Cerebral Palsy, Hand Function
Conditions
Keywords
cerebral palsy
Brief summary
The combination of the constraint-induced movement therapy (CIMT) method as a complement to hand arm bimanual training (HABIT) will improve the frequency and quality of cooperative hand use and function in children with hemiplegic CP.
Interventions
OTHERCIMT+HABIT
The daily schedule included one hour of constraining the functional arm with intensive activation of the hemi-paretic arm and then 5 hours of various structured, intensive bimanual functional activities,
Sponsors
Alyn Pediatric & Adolescent Rehabilitation Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* active wrist extension/dorsiflexion of at least 20; * MACS 1-3; * GMFCS 1-2; * enrolled in regular or remedial level education with ability to understand instructions and participate without parent presence.
Exclusion criteria
* seizures; * severely increased muscle tone; or hemi arm to good; * orthopedic surgery on the upper extremity; * botulin toxin injections within the past half year to the upper extremity; * inability to understand instructions or cognitive/behavior/concentration.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assisting Hand Assessment | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program | Rasch built, it measures how effectively a child with unilateral disability typically makes use of their affected (assisting) hand during bimanual performance. It is conducted by a semi-structured play session requiring bimanual handling that is video-recorded. Scoring is performed by a analyzing the video on 22 predefined items using a 4-point criterion-referenced rating scale |
Secondary
| Measure | Time frame |
|---|---|
| Jebsen-Taylor Test of Hand Function | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program |
| The Pediatric Evaluation of Disability Inventory (PEDI) | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program |
| Muscle strength | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program |
Outcome results
None listed