TY - JOUR T1 - Can Constraint Induced Movement Therapy Improve In-Hand Manipulation Skills: A Single Subject Design TT - JF - Iranian-Rehabilitation-Journal JO - Iranian-Rehabilitation-Journal VL - 10 IS - 2 UR - http://irj.uswr.ac.ir/article-1-138-en.html Y1 - 2012 SP - 75 EP - 85 KW - Constraint induced movement therapy KW - In hand manipulation skills KW - Hemiplegia KW - Upper limb N2 - Objectives: This study describes a single subject design (ABA) that shows the effective use of constraint induced movement therapy in improvement of quality and performance of in-hand manipulation skills for a 10 year old boy and a 9 years old girl with hemiplegic cerebral palsy, as Dickerson (2007) showed it in arm movement and function. Methods: To determine the effectiveness of CIMT by the use of C-statistic analysis and visual analysis. Approach: The first step was to design a child friendly group activity and home based intervention program through occupation. The possible effectiveness of CIMT was evaluated by daily measurements and video recording of 6 sub skills of in-hand manipulation according to Pont category (2009) in defined activity. Results: For making the treatment more cost effective, families can produce a simple clinical setting at home and participate in their child treatment plan actively. Discussion: A client center intervention will facilitate the use and quality of fingers and hand motion. Also a group activity can motivate participants to participate more and better. M3 ER -