Bimanual Training (HABIT) in Children With Hemiplegic Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Change in Score on Assisting Hand Assessment (AHA)
研究概览
简要总结
A randomized control trial of bimanual training. The protocols have been developed at Columbia University to be child friendly and draws upon our experience since 1997 with constraint-induced movement therapy in children with cerebral palsy.
详细描述
A new treatment involving bimanual (Hand-Arm Bimanual Intensive Therapy (HABIT). The protocols have been developed at Columbia University to be child friendly and draws upon our experience since 1998 with constraint-induced movement therapy in children with cerebral palsy. The interventions are performed in a 15 day day-camp setting with several children and at least one therapist per child. We have conducted 24 day camps to date since 2002, and are now collaborating with clinicians worldwide to expand our treatment availability. The aim is to promote the use of and improve the coordination of movement of both hands together. PARTICIPATION IS FREE. Please check out our website for more information: http://www.tc.edu/centers/cit/.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Months 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •willingness to agree to intervention and testing procedures and travel to the University for participation and testing.
排除标准
- •health problems not associated with CP
- •uncontrollable seizures
- •visual problems that would interfere with carrying out the intervention or testing
- •botulinum toxin therapy in the upper extremity musculature during the last six months or who wish to receive it within the period of study
研究组 & 干预措施
CIMT Intervention
Participants randomized to this arm were provided with 90 minutes of Constraint-Induced Movement Therapy (CIMT), which requires hand restraint and progression of unimanual tasks.
干预措施: Constraint-Induced Movement Therapy (CIMT) (Procedure)
HABIT Intervention
Participants randomized to this arm were provided with 90 minutes of Hand-Arm Bimanual Intensive Therapy (HABIT), which requires that tasks are progressed bimanually.
干预措施: Hand-Arm Bimanual Intensive Therapy (HABIT) (Procedure)
结局指标
主要结局
Change in Score on Assisting Hand Assessment (AHA)
时间窗: Baseline, 6 months
The Assisting Hand Assessment (AHA) quantifies the effectiveness with which a child with unilateral disability uses his/her affected (assisting) hand in bimanual activity. Scores range from 0-100 units, with higher scores signifying better bimanual performance.
Change in Score on the Jebsen-Taylor Test of Hand Function (JTTHF)
时间窗: Baseline, 6 months
The Jebsen-Taylor Test of Hand Function (JTTHF) is a standardized test of simulated functional tasks quantifying the time to complete a battery of unimanual tasks. The activities performed include flipping index cards, object placement, simulated eating, stacking checkers, and manipulating empty and full cans. Scores range from 0-1080 seconds, with a lower score signifying better hand function.
次要结局
未报告次要终点
研究者
Andrew Gordon
Professor
Columbia University