School of Occupational Therapy
Permanent URI for this collectionhttps://hdl.handle.net/11274/9555
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Browsing School of Occupational Therapy by Author "Baldwin, Deborah"
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Item Improved hand function in children with cerebral palsy with repeat doses of group based hybrid pediatric constraint-induced movement therapy(MDPI, 2022) Roberts, Heather; Shierk, Angela; Alfonso, Arianne J.; Yeatts, Paul; DeJong, Trey L.; Clegg, Nancy J.; Baldwin, Deborah; Delgado, Mauricio R.The study’s aim is to analyze the improved hand function and bimanual performance with unilateral cerebral palsy (CP) from repeat doses of an augmented, group-based pediatric constraint-induced movement therapy (pCIMT) camp. Fifteen children with unilateral CP (ages 5–15 years, 9 male, 6 female, Manual Abilities Classification System (MACS) I = 3, MACS II = 11, and MACS III = 1) participated in two sessions of an annual pCIMT camp. Participants attended 10 days of camp where they received group-based training wearing a constraint for a total of 50 h, received bilateral, occupation-based activities for 10 h (60 h total) including 30 min each day on the Hocoma Armeo®Spring. The Assisting Hand Assessment (AHA) was administered pre-intervention and post-intervention. Our results discovered a mean interval dose 1 and 2 was 511 days. Dose 1 mean AHA score at baseline was 55.93 ± 12.78 and 63.07 ± 12.85 at post. Dose 2 mean AHA score as 58.13 ± 14.83 and post 66.53 ± 12.82. In conclusion, there was an overall significant bimanual functional improvement based on AHA scores that indicate, regardless of which camp session, scores improved from pre-intervention to post-intervention. There was a generalized upward trend in improved hand function of a group-based pCIMT, and diminished effects between doses were reversed with repeat doses.Item A repeat dose of pediatric constraint induced movement therapy (abstract)(Wiley, 2020) Roberts, Heather; Shierk, Angela; Clegg, Nancy J.; Baldwin, Deborah; Smith, L.; Delgado, M.Background and Objective(s): Pediatric Constraint-Induced Movement Therapy (P-CIMT) and Hand Arm Bimanual Therapy (HABIT) are two intensive therapeutic approaches that have consistently demonstrated the ability to help children with hemiparetic cerebral palsy (hCP) gain increased functional skills and movement (Novak et al.; 2013, Hoare et al.; 2019). Knowledge from repeated doses of P-CIMT is limited and it is unclear what effect multiple doses of P-CIMT has on children with hCP. In the consensus report, Eliasson et al. 2013, encouraged further research of repeated doses of P-CIMT with the same design. The aim of the study was to determine the efficacy of repeat doses of P-CIMT in children with hCP.