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Constraint Therapy for Brachial Plexus Birth Injury
Sponsor: Boston Children's Hospital
Summary
The goal of this clinical trail is to learn if constraint physical therapy is a better treatment than normal physical therapy for infants with a brachial plexus birth injury. The main question it aims to answer is: If constraint physical therapy can give participants earlier and better function than normal physical therapy. Researchers will compare participants receiving constraint physical therapy to participants receiving normal therapy to see if their strength and recovery is better. Participants/families will: * Undergo constraint or normal physical therapy for 5 weeks * Wear a research motion tracking device to measure movement * Answer questionnaires about if they see improvement in arm use * Visit clinical 1 and 6 months after therapy for checkups and tests * Obtain medical imaging of their shoulders, brain and spinal cord
Official title: Constraint Response in Infants With Brachial Plexus Birth Injury
Key Details
Gender
All
Age Range
Any - 18 Months
Study Type
INTERVENTIONAL
Enrollment
30
Start Date
2027-01-01
Completion Date
2032-01-01
Last Updated
2026-10-09
Healthy Volunteers
No
Conditions
Interventions
Constraint Therapy
Weeks 1-3: Force use stage Direct therapy - 2 times per week, 2-hour sessions Parent home program - 2 hours daily, sessions of therapy should be at least 15 minutes each, non-injured arm movement is restricted for the entirety of these parent guided sessions Sessions should be done wearing movement restrictive brace on non-affected arm Weeks 4-5: Bilateral training phase Direct occupational or therapy 2 times per week, 2-hour sessions Parent home program - 2-hour daily sessions of therapy, at least 15 minutes per session. No active constraint