NCT01078766 - Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic Cerebral Palsy (CP) | Crick

Overview

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.

Study Type

INTERVENTIONAL

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Enrollment

9

Conditions

Cerebral Palsy Hand Function

Interventions

CIMT+HABITOTHER

The daily schedule included one hour of constraining the functional arm with intensive activation of the hemi-paretic arm and then 5 hours of various structured, intensive bimanual functional activities,

Eligibility

Sex: ALLMin age: 6 YearsMax age: 9 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 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. Exclusion criteria: * 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.

Outcomes

Primary Outcomes

Assisting Hand Assessment

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

Time frame: 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

Secondary Outcomes

Jebsen-Taylor Test of Hand Function

Time frame: 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)

Time frame: 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

Time frame: 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