1. Repositório Institucional da UFMG
  2. Publicações Científicas e Culturais
  3. Artigo de Periódico
Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/65215
Full metadata record
DC FieldValueLanguage
dc.creatorKathleen M. Frielpt_BR
dc.creatorYannick Bleyenheuftpt_BR
dc.creatorJason B. Carmelpt_BR
dc.creatorTalita Campospt_BR
dc.creatorAndrew M. Gordonpt_BR
dc.creatorClaudio L. Ferrept_BR
dc.creatorMarina de Brito Brandaopt_BR
dc.creatorHsing-ching Kuopt_BR
dc.creatorKaren Chinpt_BR
dc.creatorYa-ching Hungpt_BR
dc.creatorMaxime T. Robertpt_BR
dc.creatorVeronique H. Flamandpt_BR
dc.creatorAna Smorenburgpt_BR
dc.date.accessioned2024-03-04T22:27:48Z-
dc.date.available2024-03-04T22:27:48Z-
dc.date.issued2021-05-02-
dc.citation.volume12pt_BR
dc.citation.spagee660780pt_BR
dc.citation.epage15pt_BR
dc.identifier.doihttps://doi.org/10.3389/fneur.2021.660780pt_BR
dc.identifier.issn1664-2295pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/65215-
dc.description.resumoBackground/Objectives: Intensive training of the more affected upper extremity (UE) has been shown to be effective for children with unilateral spastic cerebral palsy (USCP). Two types of UE training have been particularly successful: Constraint-Induced Movement Therapy (CIMT) and Bimanual training. Reorganization of the corticospinal tract (CST) early during development often occurs in USCP. Prior studies have suggested that children with an ipsilateral CST controlling the affected UE may improve less following CIMT than children with a contralateral CST. We tested the hypothesis that improvements in UE function after intensive training depend on CST laterality. Study Participants and Setting: Eighty-two children with USCP, age 5 years 10 months to 17 years, University laboratory setting. Materials/Methods: Single-pulse transcranial magnetic stimulation (TMS) was used to determine each child's CST connectivity pattern. Children were stratified by age, sex, baseline hand function and CST connectivity pattern, and randomized to receive either CIMT or Bimanual training, each of which were provided in a day-camp setting (90 h). Hand function was tested before, immediately and 6 months after the intervention with the Jebsen-Taylor Test of Hand Function, the Assisting Hand Assessment, the Box and Block Test, and ABILHAND-Kids. The Canadian Occupational Performance Measure was used to track goal achievement and the Pediatric Evaluation of Disability Inventory was used to assess functioning in daily living activities at home. Results: In contrast to our hypothesis, participants had statistically similar improvements for both CIMT and Bimanual training for all measures independent of their CST connectivity pattern (contralateral, ipsilateral, or bilateral) (p < 0.05 in all cases). Conclusions/Significance: The efficacy of CIMT and Bimanual training is independent of CST connectivity pattern. Children with an ipsilateral CST, previously thought to be maladaptive, have the capacity to improve as well as children with a contralateral or bilateral CST following intensive CIMT or Bimanual training.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.subjectHemiplegiapt_BR
dc.subjectTranscramial magnetic stimulationpt_BR
dc.subjectHand-Arm Bimanual Intensive Therapy (HABIT)pt_BR
dc.subjectRehabilitationpt_BR
dc.subjectConstraint-induced movement therapy (CIMT)pt_BR
dc.subjectBrain reorganizationpt_BR
dc.subjectNeuroplasicitypt_BR
dc.subjectPhysical rehabilitationpt_BR
dc.subject.otherHemiplegiapt_BR
dc.subject.otherReabilitaçãopt_BR
dc.subject.otherExtremidadespt_BR
dc.subject.otherPlasticidade Neuronalpt_BR
dc.subject.otherModalidades de Fisioterapiapt_BR
dc.titleImprovements in Upper Extremity Function Following Intensive Training Are Independent of Corticospinal Tract Organization in Children With Unilateral Spastic Cerebral Palsy: A Clinical Randomized Trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2021.660780/fullpt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-5192-0868pt_BR
Appears in Collections:Artigo de Periódico

Files in This Item:
File Description SizeFormat 
Improvements in Upper Extremity Function Following Intensive Training Are Independent of Corticospinal Tract Organization in Children With Unilateral Spastic Cerebral Palsy_ A Clinical Randomized Trial.pdf1.04 MBAdobe PDFView/Open
Show simple item record


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.