Effectiveness of hand-arm bimanual intensive training on upper extremity function in children with cerebral palsy: A systematic review

Ouyang, Rang Ge; Yang, Chieh; Qu, Ya Lan; Koduri, Manohar Prasad; Chien, Chun-Ru

doi:10.1016/j.ejpn.2019.12.017

Cited by 32 publications

(24 citation statements)

References 37 publications

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“…Interventions such as home programs, environmental enrichment, and task-specific training are inexpensive, equipment-independent, directed to family goals, and carried out in the child's natural environment; this corresponds to the current trend of interventions aimed at improving performance and no longer aiming at only correcting impairments. 157,158 Future studies should investigate the effects of these high-level, inexpensive, evidenceinformed interventions in the Brazilian context. Due to the COVID-19 pandemic, new opportunities to deliver lowcost rehabilitation services in natural environments have become a reality.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the country’s significant social discrepancies, and that over 80% of its population depends on its public health service, it is important that Brazilian researchers invest their efforts in inexpensive and easy‐to‐reproduce interventions in Brazilian clinical practice. Interventions such as home programs, environmental enrichment, and task‐specific training are inexpensive, equipment‐independent, directed to family goals, and carried out in the child’s natural environment; this corresponds to the current trend of interventions aimed at improving performance and no longer aiming at only correcting impairments 157,158 . Future studies should investigate the effects of these high‐level, inexpensive, evidence‐informed interventions in the Brazilian context.…”

Section: Discussionmentioning

confidence: 99%

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Physical therapy in children with cerebral palsy in Brazil: a scoping review

Furtado

Ayupe

Christovão

et al. 2021

Develop Med Child Neuro

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Low-and middle-income countries NDT Neurodevelopmental therapy OCEBM Oxford Centre for Evidence-Based Medicine AIM To identify and assess published studies concerning physical therapy in Brazilian children and adolescents with cerebral palsy (CP) using the International Classification of Functioning, Disability and Health (ICF) framework. METHOD Articles in English and Portuguese published until October 2020, with no date restrictions, were searched in several different databases. Study characteristics, journal metrics, sample characteristics, and ICF domains explored intervention components and outcomes were extracted. Studies were classified according to the Oxford Centre for Evidence-Based Medicine hierarchy levels to characterize the evidence.RESULTS Ninety-four studies were included. Spastic CP with fewer limitations in gross motor abilities was the most reported; 67% of the studies had low levels of evidence and were published in journals without an impact factor. The three most frequent interventions were neurodevelopmental treatment, suit therapy, and transcranial direct current stimulation. Intervention components explored body functions and structures (73.4%), activity (59.6%), environment (2.1%). They did not explore participation (0%). The outcomes investigated addressed activity (79.8%), body functions and structures (67.0%), and participation (1.1%), but not environment (0%).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physical therapy in children with cerebral palsy in Brazil: a scoping review

Furtado

Ayupe

Christovão

et al. 2021

Develop Med Child Neuro

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“…It affects roughly 15% to 20% of physically disabled children in India. CP has multiple risk factors in all 3 phases, namely antenatal, perinatal, and postnatal (2). CP is diagnosed based on chronological clinical observations and assessments (2).…”

Section: Contextmentioning

confidence: 99%

Approaches in Improving Hand Function in Cerebral Palsy Via Telerehabilitation: A Review

Modi

Sharma

2022

JPR

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Context: This study was conducted to evaluate the diversity of approaches for improving hand function through telerehabilitation in CP patients. Google Scholar and PubMed databases were consulted to perform an electronic search. A total of 12 studies were selected and reviewed. Evidence Acquisition: This study was conducted to evaluate the diversity of approaches for improving hand function through telerehabilitation in CP patients. Google Scholar and PubMed databases were consulted to perform an electronic search. A total of 12 studies were selected and reviewed. Results: The data demonstrated the usability of telerehabilitation in children with CP for improving hand functions. Their gross and fine motor functions were significantly improved. Meanwhile, the data reported the perception of the caregivers. Conclusions: The conclusion based on the result of training hand function with telerehabilitation in the CP population showed promising results in improving grip strength, hand dexterity, motor skills, and so on. The secondary outcome was the satisfaction of caregivers.

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“…Children with motor impairments of the upper extremity due to cerebral palsy (CP) face numerous difficulties in their activities of daily living (ADL), in participation in school, and during play. Task-specific rehabilitation programs such as Constraint Induced Movement Therapy (CIMT) [ 1 ] and hand-arm bimanual intensive training (HABIT) [ 2 ] have shown positive results when provided by therapists in a one-on-one clinical setting with high repetitions of task practice [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Parents' Perspectives on a Computer Game–Assisted Rehabilitation Program for Manual Dexterity in Children With Cerebral Palsy: Qualitative Analysis of Expectations, Child Engagement, and Benefits

Kanitkar¹,

Sanjay²,

Szturm³

et al. 2021

JMIR Rehabil Assist Technol

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Background Children with motor impairments affecting the upper extremity benefit from task-specific therapy, such as constraint-induced movement therapy. However, there is a need to improve engagement and compliance with task-specific exercise programs that target manual dexterity for children with cerebral palsy (CP). A computer game–based rehabilitation (GRP) platform was developed that combines fine manipulation and gross movement exercises with engaging game activities appropriate for young children with CP. Objective The objectives of this qualitative analysis were to compare parents’ perspectives and opinions about expectations, challenges, and benefits between 2 interventions. Methods A mixed methods, randomized controlled trial (RCT) was conducted to examine the feasibility and estimate the effect size of 2 exercise programs for rehabilitation of manual dexterity of children with CP using either GRP or conventional therapy. Parents of 26 of the children who completed the GRP program (n=33) and parents of 15 of the children who completed the conventional therapy program (n=27) participated in the interviews. A general conductive approach was used to analyze the data recorded during the parents’ interviews. Results Five themes captured the range of the parent’s experiences, viewpoints, and ideas: (1) parents’ expectations, (2) child’s engagement with therapy, (3) positive effects of the interventions, (4) challenges, and (5) improving the protocol. Conclusions Parents from both groups recognized that their expectations related to improving children’s object handling and manipulation skills including participation in activities of daily life were addressed during the 16-week therapy program. Parents perceived a change in the children’s level of independence in their daily tasks at home, school, and leisure activities. Trial Registration ClinicalTrials.gov NCT02728375; https://clinicaltrials.gov/ct2/show/NCT02728375

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Effectiveness of hand-arm bimanual intensive training on upper extremity function in children with cerebral palsy: A systematic review

Cited by 32 publications

References 37 publications

Physical therapy in children with cerebral palsy in Brazil: a scoping review

Physical therapy in children with cerebral palsy in Brazil: a scoping review

Approaches in Improving Hand Function in Cerebral Palsy Via Telerehabilitation: A Review

Parents' Perspectives on a Computer Game–Assisted Rehabilitation Program for Manual Dexterity in Children With Cerebral Palsy: Qualitative Analysis of Expectations, Child Engagement, and Benefits

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