Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/42539
Type: Artigo de Periódico
Title: Does dosage matter? a pilot study of Hand-Arm Bimanual Intensive Training (HABIT) dose and dosing schedule in children with unilateral cerebral palsy
Authors: Marina de Brito Brandão
Marisa Cotta Mancini
Claudio Ferre
Priscilla Rezende Pereira Figueiredo
Rachel Helena Silva de Oliveira
Shirley Gonçalves
Míriam Cândida Silva e Dias
Andrew Michael Gordon
Abstract: Aim: We compared the efficacy of hand-arm bimanual intensive training (HABIT) in two doses (90 vs. 45 hours) and two schedules of the same dose (90 vs. 2 × 45 hours) on hand and daily functioning. Method: Eighteen children with unilateral cerebral palsy were randomized to receive 6 hours of daily training over 3 weeks, totaling 90 hours (Group 90, n = 9) or receive 6 hours of daily training over 1.5 weeks, totaling 45 hours (Group 2 × 45, n = 9). After 6 months, Group 2 × 45 received an additional 45 hours. Hand (Jebsen–Taylor Test of Hand Function, Assisting Hand Assessment) and daily functioning tests (Canadian Occupational Performance Measure, Pediatric Evaluation of Disability Inventory) were administered before, immediately after, and 6 months after interventions. Results: Both groups demonstrated significant improvements in hand and daily functioning after 90 hours (Group 90) or the first 45 hours (Group 2 × 45), without differences between groups. However, more children from Group 90 obtained smallest detectable differences in the Assisting Hand Assessment. The addition of the second bout of 45 hours (Group 2 × 45) did not lead to further improvements. Conclusions: As this study was powered to test for large differences between groups, future investigations on larger samples will be needed to compare differences at the two dosage levels.
Subject: Desempenho Físico Funcional
Paralisia cerebral
Dosagem
Mãos
Treinamento
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: EEF - DEPARTAMENTO DE TERAPIA OCUPACIONAL
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1080/01942638.2017.1407014
URI: http://hdl.handle.net/1843/42539
Issue Date: 2018
metadata.dc.url.externa: https://www.tandfonline.com/doi/abs/10.1080/01942638.2017.1407014?journalCode=ipop20
metadata.dc.relation.ispartof: Physical and Occupational Therapy in Pediatrics
Appears in Collections:Artigo de Periódico

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