Feasibility of caregiver-directed home-based hand-arm bimanual intensive training: a brief report.

Abstract:

OBJECTIVE:To determine feasibility of a home-based, intensive bimanual intervention with children with unilateral spastic cerebral palsy. METHODS:Eleven children (aged 29-54 months) received 90 hours of home hand-arm bimanual intensive therapy (H-HABIT) provided by their trained caregivers. Parenting stress levels and compliance were monitored using the Parenting Stress Index and daily logs. Quality of bimanual performance and changes in performance/satisfaction of functional goals were assessed using the Assisting Hand Assessment (AHA) and Canadian Occupational Performance Measure (COPM), respectively, at two pretreatment baseline sessions and two posttreatment sessions (immediate and six months). RESULTS:Ten children completed the study with caregivers completing on average 85.6 hours of H-HABIT. Daily logs indicated high caregiver compliance. Stress levels remained stable across the intervention. Children demonstrated significant improvements in the AHA and COPM. CONCLUSION:H-HABIT is a feasible intervention for improving hand function and merits further investigation in a randomized-control trial.

journal_name

Dev Neurorehabil

authors

Ferre CL,Brandão MB,Hung YC,Carmel JB,Gordon AM

doi

10.3109/17518423.2014.948641

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

69-74

issue

1

eissn

1751-8423

issn

1751-8431

journal_volume

18

pub_type

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