Constraint-induced Movement Therapy (CIMT) and Bimanual Training (HABIT) in Children With Hemiplegic Cerebral Palsy

Teachers College, Columbia University42 enrolled

Overview

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.

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/.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cerebral Palsy Hemiplegia Children Pediatric

Interventions

Constraint-Induced Movement Therapy (CIMT)PROCEDURE

90 hours

Hand-Arm Bimanual Intensive Therapy (HABIT)PROCEDURE

90 hours

Eligibility

Sex: ALLMin age: 30 MonthsMax age: 14 Years

Medical Language ↔ Plain English

Inclusion Criteria: willingness to agree to intervention and testing procedures and travel to the University for participation and testing. Exclusion Criteria: * 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

Locations (1)

Teachers College, Columbia University

New York, New York, United States

Outcomes

Primary Outcomes

Change in Score on Assisting Hand Assessment (AHA)

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.

Time frame: Baseline, 6 months

Change in Score on the Jebsen-Taylor Test of Hand Function (JTTHF)

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.

Time frame: Baseline, 6 months

Data from ClinicalTrials.gov

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