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The effect of bimanual training with or without constraint on hand functions in children with unilateral cerebral palsy: A non-randomized clinical trial
Pediatric and Adolescent Rehabilitation Center, Alyn Hospital, Jerusalem, Israel.
Pediatric and Adolescent Rehabilitation Center, Alyn Hospital, Jerusalem, Israel.
Pediatric and Adolescent Rehabilitation Center, Alyn Hospital, Jerusalem, Israel.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. CHILD. Center for Rehabilitation, Oxford Brookes University, Oxford, United Kingdom.ORCID iD: 0000-0002-1129-8071
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2017 (English)In: Physical & Occupational Therapy in Pediatrics, ISSN 0194-2638, E-ISSN 1541-3144, Vol. 37, no 5, p. 516-527Article in journal (Refereed) Published
Abstract [en]

Aim:

To compare the effect of bimanual training with or without constraint on manual functions in children with unilateral cerebral palsy (UCP).

Methods:

Seventeen children aged 6–11 years with UCP participated in one of two intensive therapeutic camps: bimanual (n = 9) incorporating one hour of constraint (“Hybrid”) or Bimanual (n = 8). Each camp met for 2 weeks, 5 days per week for 6 hours each day. The Assisting Hand Assessment (AHA) and the Jebsen Taylor Test of Hand Function (JTTHF) examined bimanual and unimanual functions pre, post- and 3-months post-intervention.

Results:

A significant improvement was noted in AHA scores for both groups between the pre-, post- and three months post-intervention [Hybrid (F2; 16 = 85.5, p < 0.01); Bimanual (F2; 16 = 15.4, p < 0.01)] with no significant differences between groups over time (F2; 30 = 0.74, p = 0.48). For the JTTHF, a significant improvement was noted in the affected hand following the Hybrid program (F2; 30 = 7.45, p = 0.01), while following the Bimanual program a significant difference was noted only in the less-affected hand (F2; 16 = 6.02, p < 0.01].

Conclusion:

Both interventions Hybrid and Bimanual were similarly effective for improving use of the affected hand in bimanual tasks. The unique contribution of each intervention, the Hybrid program on the affected and the Bimanual on the less-affected side, warrants further examination.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. Vol. 37, no 5, p. 516-527
Keywords [en]
Bimanual, combined, constraint, motor learning, unilateral cerebral palsy
National Category
Occupational Therapy Pediatrics
Identifiers
URN: urn:nbn:se:hj:diva-37438DOI: 10.1080/01942638.2017.1280871ISI: 000414849300006PubMedID: 28266881Scopus ID: 2-s2.0-85014543714Local ID: HHJCHILDISOAI: oai:DiVA.org:hj-37438DiVA, id: diva2:1145850
Available from: 2017-09-29 Created: 2017-09-29 Last updated: 2017-12-12Bibliographically approved

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Green, Dido

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