Abstract:
AIM:To examine whether level of manual ability modifies the response to an intensive program combining modified constraint and bimanual training on arm functioning children with unilateral cerebral palsy (UCP). METHODS:Thirty-four children aged 6-11 years, with Manual Ability Classification System (MACS) levels I-III (I:8, II:15, III:11), participated in a 2-week program, combining an hour of modified constraint with 5 hr of bimanual practice daily. The Assisting Hand Assessment (AHA) and the Jebsen-Taylor Test of Hand Function (JTTHF) were done pre-, post-, and 3-months post-intervention. RESULTS:Mean AHA logits unit scores increased overtime (F2;50 = 5, p = 0.01). There was no significant difference in AHA logits units change score between MACS levels (F4;56 = 1.4, p = 0.22). JTTHF scores did not change for either the affected or less-affected hand, although a significant interaction of time and MACS level was found in the less-affected side (F4;58 = 6.5, p < 0.01). Children in MACS levels I and II improved by similar degrees, in comparison to children at MACS level III who demonstrated significantly greater change over time. CONCLUSION:While a similar trend of improvement was found in the bimanual abilities of children at all MACS levels, only children at MACS level III had improved performance in unilateral abilities in the less-affected side following intervention.
journal_name
Phys Occup Ther Pediatrjournal_title
Physical & occupational therapy in pediatricsauthors
Cohen-Holzer M,Sorek G,Kerem J,Schless S,Freedman R,Rotem H,Schweitzer M,Katz-Leurer Mdoi
10.3109/01942638.2015.1108379subject
Has Abstractpub_date
2016-11-01 00:00:00pages
376-87issue
4eissn
0194-2638issn
1541-3144journal_volume
36pub_type
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journal_title:Physical & occupational therapy in pediatrics
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