Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic CP
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 9
- 主要终点
- Assisting Hand Assessment
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Assisting Hand Assessment
时间窗: 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
次要结局
- 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)