[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.
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[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.
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