Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic CP
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Alyn Pediatric & Adolescent Rehabilitation Hospital
- Enrollment
- 9
- Primary Endpoint
- Assisting Hand Assessment
- Last Updated
- 10 years ago
Overview
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.
Investigators
Eligibility Criteria
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.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Assisting Hand Assessment
Time Frame: 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 Outcomes
- 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)