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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/65086
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dc.creatorGeoffroy Saussezpt_BR
dc.creatorMarina de Brito Brandaopt_BR
dc.creatorAndrew M. Gordonpt_BR
dc.creatorYannick Bleyenheuftpt_BR
dc.date.accessioned2024-03-01T16:20:50Z-
dc.date.available2024-03-01T16:20:50Z-
dc.date.issued2017-09-25-
dc.citation.volume8pt_BR
dc.citation.spage495pt_BR
dc.citation.epage10pt_BR
dc.identifier.doihttps://doi.org/10.3389/fneur.2017.00495pt_BR
dc.identifier.issn1664-2295pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/65086-
dc.description.resumoHand-Arm Bimanual Intensive Therapy (HABIT) promotes hand function using intensive practice of bimanual functional and play tasks. This intervention has shown to be efficacious to improve upper-extremity (UE) function in children with unilateral spastic cerebral palsy (USCP). In addition to UE function deficits, lower-extremity (LE) function and UE–LE coordination are also impaired in children with USCP. Recently, a new intervention has been introduced in which the LE is simultaneously engaged during HABIT (Hand-Arm Bimanual Intensive Therapy Including Lower Extremities; HABIT-ILE). Positive effects of this therapy have been demonstrated for both the UE and LE function in children with USCP. However, it is unknown whether the addition of this constant LE component during a bimanual intensive therapy attenuates UE improvements observed in children with USCP. This retrospective study, based on multiple randomized protocols, aims to compare the UE function improvements in children with USCP after HABIT or HABIT-ILE. This study included 86 children with USCP who received 90 h of either HABIT (n = 42) or HABIT-ILE (n = 44) as participants in previous studies. Children were assessed before, after, and 4–6 months after intervention. Primary outcomes were the ABILHAND-Kids and the Assisting Hand Assessment. Secondary measures included the Jebsen-Taylor Test of Hand Function, the Pediatric Evaluation of Disability Inventory [(PEDI); only the self-care functional ability domain] and the Canadian Occupational Performance Measure (COPM). Data analysis was performed using two-way repeated-measures analysis of variance with repeated measures on test sessions. Both groups showed similar, significant improvements for all tests (test session effect p < 0.001; group × test session interaction p > 0.05) except the PEDI and COPM. Larger improvements on these tests were found for the HABIT-ILE group (test session effect p < 0.001; group × test session interaction p < 0.05). These larger improvements may be explained by the constant simultaneous UE–LE engagement observed during the HABIT-ILE intervention since many daily living activities included in the PEDI and the COPM goals involve the LE and, more specifically, UE–LE coordination. We conclude that UE improvements in children with USCP are not attenuated by simultaneous UE–LE engagement during intensive intervention. In addition, systematic LE engagement during bimanual intensive intervention (HABIT-ILE) leads to larger functional improvements in activities of daily living involving the LE.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE TERAPIA OCUPACIONALpt_BR
dc.publisher.departmentEEFFTO - ESCOLA DE EDUCAÇÃO FISICA, FISIOTERAPIA E TERAPIA OCUPACIONALpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofFrontiers in Neurologypt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectCerebral palsypt_BR
dc.subjectHemiplegiapt_BR
dc.subjectIntensive interventionpt_BR
dc.subjectUpper extremitypt_BR
dc.subjectLower extremitypt_BR
dc.subjectBimanual trainingpt_BR
dc.subjectMotor functionpt_BR
dc.subjectInterlimb coordinationpt_BR
dc.subject.otherHemiplegiapt_BR
dc.subject.otherExtremidadespt_BR
dc.subject.otherEnfermagempt_BR
dc.titleIncluding a Lower-Extremity Component during Hand-Arm Bimanual Intensive Training does not Attenuate Improvements of the Upper Extremities: A Retrospective Study of Randomized Trialspt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2017.00495/fullpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-5192-0868pt_BR
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