The goal of this research is to provide limb training in children with hemiplegia using a bimanual-to-unimanual training approach. Twenty pediatric patients aged 5-17 years with acquired brain injury will receive training on the bimanual-to-unimanual device for a period of 9 weeks. During the training, children use both arms to operate robotic arms to play a video game. We will assess changes in hand impairment after the training.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Device-based bimanual-to-unimanual training will be provided with the Bimanual Arm Trainer (BAT, Mirrored Motion Works, NC). The device provides bimanual-to-unimanual training of simultaneous shoulder external rotation and elbow extension, and independent training of pronation-supination and grasp and release of each hand. Range of motion and speed are recorded during training and feedback and motivation are provided through age-appropriate gaming modules.
Kathleen M Friel
Hartsdale, New York, United States
Change in Assisting Hand Assessment
The Assisting Hand Assessment evaluated how effectively children use their hands to complete bimanual tasks.
Time frame: Before intervention compared to after intervention
Change in Box and Box Test
The Box and Blocks test measures how many blocks a child can move with one hand from one box to another in one minute with the impaired hand.
Time frame: Before intervention compared to after intervention
Change in range of motion
The robotic device measures range of motion of the shoulder.
Time frame: Before intervention compared to after intervention
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