Home-based Early Intensive Hemiparesis Therapy: Engaging Nurture
Overview
- Phase
- Not Applicable
- Intervention
- Home-based Therapy
- Conditions
- Cerebral Palsy
- Sponsor
- University of Calgary
- Enrollment
- 20
- Locations
- 2
- Primary Endpoint
- Satisfaction of therapists
- Status
- Completed
- Last Updated
- 4 days ago
Overview
Brief Summary
The purpose of the study is to assess implementation and effectiveness of a caregiver-delivered rehabilitation intervention for infants and toddlers with cerebral palsy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •aged three to 24 months (corrected, if premature)
- •clinician-identified hand asymmetry
- •suspected/confirmed cerebral palsy (hemiplegia or triplegia)
- •willing to withhold other formal upper-limb focussed treatment during the study intervention - willing to commit to completing 18 weeks of daily home-practice and attending weekly therapy sessions.
Exclusion Criteria
- •participation in formal constraint induced movement therapy (CIMT) within last six months
- •upper limb botulinum toxin A injections within previous six months
- •brachial plexus injury
- •lower motor neuron dysfunction
- •upper limb congenital limb difference.
Arms & Interventions
Home-based Therapy
Intervention: Home-based Therapy
Outcomes
Primary Outcomes
Satisfaction of therapists
Time Frame: <7 days after the 18-week intervention
Satisfaction with the intervention will be assessed using a study-built questionnaire with Likert-scale response options 0 to 4, with 4 being greater satisfaction.
Canadian Occupational Performance Measure (COPM)
Time Frame: <7 days after the 18-week intervention
Using the COPM, three to five individualized functional goals will be identified by caregivers and then scored on a scale of 1 to 10 for both Performance and Satisfaction.
Age-appropriate hand assessment (HAI/mini-AHA/AHA)
Time Frame: <7 days after the 18-week intervention
The HAI/mini-AHA/AHA employ a video-recorded play-based session of \<15 minutes to provide a logit-based measure of manual function.
Secondary Outcomes
- Canadian Occupational Performance Measure (COPM)(8 weeks +/-3days after the the 18-week intervention.)
- Age-appropriate hand assessment (HAI/mini-AHA/AHA)(8 weeks +/-3days after the the 18-week intervention.)