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- Title
Intensive upper- and lower-extremity training for children with bilateral cerebral palsy: a quasi-randomized trial.
- Authors
Bleyenheuft, Yannick; Ebner‐Karestinos, Daniela; Surana, Bhavini; Paradis, Julie; Sidiropoulos, Alexis; Renders, Anne; Friel, Kathleen M; Brandao, Marina; Rameckers, Eugene; Gordon, Andrew M
- Abstract
<bold>Aim: </bold>An approach that simultaneously engages both the upper and lower extremities, hand-arm bimanual intensive therapy including lower extremity (HABIT-ILE), has recently demonstrated improvements in upper and lower extremities in children with unilateral cerebral palsy (CP). It is not known whether children with bilateral CP would benefit from this approach. The aim of this study was to examine the efficacy of HABIT-ILE in children with bilateral CP.<bold>Method: </bold>A quasi-randomized trial design was used, whereby 20 participants (age 6-15y, Gross Motor Function Classification System levels II-IV, Manual Ability Classification System levels I-III) were assigned to a treatment (HABIT-ILE) or a comparison group in the order in which they were enrolled. Children in the HABIT-ILE group were assessed before and after 84 hours of intervention over 13 days, as well as at 3 months' follow-up. Children in the comparison group were assessed at the same time points. Children in both groups were assessed using the Gross Motor Function Measure (GMFM-66) and ABILHAND-Kids (primary measures), and six secondary measures.<bold>Results: </bold>A group×test session interaction indicated significant improvements in the HABIT-ILE group as assessed by the GMFM-66, lower-extremity performance (6-Minute Walk Test; Pediatric Balance Scale), functional upper-extremity abilities (ABILHAND-Kids/Pediatric Evaluation of Disability Inventory), and the dexterity of the less affected upper extremity.<bold>Conclusion: </bold>HABIT-ILE is efficacious for improving both upper- and lower-extremity function in children with bilateral CP.
- Subjects
CEREBRAL palsy; MOVEMENT disorders in children; RANDOMIZED controlled trials; BODY movement; ABNORMALITIES in the anatomical extremities; ARM; CEREBRAL dominance; COMPARATIVE studies; POSTURAL balance; EXERCISE therapy; HAND; LEG; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; MOTOR ability; RESEARCH; WALKING; PILOT projects; EVALUATION research; TREATMENT effectiveness; SEVERITY of illness index
- Publication
Developmental Medicine & Child Neurology, 2017, Vol 59, Issue 6, p625
- ISSN
0012-1622
- Publication type
journal article
- DOI
10.1111/dmcn.13379