Article

An approach that simultaneously engages both the upper and lower
extremities, hand-arm bimanual intensive therapy including lower extremity
(HABIT-ILE), has recently demonstrated improvements in upper and lower
extremities in children with unilateral cerebral palsy (CP). It is not known
whether children with bilateral CP would benefit from this approach. The aim of
this study was to examine the efficacy of HABIT-ILE in children with bilateral CP. METHOD:
A quasi-randomized trial design was used, whereby 20 participants
(age 6-15y, Gross Motor Function Classification System levels II-IV, Manual
Ability Classification System levels I-III) were assigned to a treatment
(HABIT-ILE) or a comparison group in the order in which they were enrolled.
Children in the HABIT-ILE group were assessed before and after 84 hours of
intervention over 13 days, as well as at 3 months' follow-up. Children in the
comparison group were assessed at the same time points. Children in both groups
were assessed using the Gross Motor Function Measure (GMFM-66) and ABILHAND-Kids
(primary measures), and six secondary measures. RESULTS: A groupxtest session
interaction indicated significant improvements in the HABIT-ILE group as assessed
by the GMFM-66, lower-extremity performance (6-Minute Walk Test; Pediatric
Balance Scale), functional upper-extremity abilities (ABILHAND-Kids/Pediatric
Evaluation of Disability Inventory), and the dexterity of the less affected upper
extremity. CONCLUSION:
HABIT-ILE is efficacious for improving both upper- and
lower-extremity function in children with bilateral CP.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS