Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic Cerebral Palsy (CP)
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: CIMT+HABIT Form of "summer camp", for six hours per day for 10 consecutive work days. |
Other: CIMT+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,
|
Outcome Measures
Primary Outcome Measures
- 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 Outcome Measures
- 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]
Eligibility Criteria
Criteria
Inclusion Criteria:
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active wrist extension/dorsiflexion of at least 20;
-
MACS 1-3;
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GMFCS 1-2;
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enrolled in regular or remedial level education with ability to understand instructions and participate without parent presence.
Exclusion criteria:
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seizures;
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severely increased muscle tone; or hemi arm to good;
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orthopedic surgery on the upper extremity;
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botulin toxin injections within the past half year to the upper extremity;
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inability to understand instructions or cognitive/behavior/concentration.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Alyn Pediatric & Adolescent Rehabilitation Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 920090440