The Influence of a Constraint and Bimanual Training Program Using a Variety of Modalities, on Upper Extremity Functions and Gait Parameters Among Children with Hemiparetic Cerebral Palsy: A Case Series. (2nd January 2016)

• Record Type: Journal Article
• Authors: Cohen-Holzer, Marilyn; Sorek, Gilad; Schless, Simon; Kerem, Julie; Katz-Leurer, Michal
• Is Part Of: Physical & occupational therapy in pediatrics. Volume 36:Number 1(2016)
• Page Start: 17
• Page End: 27
• Publication Date: 2016-01-02
• Subjects: Bimanual -- cerebral palsy -- constraint -- gait -- hemiplegia; Physical therapy for children -- Periodicals; Occupational therapy for children -- Periodicals; Child development deviations -- Periodicals; 615.82083
• DOI: 10.3109/01942638.2014.990549
• Languages: English
• ISSNs: 0194-2638

Abstract

ABSTRACT: Aim : To assess the influence of an intensive combined constraint and bimanual upper extremity (UE) training program using a variety of modalities including the fitness room and pool, on UE functions as well as the effects of the program on gait parameters among children with hemiparetic cerebral palsy. Methods : Ten children ages 6–10 years participated in the program for 2 weeks, 5 days per week for 6 hr each day. Data from the Assisting Hand Assessment (AHA) for bimanual function, the Jebsen–Taylor Test of Hand Function (JTTHF) for unimanual function, the six-minute walk test (6MWT), and the temporal-spatial aspects of gait using the GAITRite walkway were collected prior to, immediately post and 3-months post-intervention. Results : A significant improvement was noted in both unimanual as well as bimanual UE performance; A significant improvement in the 6MWT was noted, from a median of 442 meter [range: 294–558] at baseline to 466 [432–592] post intervention and 528 [425–609] after 3 months ( p = .03). Conclusion : Combining intensive practice in a variety of modalities, although targeting to the UE is associated with substantial improvement both in the upper as well as in the lower extremity function.