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.
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 -