The state of the evidence for intensive upper limb therapy approaches for children with unilateral cerebral palsy

Sakzewski, Leanne, Gordon, Andrew and Eliasson, Ann-Christin (2014) The state of the evidence for intensive upper limb therapy approaches for children with unilateral cerebral palsy. Journal of Child Neurology, 29 8: 1077-1090. doi:10.1177/0883073814533150


Author Sakzewski, Leanne
Gordon, Andrew
Eliasson, Ann-Christin
Title The state of the evidence for intensive upper limb therapy approaches for children with unilateral cerebral palsy
Journal name Journal of Child Neurology   Check publisher's open access policy
ISSN 0883-0738
1708-8283
Publication date 2014-05-11
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1177/0883073814533150
Open Access Status
Volume 29
Issue 8
Start page 1077
End page 1090
Total pages 14
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Collection year 2015
Language eng
Abstract Children with unilateral cerebral palsy experience difficulties with unimanual and bimanual upper limb function, impacting independence in daily life. Targeted upper limb therapies such as constraint-induced movement therapy, bimanual training, and combined approaches have emerged in the last decade. This article reviews the scientific rationale underpinning these treatments and current evidence to improve upper limb outcomes and goal attainment. Intensive models of therapy achieved modest to strong effects to improve upper limb function compared to usual care. Dose-matched comparisons of bimanual and unimanual training demonstrated similar gains in upper limb outcomes. The optimum timing, dose and impact of repeat episodes of intensive upper limb therapies require further investigation. Characteristics of children who achieve clinically meaningful outcomes remain unclear. Key components of intervention include collaborative goal setting with families and intensive repetitive, incrementally challenging, task practice. Choice of treatment approach should be governed by child/family goals and preferences, individual, and contextual factors.
Keyword Constraint-induced movement therapy
Hand arm–intensive bimanual trail
Hemiplegia
Efficacy
Review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online ahead of print 11 May 2014.

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Medicine Publications
 
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Created: Wed, 21 May 2014, 12:58:45 EST by Ms Leanne Sakzewski on behalf of Paediatrics & Child Health - RBWH