Brain Reorganization following Intervention in Children with Congenital Hemiplegia: A Systematic Review

Table 2

Characteristics of the UL intervention programs.

Study	Treatment	Duration	Frequency	Intensity per day	Environment	Activities	Restraining device or therapy system
[13]	Modify CIMT + OT	3 weeks	Weekly	n/a	In home	Bloorview Kids rehabilitation therapy manual	3 weeks continuous casting of the affected arm and hand
[14]	CIMT + intensive motor training	15 days*	Weekdays	5 hrs	N/a	Shaping technique	Less-affected arm is continuously restrained in a long arm cast
[15]	modify CIMT + NDT	2 weeks	Weekdays	4 hrs	Outpatient clinic, home, playgroup	Chosen collaboratively between child and therapists	Removable cast on nonaffected arm for 90% of the waking hrs included weekend
[16]	VR	2 months	Weekdays	30 min	In home	2 games: “sliders”, “chase away a butterfly”	5 DT5 Ultra Glove + Play Station 3 game console
[17]	CIMT + individual/peer group activities	12 days	Daily	n/a	Training camp	Individual (2 hrs) and peer group activities	Tailored glove fortified on palmer side and fingers (wearing time: 10 hrs/day)
[18]	CIMT + individual/peer group activities	12 days	Daily	n/a	Training camp	Individual (2 hrs) and peer group activities	Tailored glove fortified on palmer side and fingers (wearing time: 10 hrs/day)
[19]	CIMT + individual/peer group activities	12 days	Daily	10 hrs	Training camp	Individual (2 hrs) and peer group activities (8 hrs)	Tailored glove fortified on palmer side and fingers (wearing time: 10 hrs/day)

∗On the last 2 days of treatment, the cast is removed and training is focused on bilateral activities. Abbreviations: CIMT: constraint-induced movement therapy; VR: virtual reality; NDT: neurodevelopmental treatment; OT: occupational therapy; n/a: not available; min: minutes; hrs: hours.