NeuroRehabilitation · 2011
The effect of combining daily restraint with bimanual intensive therapy in children with hemiparetic cerebral palsy: a self-control study.
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Cohen-Holzer Marilyn, Katz-Leurer Michal, Reinstein Rachel, Rotem Hemda, Meyer Shirley
Аннотация
AIM: To examine the influence of combining restraint therapy with bimanual intensive therapy on the unimanual and bimanual function among children with hemiparetic cerebral palsy (CP). Included were nine children (ages 6-9 yr), with Manual Ability Classification System scores of 2-3, Gross Motor Functional Classification System 1-2;
INTERVENTION: 10 days, six hours per day including one hour of restraint followed by five hours of bimanual activities.
EVALUATIONS: One month and immediately prior to the intervention (as the control period), immediately, two months and six months post-intervention. The Assisting Hand Assessment was the primary outcome measure, along with the Jebsen-Taylor Test of Hand Function, the Jamar pinch gauge for grip and pinch, and the Pediatric Evaluation of Disability Inventory (PEDI).
RESULTS: No significant change was observed during the pre-intervention control period in any of the outcome measures; a significant improvement in all outcome parameters was noted after the intervention as compared to the control period. These achievements were still significantly higher than baseline values at six months post-intervention.
CONCLUSION: Children with hemiparetic CP at this level of impairment might benefit from a short daily intervention program of combining restraint with bimanual training in order to improve unimanual and bimanual function.
INTERVENTION: 10 days, six hours per day including one hour of restraint followed by five hours of bimanual activities.
EVALUATIONS: One month and immediately prior to the intervention (as the control period), immediately, two months and six months post-intervention. The Assisting Hand Assessment was the primary outcome measure, along with the Jebsen-Taylor Test of Hand Function, the Jamar pinch gauge for grip and pinch, and the Pediatric Evaluation of Disability Inventory (PEDI).
RESULTS: No significant change was observed during the pre-intervention control period in any of the outcome measures; a significant improvement in all outcome parameters was noted after the intervention as compared to the control period. These achievements were still significantly higher than baseline values at six months post-intervention.
CONCLUSION: Children with hemiparetic CP at this level of impairment might benefit from a short daily intervention program of combining restraint with bimanual training in order to improve unimanual and bimanual function.