Article

We compared children's self-care performance and caregivers'
perception of children's performance on functional goals established for children
with hemiplegic cerebral palsy (CP) after unimanual constraint-induced movement
therapy (CIMT) or hand-arm bimanual intensive training (HABIT). METHOD: Sixteen
children with CP were randomized to the CIMT or HABIT group. Interventions lasted
for 15 days, 6 hr/day, totaling 90 hr. We used the Pediatric Evaluation of
Disability Inventory and the Canadian Occupational Performance Measure (COPM) to
assess the children's daily functioning and mixed analyses of variance to compare
group means on functional test scores before and after intervention. RESULTS:
Both groups showed significant improvements on functional measures. Group x
Assessment interaction in COPM performance revealed greater improvements for the
HABIT group after intervention (p = .04). CONCLUSION: The results suggest that
specificity of training exists only for performance of specific goals established
by parents and that both CIMT and HABIT can be used to increase children's daily
functioning.
CI - Copyright (c) 2012 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS