Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic Cerebral Palsy (CP)

Study Overview
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Brief Summary
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The combination of the constraint-induced movement therapy (CIMT) method as a complement to hand arm bimanual training (HABIT) will improve the frequency and quality of cooperative hand use and function in children with hemiplegic CP.

Official Title
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Constraint-induced Movement Therapy and Hand Arm Bimanual Training in Children With Hemiplegic CP

Conditions
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Cerebral Palsy, Hand Function

Intervention / Treatment
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* Other: CIMT+HABIT


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: active wrist extension/dorsiflexion of at least 20; MACS 1-3; GMFCS 1-2; enrolled in regular or remedial level education with ability to understand instructions and participate without parent presence. Exclusion criteria: seizures; severely increased muscle tone; or hemi arm to good; orthopedic surgery on the upper extremity; botulin toxin injections within the past half year to the upper extremity; inability to understand instructions or cognitive/behavior/concentration.

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 9 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CIMT+HABIT<br>Form of summer camp, for six hours per day for 10 consecutive work days. | Other: CIMT+HABIT<br>* The daily schedule included one hour of constraining the functional arm with intensive activation of the hemi-paretic arm and then 5 hours of various structured, intensive bimanual functional activities,<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assisting Hand Assessment | Rasch built, it measures how effectively a child with unilateral disability typically makes use of their affected (assisting) hand during bimanual performance. It is conducted by a semi-structured play session requiring bimanual handling that is video-recorded. Scoring is performed by a analyzing the video on 22 predefined items using a 4-point criterion-referenced rating scale | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Jebsen-Taylor Test of Hand Function |  | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program | 
| The Pediatric Evaluation of Disability Inventory (PEDI) |  | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program | 
| Muscle strength |  | twice before the intervention: one month and two days before as control period, and three times after the intervention: within the last two days, two months and six months after the end of the intervention program | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy