfer of competences toward bimanual activities is not really effective. This could be achieved by coupling this therapy with daily life activities or bimanual therapy. However, the involvement of the family seems to be directly related to the functional outcome of the child.