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Fehlings, Darcy, Brown, Leah, Harvey, Adrienne, Himmelmann, Kate, Lin, Jean‐Pierre, Macintosh, Alexander, Mink, Jonathan W., Monbaliu, Elegast, Rice, James, Silver, Jessica, Switzer, Lauren, Walters, Ilana, and Lin, Jean-Pierre
Subjects
NEUROSURGERY, TREATMENT of dystonia, CEREBRAL palsy treatment, SYSTEMATIC reviews, TREATMENT effectiveness, MUSCLE relaxants, BACLOFEN, CEREBRAL palsy, COMPARATIVE studies, DYSTONIA, RESEARCH methodology, MEDICAL cooperation, RESEARCH, EVALUATION research, DEEP brain stimulation, DISEASE complications, THERAPEUTICS
Abstract
Copyright of Developmental Medicine & Child Neurology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Dong, Vicky Anqin, Fong, Kenneth N K, Chen, Yun‐Feng, Tseng, Stella S W, and Wong, Louisa M S
Subjects
MOVEMENT therapy, CEREBRAL palsy treatment, MIND & body therapies, MOVEMENT education, EXERCISE therapy, MOVEMENT disorders, DEVELOPMENTAL disabilities, ARM, CEREBRAL palsy, COMPARATIVE studies, HEMIPLEGIA, RESEARCH methodology, MEDICAL cooperation, NONPARAMETRIC statistics, HEALTH outcome assessment, RESEARCH, EVALUATION research, BODY movement, RANDOMIZED controlled trials, ACCELEROMETRY, TREATMENT effectiveness, BLIND experiment, DISEASE complications
Abstract
Aim: To evaluate 'remind-to-move' (RTM) treatment by comparing it with constraint-induced movement therapy (CIMT) and conventional rehabilitation of the upper extremity in children with hemiplegic cerebral palsy (CP).Method: Seventy-three children (44 males, 29 females; mean age 11y 8mo, standard deviation [SD] 3y 1mo) - with 20, 38, and 15 in Manual Ability Classification System levels I, II, and III respectively - were recruited from three special schools and randomly selected for an RTM (n=25) or CIMT (n=24) programme (for 75h over 3wks) or for conventional rehabilitation (n=24). The Jebsen-Taylor Hand Function Test, the Bruininks-Oseretsky Test of Motor Proficiency (Subtest 3), the Caregiver Functional Use Survey, and arm movement duration captured by accelerometers were used at the baseline, post-test, and 1-month and 3-month follow-ups.Results: Both the RTM and CIMT treatments achieved significant gains in manual capacities and spontaneous hand use immediately after the intervention compared with conventional rehabilitation, but there were no significant differences between the two interventions.Interpretation: The RTM treatment demonstrated similar therapeutic effects with CIMT in manual dexterity and functional hand use, but both interventions were superior to conventional rehabilitation. RTM is recommended as an alternative treatment for the hemiplegic upper extremity in children with CP. [ABSTRACT FROM AUTHOR]