Equivalent retention of gains at 1 year after training with constraint-induced or bimanual therapy in children with unilateral cerebral palsy

Sakzewski, Leanne, Ziviani, Jenny, Abbott, David F., Macdonell, Richard A. L., Jackson, Graeme D. and Boyd, Roslyn N. (2011) Equivalent retention of gains at 1 year after training with constraint-induced or bimanual therapy in children with unilateral cerebral palsy. Neurorehabilitation and Neural Repair, 25 7: 664-671. doi:10.1177/1545968311400093


Author Sakzewski, Leanne
Ziviani, Jenny
Abbott, David F.
Macdonell, Richard A. L.
Jackson, Graeme D.
Boyd, Roslyn N.
Title Equivalent retention of gains at 1 year after training with constraint-induced or bimanual therapy in children with unilateral cerebral palsy
Journal name Neurorehabilitation and Neural Repair   Check publisher's open access policy
ISSN 1545-9683
1552-6844
Publication date 2011-03-22
Sub-type Article (original research)
DOI 10.1177/1545968311400093
Volume 25
Issue 7
Start page 664
End page 671
Total pages 8
Place of publication Thousand Oaks, CA, U.S.A.
Publisher Sage Publications
Collection year 2012
Language eng
Formatted abstract
Objectives.  To determine retention of treatment outcomes at 52 weeks following a matched-pairs  randomized comparison trial of constraint-induced movement therapy (CIMT) and bimanual training (BIM).

Methods.
  Sixty-four children (mean age = 10.2 ± 2.7 years, 52% male) were included. The Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Assisting Hand Assessment (AHA), and Canadian Occupational Performance Measure (COPM) were the primary outcome measures. Evaluations were at baseline and at 26 and 52 weeks.

Results.  There were no baseline differences between groups on any measure. No significant differences were found between groups on primary outcomes at 52 weeks. Both groups retained the significant gains made from baseline to 26 weeks at the 1-year follow-up assessment for unimanual capacity on the MUUL, for bimanual performance on the AHA, and on the COPM.

Conclusion.  Intensive unimanual and bimanual training can both lead to long-term significant improvements in unimanual capacity, bimanual performance, and individualized outcomes. Gains established at 26 weeks were maintained at 12 months postintervention despite most children receiving no direct therapy during that time.
Keyword Cerebral palsy
Constraint-induced movement therapy
Bimanual training
Pediatric rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online before print March 22, 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 26 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 25 Mar 2011, 15:23:55 EST by Linda Van Esch on behalf of Paediatrics & Child Health - RBWH