Improved hand function in children with cerebral palsy with repeat doses of group based hybrid pediatric constraint-induced movement therapy

Date
2022
Authors
Roberts, Heather
Shierk, Angela
Alfonso, Arianne J.
Yeatts, Paul
DeJong, Trey L.
Clegg, Nancy J.
Baldwin, Deborah
Delgado, Mauricio R.
Journal Title
Journal ISSN
Volume Title
Publisher
MDPI
Abstract

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.

Description
Article originally published by Disabilities, 2(2), 365–378. Published online 2022. https://doi.org/10.3390/disabilities2020026
Keywords
Cerebral palsy, Children, Constraint-induced movement therapy, Repeat doses
Citation
This is the published version of an article that is available at https://doi.org/10.3390/disabilities2020026. Recommended citation: Roberts, H., Shierk, A., Alfonso, A. J., Yeatts, P., DeJong, T. L., Clegg, N. J., Baldwin, D., & Delgado, M. R. (2022). Improved hand function in children with cerebral palsy with repeat doses of group based hybrid pediatric constraint-induced movement therapy. Disabilities, 2(2), 365–378. This item has been deposited in accordance with publisher copyright and licensing terms and with the author’s permission.