TY - JOUR
T1 - Intensive upper- and lower-extremity training for children with bilateral cerebral palsy
T2 - a quasi-randomized trial
AU - Bleyenheuft, Yannick
AU - Ebner-Karestinos, Daniela
AU - Surana, Bhavini
AU - Paradis, Julie
AU - Sidiropoulos, Alexis
AU - Renders, Anne
AU - Friel, Kathleen M.
AU - Brandao, Marina
AU - Rameckers, Eugene
AU - Gordon, Andrew M.
PY - 2017/6
Y1 - 2017/6
N2 - AimAn approach that simultaneously engages both the upper and lower extremities, hand-arm bimanual intensive therapy including lower extremity (HABIT-ILE), has recently demonstrated improvements in upper and lower extremities in children with unilateral cerebral palsy (CP). It is not known whether children with bilateral CP would benefit from this approach. The aim of this study was to examine the efficacy of HABIT-ILE in children with bilateral CP.MethodA quasi-randomized trial design was used, whereby 20 participants (age 6-15y, Gross Motor Function Classification System levels II-IV, Manual Ability Classification System levels I-III) were assigned to a treatment (HABIT-ILE) or a comparison group in the order in which they were enrolled. Children in the HABIT-ILE group were assessed before and after 84 hours of intervention over 13 days, as well as at 3 months' follow-up. Children in the comparison group were assessed at the same time points. Children in both groups were assessed using the Gross Motor Function Measure (GMFM-66) and ABILHAND-Kids (primary measures), and six secondary measures.ResultsA groupxtest session interaction indicated significant improvements in the HABIT-ILE group as assessed by the GMFM-66, lower-extremity performance (6-Minute Walk Test; Pediatric Balance Scale), functional upper-extremity abilities (ABILHAND-Kids/Pediatric Evaluation of Disability Inventory), and the dexterity of the less affected upper extremity.ConclusionHABIT-ILE is efficacious for improving both upper- and lower-extremity function in children with bilateral CP.
AB - AimAn approach that simultaneously engages both the upper and lower extremities, hand-arm bimanual intensive therapy including lower extremity (HABIT-ILE), has recently demonstrated improvements in upper and lower extremities in children with unilateral cerebral palsy (CP). It is not known whether children with bilateral CP would benefit from this approach. The aim of this study was to examine the efficacy of HABIT-ILE in children with bilateral CP.MethodA quasi-randomized trial design was used, whereby 20 participants (age 6-15y, Gross Motor Function Classification System levels II-IV, Manual Ability Classification System levels I-III) were assigned to a treatment (HABIT-ILE) or a comparison group in the order in which they were enrolled. Children in the HABIT-ILE group were assessed before and after 84 hours of intervention over 13 days, as well as at 3 months' follow-up. Children in the comparison group were assessed at the same time points. Children in both groups were assessed using the Gross Motor Function Measure (GMFM-66) and ABILHAND-Kids (primary measures), and six secondary measures.ResultsA groupxtest session interaction indicated significant improvements in the HABIT-ILE group as assessed by the GMFM-66, lower-extremity performance (6-Minute Walk Test; Pediatric Balance Scale), functional upper-extremity abilities (ABILHAND-Kids/Pediatric Evaluation of Disability Inventory), and the dexterity of the less affected upper extremity.ConclusionHABIT-ILE is efficacious for improving both upper- and lower-extremity function in children with bilateral CP.
KW - INDUCED MOVEMENT THERAPY
KW - GROSS MOTOR FUNCTION
KW - MANUAL ABILITY
KW - HABIT-ILE
KW - VALIDITY
KW - HAND
KW - RELIABILITY
KW - PROGRAM
KW - SYSTEM
KW - SCALE
U2 - 10.1111/dmcn.13379
DO - 10.1111/dmcn.13379
M3 - Article
C2 - 28133725
SN - 0012-1622
VL - 59
SP - 625
EP - 633
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
IS - 6
ER -