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Effect of Home-based Bimanual Training in Children with Unilateral Cerebral Palsy (The COAD-study): A Case Series
Developmental Neurorehabilitation ( IF 1.3 ) Pub Date : 2021-02-20 , DOI: 10.1080/17518423.2021.1886189
Lwme Beckers 1, 2 , Eaa Rameckers 1, 2, 3 , Pbm Aarts 4 , Jjw van der Burg 4, 5 , Rjem Smeets 1, 6 , Mlap Schnackers 7, 8 , B Steenbergen 7 , Ijm de Groot 8 , Ach Geurts 8 , Yjm Janssen-Potten 1, 2
Affiliation  

ABSTRACT

Purpose: To explore the child- and parent-related effects of home-based bimanual training in children with unilateral cerebral palsy.

Methods: Case series of 14 children (2–7 years) who completed goal-oriented task-specific training for 3.5 hours/week for 12 weeks by a program adopting implicit (n = 5) or explicit (n = 9) motor learning. A therapist and remedial educationalist coached parents. Progression on bimanual goals (Canadian Occupational Performance Measure (COPM)) and therapy-related parental stress (interviews) were of primary interest. Data were collected at baseline (T0), halfway through and at the end of training (T1 and T2), and after 12 weeks (T3).

Results: On the COPM performance scale a clinically relevant change was seen in 50% (7/14), 86% (12/14), and 85% (11/13) of the children, at T1, T2, and T3, respectively. Some parents indicated that they had experienced stress because of the training intensity.

Conclusion: The child- and parent-related effects of the home-based bimanual training programs are encouraging.



中文翻译:

单侧脑瘫患儿家庭双手训练的效果(COAD 研究):案例系列

摘要

目的:探讨居家双手合力训练对单侧脑瘫患儿的儿童和家长相关影响。

方法: 14 名儿童(2-7 岁)的案例系列,他们通过采用内隐(n = 5)或外显(n = 9)运动学习的计划完成了为期 12 周的目标导向任务特定训练,每周 3.5 小时。治疗师和补救教育家指导父母。主要关注的是双手目标(加拿大职业绩效测量(COPM))和与治疗相关的父母压力(访谈)的进展。在基线 (T0)、训练中途和结束时 (T1​​ 和 T2) 以及 12 周后 (T3) 收集数据。

结果:在 COPM 表现量表上,在 T1、T2 和 T3 时,50% (7/14)、86% (12/14) 和 85% (11/13) 的儿童出现临床相关变化,分别。一些家长表示,他们因为训练强度而感到压力。

结论:基于家庭的双手训练计划的儿童和家长相关效果令人鼓舞。

更新日期:2021-02-20
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