Improved Hand Function in Children with Cerebral Palsy with Repeat Doses of Group Based Hybrid Pediatric Constraint-Induced Movement Therapy

Heather Roberts, Angela Shierk, Arianne J. Alfonso, Paul Yeatts, Trey L. DeJong, Nancy J. Clegg, Deborah Baldwin and Mauricio R. Delgado
Additional contact information
Heather Roberts: Department of Occupational Therapy, Texas Woman’s University, Denton, TX 76204, USA
Angela Shierk: Department of Occupational Therapy, Texas Woman’s University, Denton, TX 76204, USA
Arianne J. Alfonso: Department of Occupational Therapy, Texas Woman’s University, Denton, TX 76204, USA
Paul Yeatts: Center of Research Design and Analysis, Texas Woman’s University, Denton, TX 76204, USA
Trey L. DeJong: Center of Research Design and Analysis, Texas Woman’s University, Denton, TX 76204, USA
Nancy J. Clegg: Department of Clinical Research, Scottish Rite for Children, Dallas, TX 75219, USA
Deborah Baldwin: Department of Clinical Research, Scottish Rite for Children, Dallas, TX 75219, USA
Mauricio R. Delgado: Department of Clinical Research, Scottish Rite for Children, Dallas, TX 75219, USA

Disabilities, 2022, vol. 2, issue 2, 1-14

Abstract: The study’s aim is to analyze the improved hand function and bimanual performance with unilateral cerebral palsy (CP) from repeat doses of an augmented, group-based pediatric constraint-induced movement therapy (pCIMT) camp. Fifteen children with unilateral CP (ages 5–15 years, 9 male, 6 female, Manual Abilities Classification System (MACS) I = 3, MACS II = 11, and MACS III = 1) participated in two sessions of an annual pCIMT camp. Participants attended 10 days of camp where they received group-based training wearing a constraint for a total of 50 h, received bilateral, occupation-based activities for 10 h (60 h total) including 30 min each day on the Hocoma Armeo ® Spring. The Assisting Hand Assessment (AHA) was administered pre-intervention and post-intervention. Our results discovered a mean interval dose 1 and 2 was 511 days. Dose 1 mean AHA score at baseline was 55.93 ± 12.78 and 63.07 ± 12.85 at post. Dose 2 mean AHA score as 58.13 ± 14.83 and post 66.53 ± 12.82. In conclusion, there was an overall significant bimanual functional improvement based on AHA scores that indicate, regardless of which camp session, scores improved from pre-intervention to post-intervention. There was a generalized upward trend in improved hand function of a group-based pCIMT, and diminished effects between doses were reversed with repeat doses.

Keywords: cerebral palsy; children; constraint-induced movement therapy; repeat doses (search for similar items in EconPapers)
JEL-codes: I (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/2673-7272/2/2/26/pdf (application/pdf)
https://www.mdpi.com/2673-7272/2/2/26/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jdisab:v:2:y:2022:i:2:p:26-378:d:838372

Access Statistics for this article

Disabilities is currently edited by Ms. Cici Zhou

More articles in Disabilities from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().