Auto-rééducation guidée et contrainte avec la participation des parents proposée à des enfants de moins de 3 ans porteurs d'une paralysie cérébrale unilatérale

Children carrying a unilateral cerebral palsy often keep important aftereffects, despite reeducation in physiotherapy. The affected upper limb can be non-functional, and thus putting the young subject in everyday struggle. This article demonstrates how the rehabilitation with constraint-induced movement therapy, usually used on adults after a vascular injury causing a hemiplegia, adapted to young children under three years, can improve sensory and motor recovery of the affected upper limb. After some theoretical reflections, I will explain the method, show eight clinical cases, and then the clinical cares performed by a team working on this pathology to accompany at best parents and children in an Early Medical and Social Action Center.