Hsieh-ching Chen1, Lin-ju Kang2, Chia-ling Chen2,3, Keh-chung Lin4, Fei-chuan Chen5, Katie P H Wu3,6. 1. a Department of Industrial Engineering & Management , National Taipei University of Technology , Taipei , Taiwan. 2. b Graduate Institute of Early Intervention, College of Medicine , Chang Gung University , Taoyuan , Taiwan. 3. c Physical Medicine and Rehabilitation , Chang Gung Memorial Hospital , Linkou , Taoyuan , Taiwan. 4. d School of Occupational Therapy, College of Medicine, National Taiwan University and Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation , National Taiwan University Hospital , Taipei , Taiwan. 5. e Buddhist Tzu Chi General Hospital , Xindian, New Taipei City , Taiwan. 6. f Department of Traditional Chinese Medicine, College of Medicine , Chang Gung University , Taoyuan , Taiwan.
Abstract
AIMS: To examine the differences in efficacy of home-based constraint-induced therapy (CIT) on functional outcomes and motor control in two age groups of children with cerebral palsy (CP). METHODS:Twenty-three children with spastic unilateral CP receiving 4-week home-based CIT by a therapist were divided into younger (6-8 years; n = 11) and older (9-12 years; n = 12) groups. The home-based CIT involved intensive functional training of the more affected upper-limb while restraining the less affected upper-limb. The outcome measures were Peabody Developmental Motor Scale-2nd edition (PDMS-2) that was being used in a modified way, Functional Independence Measure for Children (WeeFIM), and reach-to-grasp kinematic parameters, including reaction time (RT), normalized movement time (MT), normalized movement units (MUs), peak velocity (PV), and maximum grip aperture (MGA). The outcome measures were assessed at baseline, 4-weeks (post-treatment), 3- and 6-months (follow-up). RESULTS: The younger group showed greater changes in visual motor integration skills and RT at all post-tests after intervention than the older group. Groups had comparable changes on any other measures. CONCLUSIONS:Younger children with CP responded better to home-based CIT on some areas of upper-limb functions and reach-to-grasp motor control strategies than older children.
RCT Entities:
AIMS: To examine the differences in efficacy of home-based constraint-induced therapy (CIT) on functional outcomes and motor control in two age groups of children with cerebral palsy (CP). METHODS: Twenty-three children with spastic unilateral CP receiving 4-week home-based CIT by a therapist were divided into younger (6-8 years; n = 11) and older (9-12 years; n = 12) groups. The home-based CIT involved intensive functional training of the more affected upper-limb while restraining the less affected upper-limb. The outcome measures were Peabody Developmental Motor Scale-2nd edition (PDMS-2) that was being used in a modified way, Functional Independence Measure for Children (WeeFIM), and reach-to-grasp kinematic parameters, including reaction time (RT), normalized movement time (MT), normalized movement units (MUs), peak velocity (PV), and maximum grip aperture (MGA). The outcome measures were assessed at baseline, 4-weeks (post-treatment), 3- and 6-months (follow-up). RESULTS: The younger group showed greater changes in visual motor integration skills and RT at all post-tests after intervention than the older group. Groups had comparable changes on any other measures. CONCLUSIONS: Younger children with CP responded better to home-based CIT on some areas of upper-limb functions and reach-to-grasp motor control strategies than older children.
Entities:
Keywords:
Age; cerebral palsy; constraint-induced therapy; functional outcomes; motor control
Authors: Brian J Hoare; Margaret A Wallen; Megan N Thorley; Michelle L Jackman; Leeanne M Carey; Christine Imms Journal: Cochrane Database Syst Rev Date: 2019-04-01
Authors: Julia Mazzarella; Mike McNally; Daniel Richie; Ajit M W Chaudhari; John A Buford; Xueliang Pan; Jill C Heathcock Journal: Sensors (Basel) Date: 2020-12-19 Impact factor: 3.576