Improvements in bimanual hand function after baby-CIMT in two-year old children with unilateral cerebral palsy: A retrospective study. (June 2015)

• Record Type: Journal Article
• Authors: Nordstrand, Linda; Holmefur, Marie; Kits, Annika; Eliasson, Ann-Christin
• Is Part Of: Research in developmental disabilities. Volume 41/42(2015:Jun.)
• Page Start: 86
• Page End: 93
• Publication Date: 2015-06
• Subjects: Constraint-induced movement therapy -- Cerebral palsy -- Early intervention -- Hand function -- Upper extremity -- Hemiplegia; AHA assisting hand assessment -- CIMT constraint-induced movement therapy -- CP cerebral palsy -- CT computer tomography -- MCA middle cerebral artery -- MRI magnetic resonance imaging -- WMDI white matter damage of immaturity; Developmental disabilities -- Periodicals; Developmentally disabled -- Research -- United States -- Periodicals; Developmentally disabled children -- Education -- Research -- United States -- Periodicals; Developmental Disabilities -- Periodicals; Disabled -- Periodicals; Mental Retardation -- rehabilitation -- Periodicals; Personnes atteintes de troubles du développement -- Recherche -- États-Unis -- Périodiques; Enfants atteints de troubles du développement -- Éducation -- Recherche -- États-Unis -- Périodiques; Développement, Troubles du -- Recherche -- États-Unis -- Périodiques; 616.858800
• DOI: 10.1016/j.ridd.2015.05.003
• Languages: English
• ISSNs: 0891-4222

Abstract

Highlights: Baby-CIMT at early age can have a positive effect on bimanual hand function. Baby-CIMT predicts better bimanual hand function than no baby-CIMT at age two years. Children who had baby-CIMT were six times more likely to have a high bimanual function at age 2 years. Abstract: The common assumption that early-onset intensive intervention positively affects motor development has rarely been investigated for hand function in children with unilateral cerebral palsy (CP). This retrospective study explored the possible impact of baby constraint-induced movement therapy (baby-CIMT) on hand function at two years of age. We hypothesized that baby-CIMT in the first year of life would lead to better bimanual hand use at two years of age than would not receiving baby-CIMT. The Assisting Hand Assessment (AHA) was administered at age 21 months (SD 2.4 months) in 72 children with unilateral CP, 31 of who received baby-CIMT. When dividing the children into four functional levels based on AHA, the proportional distribution differed between the groups in favour of baby-CIMT. Logistic regression analysis indicated that children in the baby-CIMT group were more likely than were children in the no baby-CIMT group to have a high functional level, even when controlling for the effect of brain lesion type (OR 5.83, 95% CI 1.44–23.56, p = 0.001). However, no difference was found between groups in the odds of having a very low functional level (OR 0.31, 95% CI 0.08–1.17, p = 0.084). The result shows that baby-CIMT at early age can have a positive effect. Children who received baby-CIMT were six times more likely to have a high functional level at two years of age than were children in the no baby-CIMT group.