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Feasibility Trial of Thumb Taping by Parents in Infants with Cerebral Palsy: Brief Report.
Developmental Neurorehabilitation ( IF 1.1 ) Pub Date : 2019-01-22 , DOI: 10.1080/17518423.2019.1566280
J E Pearse 1, 2 , J E Cadwgan 2, 3 , V Wisher 1 , C Jesmont 2 , P Mason-Burton 2 , M Barry 2 , J Jona James 2 , S Kelly 1 , A P Basu 1, 2
Affiliation  

Aim: To determine the feasibility and acceptability of parent-delivered elastic taping to the thumb and wrist in infants with cerebral palsy (CP).Design: Randomized cross-over feasibility trial.Participants: 20 infants (11 male; mean age 22 months) with CP.Intervention: Groups A and B received taping for 4 and 2 weeks, respectively.Outcomes: Primary: Recruitment and retention rates; adherence to protocol; Parent Satisfaction Questionnaire. Secondary: House Thumb score; Zancolli classification; Assisting Hand Assessment (AHA)/mini AHA. Exploratory: Duration of hand regard, thumb in palm, and open hand contact with toys during AHA/mini AHA.Results: Recruitment was feasible (95.2% uptake). Completion rates were 80% and 60% in Groups A and B. Questionnaire feedback was generally positive. Some parents reported increased awareness of the taped hand. Objective improvements were rare though one participant showed consistent improvement in thumb position.Conclusion: Taping proved feasible and acceptable; individual case benefit suggests further research is required.Trial registration: ISRCTN41918400.

中文翻译:

父母对患有脑瘫的婴儿进行拇指拍打的可行性试验:简要报告。

目的:确定脑瘫(CP)婴儿父母提供的拇指和腕部弹性贴带的可行性和可接受性设计:随机交叉可行性试验参与者:20名婴儿(11名男性;平均年龄22个月)干预:A组和B组分别接受了4周和2周的录音。结果:主要:招募和保留率;遵守协议;父母满意度调查表。中学:众议院拇指得分;Zancolli分类;辅助手评估(AHA)/迷你AHA。探索性研究:在AHA /迷你AHA期间手部护理,拇指掌心接触和开放接触玩具的持续时间。结果:招募可行(摄取95.2%)。A组和B组的完成率分别为80%和60%。问卷反馈总体上是积极的。一些父母报告说对录音带的手的认识有所提高。尽管一位参与者显示出拇指位置的持续改善,但客观改善很少。个体病例受益提示需要进一步研究。注册号:ISRCTN41918400。
更新日期:2019-11-01
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