Functional Impact of Constraint Therapy and Bimanual Training in Children With Cerebral Palsy / Marina DE BRITO BRANDAO in American Journal of Occupational Therapy, Vol. 66/6 (novembre-décembre 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 672-681 Titre : Functional Impact of Constraint Therapy and Bimanual Training in Children With Cerebral Palsy : a Randomized Controlled Trial Type de document : texte imprimé Auteurs : Marina DE BRITO BRANDAO ; Marisa COTTA MANCINI ; Andrew M. Gordon Année de publication : 2012 Article en page(s) : p. 672-681 Langues : Anglais (eng) Mots-clés : Paralysie cérébrale  Enfant  Hémiplégie  Thérapie par contrainte induite  Activités vie quotidienne Résumé : OBJECTIVE. We compared children’s self-care performance and caregivers’ perception of children’s performance on functional goals established for children with hemiplegic cerebral palsy (CP) after unimanual constraint-induced movement therapy (CIMT) or hand–arm bimanual intensive training (HABIT). METHOD. Sixteen children with CP were randomized to the CIMT or HABIT group. Interventions lasted for 15 days, 6 hr/day, totaling 90 hr. We used the Pediatric Evaluation of Disability Inventory and the Canadian Occupational Performance Measure (COPM) to assess the children’s daily functioning and mixed analyses of variance to compare group means on functional test scores before and after intervention. RESULTS. Both groups showed significant improvements on functional measures. Group * Assessment interaction in COPM performance revealed greater improvements for the HABIT group after intervention (p = .04). CONCLUSION. The results suggest that specificity of training exists only for performance of specific goals established by parents and that both CIMT and HABIT can be used to increase children’s daily functioning. Permalink : ./index.php?lvl=notice_display&id=14112 [article] Functional Impact of Constraint Therapy and Bimanual Training in Children With Cerebral Palsy : a Randomized Controlled Trial [texte imprimé] / Marina DE BRITO BRANDAO ; Marisa COTTA MANCINI ; Andrew M. Gordon . - 2012 . - p. 672-681. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/6 (novembre-décembre 2012) . - p. 672-681 Mots-clés : Paralysie cérébrale  Enfant  Hémiplégie  Thérapie par contrainte induite  Activités vie quotidienne Résumé : OBJECTIVE. We compared children’s self-care performance and caregivers’ perception of children’s performance on functional goals established for children with hemiplegic cerebral palsy (CP) after unimanual constraint-induced movement therapy (CIMT) or hand–arm bimanual intensive training (HABIT). METHOD. Sixteen children with CP were randomized to the CIMT or HABIT group. Interventions lasted for 15 days, 6 hr/day, totaling 90 hr. We used the Pediatric Evaluation of Disability Inventory and the Canadian Occupational Performance Measure (COPM) to assess the children’s daily functioning and mixed analyses of variance to compare group means on functional test scores before and after intervention. RESULTS. Both groups showed significant improvements on functional measures. Group * Assessment interaction in COPM performance revealed greater improvements for the HABIT group after intervention (p = .04). CONCLUSION. The results suggest that specificity of training exists only for performance of specific goals established by parents and that both CIMT and HABIT can be used to increase children’s daily functioning. Permalink : ./index.php?lvl=notice_display&id=14112

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Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) in Children With Unilateral Spastic Cerebral Palsy : A Randomized Trial / Yannick Bleyenheuft  

Public ISBD Titre : Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) in Children With Unilateral Spastic Cerebral Palsy : A Randomized Trial Type de document : document électronique Auteurs : Yannick Bleyenheuft ; Carlyne Arnould ; Marina B. Brandao ; Corrine Bleyenheuft ; Andrew M. Gordon Année de publication : 2014 Note générale : Cet article est paru dans le revue Neurorehabilitation and Neural Repair sous le doi: 10.1177/1545968314562109 Langues : Anglais (eng) Mots-clés : upper extremity rehabilitation  lower extremity rehabilitation  cerebral palsy  bimanual training  hand, posture  motor skill learning  intensive training  eurorehabilitation  gait  dose  hemiplegia  children Résumé : Background. Intensive bimanual training results in more improvement in hand function in children with unilateral spastic cerebral palsy (USCP) than lower intensity conventional interventions. However, it is not known whether combined upper and lower extremity training in an intensive protocol is more efficacious for upper and lower functional abilities than conventional therapies provided in usual customary care. Objective. To determine the efficacy of Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) for children with USCP. Methods. Twenty-four children with USCP were randomized into 2 groups: an immediate HABIT-ILE group (IHG, initially receiving HABIT-ILE, 10 days = 90 hours), and a delayed HABIT-ILE group (DHG), which continued their conventional/ongoing treatment for an intended total duration of 90 hours. In phase 2, children in the DHG were crossed over to receive HABIT-ILE and children of the IHG were followed in their ongoing conventional therapy. Children were assessed using the Assisting Hand Assessment (AHA, primary outcome), the ABILHAND-Kids, and the Pediatric Evaluation of Disability Inventory. Dexterity (Box and Blocks Test [BBT]) and pinch strength were also measured. Locomotor abilities were assessed with Six-Minute Walk Test (6MWT, primary outcome) and ABILOCO-kids. Social participation was measured with the Assessment of Life-HABITs. Results. A 2 (groups) × 3 (test sessions) analysis of variance indicated significant improvements for primary outcomes (AHA, P < .001; 6MWT, P = .002) and all secondary assessments except BBT, step length and bodyweight distribution following HABIT-ILE, but not conventional therapy. Conclusion. The findings suggest that combined upper and lower extremity in an intensive training protocol may be efficacious for improving both upper and lower extremity function in children with USCP. En ligne : https://journals.sagepub.com/doi/pdf/10.1177/1545968314562109 Permalink : ./index.php?lvl=notice_display&id=98143 Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) in Children With Unilateral Spastic Cerebral Palsy : A Randomized Trial [document électronique] / Yannick Bleyenheuft ; Carlyne Arnould ; Marina B. Brandao ; Corrine Bleyenheuft ; Andrew M. Gordon . - 2014. Cet article est paru dans le revue Neurorehabilitation and Neural Repair sous le doi: 10.1177/1545968314562109 Langues : Anglais (eng) Mots-clés : upper extremity rehabilitation  lower extremity rehabilitation  cerebral palsy  bimanual training  hand, posture  motor skill learning  intensive training  eurorehabilitation  gait  dose  hemiplegia  children Résumé : Background. Intensive bimanual training results in more improvement in hand function in children with unilateral spastic cerebral palsy (USCP) than lower intensity conventional interventions. However, it is not known whether combined upper and lower extremity training in an intensive protocol is more efficacious for upper and lower functional abilities than conventional therapies provided in usual customary care. Objective. To determine the efficacy of Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) for children with USCP. Methods. Twenty-four children with USCP were randomized into 2 groups: an immediate HABIT-ILE group (IHG, initially receiving HABIT-ILE, 10 days = 90 hours), and a delayed HABIT-ILE group (DHG), which continued their conventional/ongoing treatment for an intended total duration of 90 hours. In phase 2, children in the DHG were crossed over to receive HABIT-ILE and children of the IHG were followed in their ongoing conventional therapy. Children were assessed using the Assisting Hand Assessment (AHA, primary outcome), the ABILHAND-Kids, and the Pediatric Evaluation of Disability Inventory. Dexterity (Box and Blocks Test [BBT]) and pinch strength were also measured. Locomotor abilities were assessed with Six-Minute Walk Test (6MWT, primary outcome) and ABILOCO-kids. Social participation was measured with the Assessment of Life-HABITs. Results. A 2 (groups) × 3 (test sessions) analysis of variance indicated significant improvements for primary outcomes (AHA, P < .001; 6MWT, P = .002) and all secondary assessments except BBT, step length and bodyweight distribution following HABIT-ILE, but not conventional therapy. Conclusion. The findings suggest that combined upper and lower extremity in an intensive training protocol may be efficacious for improving both upper and lower extremity function in children with USCP. En ligne : https://journals.sagepub.com/doi/pdf/10.1177/1545968314562109 Permalink : ./index.php?lvl=notice_display&id=98143

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Measuring changes of manual ability with ABILHAND-Kids following intensive training for children with unilateral cerebralpalsy / Yannick Bleyenheuft  

Public ISBD Titre : Measuring changes of manual ability with ABILHAND-Kids following intensive training for children with unilateral cerebralpalsy Type de document : document électronique Auteurs : Yannick Bleyenheuft ; Andrew M. Gordon ; Eugène Rameckers ; Jean-Louis Thonnard ; Carlyne Arnould Année de publication : 2016 Note générale : Cet article est paru dans la revue Developmental Medecine & Child Neurology sous le DOI: 10.1111/dmcn.13338 Langues : Anglais (eng) Résumé : AIM ABILHAND-Kids is a parent-reported questionnaire measuring manual ability in childrenwith cerebral palsy (CP). Its psychometric properties have been established, with theexception of responsiveness, which is examined here. METHOD In this cohort study, 98 children (46 males, 52 females; range 6–19y, mean 11y,standard deviation [SD] 3.3y) with unilateral CP underwent three assessments of upper extremity function: at baseline (T1); after 80 to 90 hours of intensive training (T2); and atfollow-up (T3). The responsiveness was analyzed using global, group (based on age and onManual Ability Classification System [MACS] level), and individual approaches during two time periods (T1–T2 and T2–T3). Effect size was used to quantify magnitude of changes. RESULTS The global approach showed significant improvements between T1 and T2(p<0.001) but not between T2 and T3 (p=0.222). In the group analyses, effect size and SRM demonstrated large changes in younger children (6–12y, n=52, mean change=1.06 logit, effectsize >0.8) and small changes in the older children (13–19y, n=46, mean change=0.71 logit, effect size >0.4). Children in MACS level II demonstrated larger changes than children in MACS level I or III. INTERPRETATION The ABILHAND-Kids exhibited responsiveness in detecting changes after intensive training. Therefore, this scale is potentially useful in assessing the functional status of children with unilateral CP in clinical trials. En ligne : https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13338 Permalink : ./index.php?lvl=notice_display&id=98120 Measuring changes of manual ability with ABILHAND-Kids following intensive training for children with unilateral cerebralpalsy [document électronique] / Yannick Bleyenheuft ; Andrew M. Gordon ; Eugène Rameckers ; Jean-Louis Thonnard ; Carlyne Arnould . - 2016. Cet article est paru dans la revue Developmental Medecine & Child Neurology sous le DOI: 10.1111/dmcn.13338 Langues : Anglais (eng) Résumé : AIM ABILHAND-Kids is a parent-reported questionnaire measuring manual ability in childrenwith cerebral palsy (CP). Its psychometric properties have been established, with theexception of responsiveness, which is examined here. METHOD In this cohort study, 98 children (46 males, 52 females; range 6–19y, mean 11y,standard deviation [SD] 3.3y) with unilateral CP underwent three assessments of upper extremity function: at baseline (T1); after 80 to 90 hours of intensive training (T2); and atfollow-up (T3). The responsiveness was analyzed using global, group (based on age and onManual Ability Classification System [MACS] level), and individual approaches during two time periods (T1–T2 and T2–T3). Effect size was used to quantify magnitude of changes. RESULTS The global approach showed significant improvements between T1 and T2(p<0.001) but not between T2 and T3 (p=0.222). In the group analyses, effect size and SRM demonstrated large changes in younger children (6–12y, n=52, mean change=1.06 logit, effectsize >0.8) and small changes in the older children (13–19y, n=46, mean change=0.71 logit, effect size >0.4). Children in MACS level II demonstrated larger changes than children in MACS level I or III. INTERPRETATION The ABILHAND-Kids exhibited responsiveness in detecting changes after intensive training. Therefore, this scale is potentially useful in assessing the functional status of children with unilateral CP in clinical trials. En ligne : https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/dmcn.13338 Permalink : ./index.php?lvl=notice_display&id=98120

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Use of mental practice to improve upper-limb recovery after stroke / Dawn M. NILSEN in American Journal of Occupational Therapy, Vol. 64/5 (septembre-octobre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 695-708 Titre : Use of mental practice to improve upper-limb recovery after stroke : a systematic review Type de document : texte imprimé Auteurs : Dawn M. NILSEN ; Glen Gillen ; Andrew M. Gordon Année de publication : 2010 Article en page(s) : p. 695-708 Langues : Anglais (eng) Mots-clés : Récupération  Accident cérébrovasculaire  Représentation Résumé : Objectives We sought to determine whether mental practice is an effective intervention to improve upperlimb recovery after stroke. Method We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements. Results Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. The length of the interventions and number of practice hours varied. Results suggest that mental practice combined with physical practice improves upper-limb recovery. Conclusion When added to physical practice, mental practice is an effective intervention. However, generalizations are difficult to make. Further research is warranted to determine who will benefit from training, the dosing needed, the most effective protocols, whether improvements are retained, and whether mental practice affects perceived occupational performance. Permalink : ./index.php?lvl=notice_display&id=14255 [article] Use of mental practice to improve upper-limb recovery after stroke : a systematic review [texte imprimé] / Dawn M. NILSEN ; Glen Gillen ; Andrew M. Gordon . - 2010 . - p. 695-708. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 695-708 Mots-clés : Récupération  Accident cérébrovasculaire  Représentation Résumé : Objectives We sought to determine whether mental practice is an effective intervention to improve upperlimb recovery after stroke. Method We conducted a systematic review of the literature, searching electronic databases for the years 1985 to February 2009. We selected studies according to specified criteria, rated each study for level of evidence, and summarized study elements. Results Studies differed with respect to design, patient characteristics, intervention protocols, and outcome measures. All studies used imagery of tasks involving movement of the impaired limb. The length of the interventions and number of practice hours varied. Results suggest that mental practice combined with physical practice improves upper-limb recovery. Conclusion When added to physical practice, mental practice is an effective intervention. However, generalizations are difficult to make. Further research is warranted to determine who will benefit from training, the dosing needed, the most effective protocols, whether improvements are retained, and whether mental practice affects perceived occupational performance. Permalink : ./index.php?lvl=notice_display&id=14255

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