{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:24:42Z","timestamp":1792481082588,"version":"4.5.0"},"reference-count":54,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T00:00:00Z","timestamp":1599177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Objective: To assess the functionality of the affected upper limb in children diagnosed with hemiplegia aged between 4 and 8 years after applying low-intensity modified Constraint-Induced Movement Therapy (mCIMT). Methods: Prospective case series study. A mCIMT protocol was applied for five weeks, with two hours of containment per day. The study variables were quality of movement of the upper limb, spontaneous use, participation of the affected upper limb in activities of daily living, dynamic joint position, grasp\u2013release action, grasp strength, supination and extension elbow movements. Four measurements were performed, using the quality of upper extremity test (QUEST) scale, the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) Evaluation, a hand dynamometer and a goniometer. Results: The sample was composed of eight children with moderate manual ability. Statistically significant differences were detected in all the studied variables (p &lt; 0.05) between the pre-treatment and post\u2013treatment results (Week 0\u2013Week 5), except for upper limb dressing, putting on splints and buttoning up. In the first week, the changes were statistically significant, except for protective extension, grasp strength, grasp\u2013release and all functional variables (level of functionality and participation of the patient\u2019s upper limbs) in the SHUEE Evaluation (p &gt; 0.05). The greatest increase occurred in spontaneous use from Assessment 1 to Assessment 4 (p = 0.01), reaching 88.87% active participation in bimanual tasks. The quality of movement of the upper limb exhibited a significant value due to the increase in dissociated movements and grasp (p = 0.01). Conclusion: A low dose (50 h) of mCIMT increased the functionality of children diagnosed with congenital hemiplegia between 4 and 8 years of age with moderate manual ability.<\/jats:p>","DOI":"10.3390\/children7090127","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T11:24:24Z","timestamp":1599218664000},"page":"127","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4034-2585","authenticated-orcid":false,"given":"Roc\u00edo","family":"Palomo-Carri\u00f3n","sequence":"first","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4669-0679","authenticated-orcid":false,"given":"Rita-Pilar","family":"Romero-Galisteo","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Science Health, University of M\u00e1laga, 29016 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9611-3939","authenticated-orcid":false,"given":"Elena","family":"Pinero-Pinto","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Nursery, Physiotherapy and Podiatry, University of Seville, 41004 Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4308-7340","authenticated-orcid":false,"given":"Purificaci\u00f3n","family":"L\u00f3pez-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2388-2213","authenticated-orcid":false,"given":"Helena","family":"Romay-Barrero","sequence":"additional","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8327-1487","authenticated-orcid":false,"given":"Francisco Garc\u00eda-Muro San","family":"Jos\u00e9","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Medicine, University San Pablo-CEU, 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.nrl.2011.12.004","article-title":"Empleo de sistemas de realidad virtual como m\u00e9todo de propiocepci\u00f3n en par\u00e1lisis cerebral: Gu\u00eda de pr\u00e1ctica cl\u00ednica","volume":"29","year":"2014","journal-title":"Neurologia"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Sgandurra, G., Ferrari, A., Cossu, G., Guzzetta, A., Biagi, L., Tosetti, M., Fogassi, L., and Cioni, G. 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