Multicenter randomized controlled trial of pediatric constraint-induced movement therapy / Jane Case-Smith in American Journal of Occupational Therapy, Vol. 66/1 (janvier-février 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 15-23 Titre : Multicenter randomized controlled trial of pediatric constraint-induced movement therapy : 6-Month Follow-Up Type de document : texte imprimé Auteurs : Jane Case-Smith ; DeLuca, Stephanie C ; et al. ; Richard STEVENSON Année de publication : 2012 Article en page(s) : p. 15-23 Langues : Anglais (eng) Mots-clés : Enfant  Paralysie cérébrale  Thérapie par contrainte induite Résumé : OBJECTIVE. Pediatric constraint-induced movement therapy (CIMT) is a promising intervention for children with unilateral cerebral palsy (CP). This multisite randomized controlled trial (RCT) tested the hypothesis that 6 hr versus 3 hr per day for 21 days would produce larger maintenance of gains 6 mo posttreatment. METHOD. Three sites recruited 18 children (6 per site) ages 3–6 yr with unilateral CP. Children were randomly assigned to 3 or 6 hr/day of CIMT for 21 days and wore a cast on the unaffected extremity the first 18 days. Occupational therapists applied a standardized pediatric CIMT protocol. Evaluators blinded to condition administered the Assisted Hand Assessment and the Quality of Upper Extremity Skills Test, and parents completed the Pediatric Motor Activity Log pre- and posttreatment (1 wk, 1 mo, and 6 mo). RESULTS. Both CIMT dosage groups showed significant gains on all five assessments with no significant group differences at 6-mo follow-up. Effect sizes (n 5 15) comparing preintervention to postintervention measures (partial h2) ranged from .33 to .80. CONCLUSION. This first multisite RCT of pediatric CIMT confirmed the maintenance of positive effects at 6 mo follow-up across multiple functional performance measures. The hypothesis that maintenance of effects would differ for children who received 6 versus 3 hr/day of CIMT (126 vs. 63 total hr) was not supported. Permalink : ./index.php?lvl=notice_display&id=14150 [article] Multicenter randomized controlled trial of pediatric constraint-induced movement therapy : 6-Month Follow-Up [texte imprimé] / Jane Case-Smith ; DeLuca, Stephanie C ; et al. ; Richard STEVENSON . - 2012 . - p. 15-23. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/1 (janvier-février 2012) . - p. 15-23 Mots-clés : Enfant  Paralysie cérébrale  Thérapie par contrainte induite Résumé : OBJECTIVE. Pediatric constraint-induced movement therapy (CIMT) is a promising intervention for children with unilateral cerebral palsy (CP). This multisite randomized controlled trial (RCT) tested the hypothesis that 6 hr versus 3 hr per day for 21 days would produce larger maintenance of gains 6 mo posttreatment. METHOD. Three sites recruited 18 children (6 per site) ages 3–6 yr with unilateral CP. Children were randomly assigned to 3 or 6 hr/day of CIMT for 21 days and wore a cast on the unaffected extremity the first 18 days. Occupational therapists applied a standardized pediatric CIMT protocol. Evaluators blinded to condition administered the Assisted Hand Assessment and the Quality of Upper Extremity Skills Test, and parents completed the Pediatric Motor Activity Log pre- and posttreatment (1 wk, 1 mo, and 6 mo). RESULTS. Both CIMT dosage groups showed significant gains on all five assessments with no significant group differences at 6-mo follow-up. Effect sizes (n 5 15) comparing preintervention to postintervention measures (partial h2) ranged from .33 to .80. CONCLUSION. This first multisite RCT of pediatric CIMT confirmed the maintenance of positive effects at 6 mo follow-up across multiple functional performance measures. The hypothesis that maintenance of effects would differ for children who received 6 versus 3 hr/day of CIMT (126 vs. 63 total hr) was not supported. Permalink : ./index.php?lvl=notice_display&id=14150

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Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT) / DeLuca, Stephanie C in American Journal of Occupational Therapy, Vol. 69/6 (novembre/décembre 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/6 (novembre/décembre 2015) Titre : Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT) : A Clinical Cohort Study Type de document : texte imprimé Auteurs : DeLuca, Stephanie C ; Ramey, Sharon L ; Mary Rebekah TRUCKS ; et al. Année de publication : 2015 Langues : Anglais (eng) Mots-clés : Pédiatrie  Paralysie cérébrale  Enquête cohorte  Thérapie par contrainte induite  Parésie Résumé : Pediatric constraint-induced movement therapy (pCIMT) is one of the most efficacious treatments for children with cerebral palsy (CP). Distinctive components of pCIMT include constraint of the less impaired upper extremity (UE), high-intensity therapy for the more impaired UE (≥3 hr/day, many days per week, for multiple weeks), use of shaping techniques combined with repetitive task practice, and bimanual transfer. A critical issue is whether multiple treatments of pCIMT produce additional benefit. In a clinical cohort (mean age = 31 mo) of 28 children with asymmetrical CP whose parents sought multiple pCIMT treatments, the children gained a mean of 13.2 (standard deviation [SD] = 4.2) new functional skills after Treatment 1; Treatment 2 produced a mean of 7.3 (SD = 4.7) new skills; and Treatment 3, 6.5 (SD = 4.2). These findings support the conclusion that multiple pCIMT treatments can produce clinically important functional gains for children with hemiparetic CP. Permalink : ./index.php?lvl=notice_display&id=41533 [article] Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT) : A Clinical Cohort Study [texte imprimé] / DeLuca, Stephanie C ; Ramey, Sharon L ; Mary Rebekah TRUCKS ; et al. . - 2015. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/6 (novembre/décembre 2015) Mots-clés : Pédiatrie  Paralysie cérébrale  Enquête cohorte  Thérapie par contrainte induite  Parésie Résumé : Pediatric constraint-induced movement therapy (pCIMT) is one of the most efficacious treatments for children with cerebral palsy (CP). Distinctive components of pCIMT include constraint of the less impaired upper extremity (UE), high-intensity therapy for the more impaired UE (≥3 hr/day, many days per week, for multiple weeks), use of shaping techniques combined with repetitive task practice, and bimanual transfer. A critical issue is whether multiple treatments of pCIMT produce additional benefit. In a clinical cohort (mean age = 31 mo) of 28 children with asymmetrical CP whose parents sought multiple pCIMT treatments, the children gained a mean of 13.2 (standard deviation [SD] = 4.2) new functional skills after Treatment 1; Treatment 2 produced a mean of 7.3 (SD = 4.7) new skills; and Treatment 3, 6.5 (SD = 4.2). These findings support the conclusion that multiple pCIMT treatments can produce clinically important functional gains for children with hemiparetic CP. Permalink : ./index.php?lvl=notice_display&id=41533

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