A long-term observation on effects of modified constraint-induced movement therapy combined with bimanual training in children with hemiplegia in “The Pirate Group” program – case report

Study aim: The aim of the research was to present a unique intervention for restoring limb function in cases of hemiplegia based on a modified constraint-induced movement therapy (mCIMT) combined with bimanual training (BIT) carried out as part of “The Pirate Group” program, and long-term observation of its effects.

Material and methods: The study included five boys aged three to five years, diagnosed with cerebral palsy (CP) with a form of hemiplegia (unilateral cerebral palsy). The effectiveness of the therapy and its long-term effect were analysed based on the Small Kids-AHA test conducted before the therapy, after two weeks of therapy, and six months after the end of therapy.

Results: Some differences were noted between the global scores of Small Kids-AHA test obtained before and after two weeks of therapy. No differences were found between the global scores of Small Kids-AHA test obtained after two weeks of therapy and six months after the end of therapy.

Conclusion: Modified constraint-induced movement therapy combined with bimanual training carried out as part of “The Pirate Group” program is an effective therapeutic intervention, and its effects may persist for six months after the end of therapy.