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The influence of early CIMT training on longitudinal development of hand function in children with unilateral cerebral palsy
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (REAL)ORCID iD: 0000-0001-5418-3154
Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0001-7527-3810
2013 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 55, no s2, p. 18-18Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Introduction: There is evidence that Constraint-Induced Movement Therapy (CIMT) has a short-term positive effect on hand function in children with unilateral cerebral palsy (CP). Secondary analysis from previous study of development of hand function was performed with the aim to investigate whether one period of CIMT (at age 2–3y) influences the course of development or not.

Participants and Methods: A convenience sample of 45 children with unilateral CP was included at mean age 32 months (CIMT-group, n=24, non-CIMT group n=21) and mean age at start of intervention was 28.2 months. The children were measured repeatedly, at least once a year with the Assisting Hand Assessment (AHA) for a mean period of 4 years and 6 months. A non-linear mixed effects model was used to create and compare development curves for the CIMT and non-CIMT groups.

Results: Children who had CIMT had an upper limit of development that was 8,1 AHA-units higher than the children who had not have CIMT (p=0.028). Also when controlling for brain lesion characteristics there was a difference in limit of development in favour of the CIMTgroup, although not significant. Children with lower AHA-score at 18 months had seemed to gain more from CIMT than children with a higher AHA-score.

Conclusion: This study shows that one period of CIMT at age 2–3 years in children with unilateral CP is associated with better development of hand function regardless of brain lesion characteristics. This is the first study describing long-term effects of CIMT.

Place, publisher, year, edition, pages
West Sussex, UK: Wiley-Blackwell, 2013. Vol. 55, no s2, p. 18-18
National Category
Medical and Health Sciences Occupational Therapy
Research subject
Occupational therapy
Identifiers
URN: urn:nbn:se:oru:diva-41685DOI: 10.1111/dmcn.12258OAI: oai:DiVA.org:oru-41685DiVA, id: diva2:780925
Conference
European Academy of Childhood Disability 25th Annual Meeting, Newcastle-Gateshead, UK, 10-12 October.
Available from: 2015-01-15 Created: 2015-01-15 Last updated: 2019-03-04Bibliographically approved

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Holmefur, MarieEliasson, Ann-Christin

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