Does intensive upper limb treatment modality Hybrid Constrained Induced Movement Therapy (H-CIMT) improve grip and pinch strength or fatigability of the affected hand?

L Brauers*, M M E Geijen, L A W M Speth, E A A Rameckers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

5 Citations (Web of Science)
52 Downloads (Pure)


PURPOSE: To investigate the effects of Hybrid-Constrained Induced Movement Therapy (H-CIMT), defined as CIMT combined with Bimanual Intensive Movement Therapy (BIMT), on grip and pinch strength and fatigability we measured grip and pinch strength and fatigability during clinical H-CIMT.

METHODS: The children participated in a H-CIMT model organized in a therapeutic summer-camp. Children received 90 hours of intensive treatment. Grip and pinch strength and fatigability was measured and fatigue was calculated according to a Static Fatigue Index (SFI).

RESULTS: Pinch strength significantly increased, grip strength did not increase significantly. A non-significant decrease was seen in SFI in pinch and grip.

CONCLUSIONS: H-CIMT showed to be effective in increasing muscle pinch strength in the AH. Effectiveness in decreasing muscle fatigue during grip and pinch tests is not yet shown although there was a tendency towards a decrease in muscle fatigue. However, the long-term effects on these aspects are also important in future research.

Original languageEnglish
Pages (from-to)11-17
Number of pages7
JournalJournal of Pediatric Rehabilitation Medicine
Issue number1
Publication statusPublished - 17 Mar 2017


  • Adolescent
  • Cerebral Palsy
  • Child
  • Female
  • Hand Strength
  • Humans
  • Male
  • Muscle Fatigue
  • Physical Therapy Modalities
  • Pinch Strength
  • Restraint, Physical
  • Treatment Outcome
  • Upper Extremity
  • Clinical Trial
  • Journal Article

Cite this