Brain SPECT Analysis After Constraint-Induced Movement Therapy in Young Children with Hemiplegic Cerebral Palsy: Case Report
- Brain SPECT Analysis After Constraint-Induced Movement Therapy in Young Children with Hemiplegic Cerebral Palsy: Case Report
- 조인호; 천경아; 공은정; 정주혜
- cysteine ethyl ester tc 99m; arm movement; article; brain function; brain perfusion; case report; cerebellum; cerebral palsy; child; constraint induced therapy; electromyography; female; frontal lobe; functional assessment; hand function; hemiplegia; human; motor cortex; muscle function; occipital lobe; perceptive discrimination; preschool child; priority journal; school child; single photon emission computer tomography; temporal lobe
- Issue Date
- Nuclear Medicine and Molecular Imaging, v.47, no.2, pp.119 - 124
- Constraint-induced movement therapy (CIMT) was shown recently to be promising for improving upper-limb function in children with cerebral palsy (CP). This study investigated the changes in cerebral perfusion with single-photon emission computerized tomography (SPECT) after modified CIMT (child-friendly CIMT) in young hemiplegic girls. Two young children with left hemiplegic CP were studied with SPECT at rest before and after the CIMT period, and they also performed standardized upper motor function tests [Jebsen hand function test, quality of upper extremity skills test (QUEST), and dynamic electromyography (EMG)]. The cerebral perfusion SPECT revealed regional perfusion increase in the motor cortex area in the affected hemisphere, and the changes associated with functional gain. Our cases showed that intensive movement therapy appears to change local cerebral perfusion and SPECT could show these changes in children with hemiplegic CP. ? 2013 Korean Society of Nuclear Medicine.
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