Effect of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Case Series

L.W.M.E. Beckers*, E.A.A. Rameckers, P.B.M. Aarts, J.J.W. van der Burg, R.J.E.M. Smeets, M.L.A.P. Schnackers, B. Steenbergen, I.J.M. de Groot, A.C.H. Geurts, Y.J.M. Janssen-Potten

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)


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.
Original languageEnglish
Pages (from-to)311-322
Number of pages12
JournalDevelopmental Neurorehabilitation
Issue number5
Early online date20 Feb 2021
Publication statusPublished - 4 Jul 2021


  • bimanual training
  • cerebral palsy
  • home-based training
  • therapy-related parental stress
  • upper extremity
  • Cerebral palsy

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