Caregiver-directed home-based intensive bimanual training in young children with unilateral spastic cerebral palsy: a randomized trial.
Dev Med Child Neurol
; 59(5): 497-504, 2017 May.
Article
em En
| MEDLINE
| ID: mdl-27864822
ABSTRACT
AIM:
To examine the efficacy of caregiver-directed, home-based intensive bimanual training in children with unilateral spastic cerebral palsy (USCP) using a randomized control trial.METHOD:
Twenty-four children (ages 2y 6mo-10y 1mo; 10 males, 14 females) performed home-based activities directed by a caregiver for 2 hours per day, 5 days per week, for 9 weeks (total=90h). Cohorts of children were age-matched into groups and randomized to receive home-based hand-arm bimanual intensive therapy (H-HABIT; n=12) or lower-limb functional intensive training (LIFT-control; n=12). Caregivers were trained before the intervention and supervised remotely via telerehabilitation. Dexterity and bimanual hand function were assessed using the Box and Blocks test (BBT) and the Assisting Hand Assessment (AHA) respectively. Caregiver perception of functional goals was measured using the Canadian Occupational Performance Measure (COPM).RESULTS:
H-HABIT showed greater improvement on the BBT compared to LIFT-control and no improvement on the AHA. H-HABIT demonstrated significant improvement in COPM-Performance compared to LIFT-control and both groups showed equal improvement in COPM-Satisfaction.INTERPRETATION:
H-HABIT improved dexterity and performance of functional goals, but not bimanual performance, in children with USCP compared to a control group receiving intervention of equal intensity/duration that also controlled for increased caregiver attention. Home-based models provide a valuable, family-centered approach to achieve increased treatment intensity.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Paralisia Cerebral
/
Terapia por Exercício
/
Mãos
/
Lateralidade Funcional
/
Espasticidade Muscular
Tipo de estudo:
Clinical_trials
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Dev Med Child Neurol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos