Comparing Unimanual and Bimanual Training in Upper Extremity Function in Children With Unilateral Cerebral Palsy.
| Autor: | Klepper SE; Program in Physical Therapy and Department of Rehabilitation and Regenerative Medicine (Drs Klepper and Krasinski), Columbia University, New York; Rusk Institute (Dr. Khalil), New York University Medical Center, New York; and Children's Health (Dr. Gilb), Children's Medical Center of Dallas, Dallas, Texas., Clayton Krasinski D, Gilb MC, Khalil N |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association [Pediatr Phys Ther] 2017 Oct; Vol. 29 (4), pp. 288-306. |
| DOI: | 10.1097/PEP.0000000000000438 |
| Abstrakt: | Purpose: This systematic review compared intensive bimanual therapy (IBT) and modified constraint-induced movement therapy (mCIMT) in upper limb function in children with unilateral cerebral palsy (CP). Methods: Four electronic databases were searched from 2009 through October 2015 for randomized control trials comparing IBT with mCIMT. Results: Eight articles met the inclusion criteria; 5 randomized clinical trials with 221 participants with unilateral CP, ages 1.5 to 16 years, who received the intervention in a day camp, clinical, or preschool setting were included. The IBT group performed bimanual motor activities; the mCIMT group performed unilateral motor activities. Conclusion: There was a strong, nonspecific recommendation for either approach to improve quality of unimanual movement, bimanual capacity, and movement efficiency. There was a weak, specific recommendation for IBT in improving movement quality and a specific but weak recommendation favoring IBT to improve the child's performance on parent-reported outcomes. |
| Databáze: | MEDLINE |
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