Performing bimanual activities: the experiences of young persons with hemiplegic cerebral palsy.

This qualitative research study was designed to explore and describe the process of planning and performing bimanual activities in young persons with hemiplegic cerebral palsy. Interviews with 10 persons individually and four persons in a focus group provided rich information about their reasoning when confronting problems as well as insight into how they view their situations. The data were analyzed using a comparative method. The findings show that the participants had to make conscious choices about what would be the most effective strategies to use for carrying out activities. The choices involved weighing different options to find the least negative alternative. Even when able to find alternative strategies for performing the activity, the participants were often dissatisfied with negative consequences related to the strategy. Examples of such negative consequences could be, for example, that they would have to accept a need for extra time, planning, or concentration, to perform desired activities. When selecting a strategy it was thus favorable to have a repertoire of strategies from which to choose. In conclusion, the planning and performing of bimanual activities turned out to be a complex process influenced by a range of factors both internal and external to the person.