TY - JOUR
T1 - Effect of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Case Series
AU - Beckers, L.W.M.E.
AU - Rameckers, E.A.A.
AU - Aarts, P.B.M.
AU - van der Burg, J.J.W.
AU - Smeets, R.J.E.M.
AU - Schnackers, M.L.A.P.
AU - Steenbergen, B.
AU - de Groot, I.J.M.
AU - Geurts, A.C.H.
AU - Janssen-Potten, Y.J.M.
N1 - Funding Information:
This work was supported by HandicapNL (former Revalidatiefonds), Johanna Kinderfonds, and Stichting Rotterdams Kinderrevalidatie Fonds Adriaanstichting in the 3rd Program Rehabilitation Research of ZonMw (the Netherlands Organization for Health Research and Development) under grant number 630000001; HandicapNL (former Revalidatiefonds) under grant number R2016006; and Stichting Vooruit under grant number 18?05/YvH/NS. We sincerely thank the children and their parents who generously gave their time and effort to participate in this study. We also greatly appreciate the dedicated commitment of the therapists, remedial educationalists, and their colleagues. We would like to acknowledge the research assistants who conducted and scored the assessments. We highly esteem the contribution of the COAD Author Group: Nicole Brouwers, Anke Defesche, Hanneke Denissen, Rosemarie Derickx, Yvonne Geerdink, Ruth Heijsen-van den Heuvel, Bregtje Janssen, Anne Jensen, Marjon Kissels, Martijn Klem, Nanne Land, Denise Martens, Judith van Munster, Bianca Olive, Marleen Philippines, Caroline Scheijmans, Lucianne Speth, Ingrid van den Tillaar, and Eef Vennix. Finally, we thank Les Hearn for proofreading the manuscript.
Publisher Copyright:
© 2021 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2021/7/4
Y1 - 2021/7/4
N2 - Purpose : To explore the child- and parent-related effects of home-based bimanual training in children with unilateral cerebral palsy.Methods : Case series of 14 children (2-7 years) who completed goal-oriented task-specific training for 3.5 hours/week for 12 weeks by a program adopting implicit (n = 5) or explicit (n = 9) motor learning. A therapist and remedial educationalist coached parents. Progression on bimanual goals (Canadian Occupational Performance Measure (COPM)) and therapy-related parental stress (interviews) were of primary interest. Data were collected at baseline (T0), halfway through and at the end of training (T1 and T2), and after 12 weeks (T3).Results : On the COPM performance scale a clinically relevant change was seen in 50% (7/14), 86% (12/14), and 85% (11/13) of the children, at T1, T2, and T3, respectively. Some parents indicated that they had experienced stress because of the training intensity.Conclusion : The child- and parent-related effects of the home-based bimanual training programs are encouraging.
AB - Purpose : To explore the child- and parent-related effects of home-based bimanual training in children with unilateral cerebral palsy.Methods : Case series of 14 children (2-7 years) who completed goal-oriented task-specific training for 3.5 hours/week for 12 weeks by a program adopting implicit (n = 5) or explicit (n = 9) motor learning. A therapist and remedial educationalist coached parents. Progression on bimanual goals (Canadian Occupational Performance Measure (COPM)) and therapy-related parental stress (interviews) were of primary interest. Data were collected at baseline (T0), halfway through and at the end of training (T1 and T2), and after 12 weeks (T3).Results : On the COPM performance scale a clinically relevant change was seen in 50% (7/14), 86% (12/14), and 85% (11/13) of the children, at T1, T2, and T3, respectively. Some parents indicated that they had experienced stress because of the training intensity.Conclusion : The child- and parent-related effects of the home-based bimanual training programs are encouraging.
KW - bimanual training
KW - cerebral palsy
KW - home-based training
KW - therapy-related parental stress
KW - upper extremity
KW - Cerebral palsy
U2 - 10.1080/17518423.2021.1886189
DO - 10.1080/17518423.2021.1886189
M3 - Article
C2 - 33615975
SN - 1751-8423
VL - 24
SP - 311
EP - 322
JO - Developmental Neurorehabilitation
JF - Developmental Neurorehabilitation
IS - 5
ER -