Unimanual versus bimanual therapy in children with unilateral cerebral palsy: Same, same, but different

Journal article


Hoare, Brian and Greaves, Susan. (2017) Unimanual versus bimanual therapy in children with unilateral cerebral palsy: Same, same, but different. Journal of Pediatric Rehabilitation Medicine. 10(1), pp. 47 - 59. https://doi.org/10.3233/PRM-170410
AuthorsHoare, Brian and Greaves, Susan
Abstract

BACKGROUND: There is high-level evidence supporting constraint-induced movement therapy (CIMT) and bimanual therapy for children with unilateral cerebral palsy. Evidence-based intervention includes time-limited, goal-directed, skills-based, intensive blocks of practice based on motor learning theory. AIM AND METHODS: Using supporting literature and clinical insight, we provide a theoretical rationale to highlight previously unreported differences between CIMT and bimanual therapy. DISCUSSION: The current emphasis on total dosage of practice for achieving positive outcomes fails to recognise the influence of other critical concepts within motor learning. Limitations exist in the application of motor learning principles using CIMT due to its unimanual nature. CIMT is effective for development of unimanual actions brought about by implicit learning, however it is difficult to target explicit learning that is required for learning how to use two hands together. Using bimanual therapy, object properties can be adapted to trigger goal-related perceptual and cognitive processes required for children to learn to recognise when two hands are required for task completion. CONCLUSION: CIMT and bimanual should be viewed as complementary. CIMT could be used to target unimanual actions. Once these actions are established, bimanual therapy could be used for children to learn how to use these actions for bimanual skill development.

Keywordscerebral palsy; constraint-induced movement therapy; bimanual therapy; motor learning theory
Year2017
JournalJournal of Pediatric Rehabilitation Medicine
Journal citation10 (1), pp. 47 - 59
PublisherIOS Press
ISSN1875-8894
Digital Object Identifier (DOI)https://doi.org/10.3233/PRM-170410
Scopus EID2-s2.0-85031508877
Page range47 - 59
Research GroupSchool of Allied Health
Publisher's version
File Access Level
Controlled
Place of publicationNetherlands
Permalink -

https://acuresearchbank.acu.edu.au/item/87z0v/unimanual-versus-bimanual-therapy-in-children-with-unilateral-cerebral-palsy-same-same-but-different

Restricted files

Publisher's version

  • 5
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Brain magnetic resonance imaging is a predictor of bimanual performance and executive function in children with unilateral cerebral palsy
Crichton, Alison, Ditchfield, Michael, Gwini, Stellamay, Wallen, Margaret, Thorley, Megan, Bracken, Jenny, Harvey, Adrienne, Elliott, Catherine, Novak, Iona and Hoare, Brian. (2020) Brain magnetic resonance imaging is a predictor of bimanual performance and executive function in children with unilateral cerebral palsy. Developmental Medicine and Child Neurology. 62(5), pp. 615 - 624. https://doi.org/10.1111/dmcn.14462
The development of anticipatory action planning in children with unilateral cerebral palsy
Krajenbrink, Hilde, Crichton, Ali, Steenbergen, Bert and Hoare, Brian. (2019) The development of anticipatory action planning in children with unilateral cerebral palsy. Research in Developmental Disabilities. 85, pp. 163 - 171. https://doi.org/10.1016/j.ridd.2018.12.002
Windmill-task as a new quantitative and objective assessment for mirror movements in unilateral cerebral palsy: a pilot study
Zielinski, Ingar M., Steenbergen, Bert, Schmidt, Anna, Klingels, Katrijn, Martinez, Cristina Simon, de Water, Pascal and Hoare, Brian. (2018) Windmill-task as a new quantitative and objective assessment for mirror movements in unilateral cerebral palsy: a pilot study. Archives of Physical Medicine and Rehabilitation. 99(8), pp. 1547 - 1552. https://doi.org/10.1016/j.apmr.2018.01.035
Cognition and bimanual performance in children with unilateral cerebral palsy: Protocol for a multicentre, cross-sectional study
Hoare, Brian, Ditchfield, Michael, Thorley, Megan, Wallen, Margaret, Bracken, Jenny, Harvey, Adrienne, Elliott, Catherine, Novak, Iona and Crichton, Ali. (2018) Cognition and bimanual performance in children with unilateral cerebral palsy: Protocol for a multicentre, cross-sectional study. BMC Neurology. 18(1), pp. 1 - 12. https://doi.org/10.1186/s12883-018-1070-z
Minimising impariment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy
Imms, Christine, Wallen, Margaret, Elliott, Catherine, Hoare, Brian, Randall, Melinda Joy, Greaves, Susan, Adair, Brooke, Bradshaw, Elizabeth, Carter, Rob, Orsini, Francesca, Shih, Sophy T. F. and Reddihough, Dinah S.. (2016) Minimising impariment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy. BMC Pediatrics. 16(70), pp. 1 - 15. https://doi.org/10.1186/s12887-016-0608-8
Minimising impairment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy
Imms, Christine, Wallen, Margaret, Elliott, Catherine M., Hoare, Brian, Randall, Melinda Joy, Greaves, Susan, Adair, Brooke, Bradshaw, Elizabeth Jane, Carter, Robert, Orsini, Francesca, Shih, Sophy T. F. and Reddihough, Dinah S.. (2016) Minimising impairment: Protocol for a multicentre randomised controlled trial of upper limb orthoses for children with cerebral palsy. BMC Pediatrics. 16(1), pp. 70 - 85. https://doi.org/10.1186/s12887-016-0608-8
Intensive therapy following upper limb botulinum toxin A injection in young children with unilateral cerebral palsy : a randomized trial
Hoare, Brian, Imms, Christine, Villanueva, Elmer, Rawicki, Hyam Barry, Matyas, Thomas and Carey, Leeanne. (2013) Intensive therapy following upper limb botulinum toxin A injection in young children with unilateral cerebral palsy : a randomized trial. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.12054
Linking cerebral palsy upper limb measurements to the international classification of functioning disability and health
Hoare, Brian, Imms, Christine, Randall, Melinda and Carey, Leeanne. (2011) Linking cerebral palsy upper limb measurements to the international classification of functioning disability and health. Scandinavian Journal of Rehabilitation Medicine. 43(11), pp. 987 - 996. https://doi.org/10.2340/16501977-0886
Goal Directed Training of Activity Performance
Hoare, Brian and Imms, Christine. (2010) Goal Directed Training of Activity Performance. In Physiotherapy and Occupational Therapy for People with Cerebral Palsy: A Problem-based Approach to Assessment and Management pp. 130 - 145 Mac Keith Press.
Botulinum Toxin A as an Adjunct to Treatment in the Management of the Upper Limb in Children with Spastic Cerebral Palsy (UPDATE)
Hoare, Brian, Wallen, Margaret, Imms, Christine, Villanueva, Elmer, Rawicki, Hyam and Carey, Leeanne. (2010) Botulinum Toxin A as an Adjunct to Treatment in the Management of the Upper Limb in Children with Spastic Cerebral Palsy (UPDATE). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD003469.pub4
Intensive Upper Limb Therapy Following Botulinum-A in Young Children with Hemiplegic Cerebral Palsy : Results from a Randomised Controlled Trial
Hoare, Brian, Imms, Christine and Carey, Leeanne. (2010) Intensive Upper Limb Therapy Following Botulinum-A in Young Children with Hemiplegic Cerebral Palsy : Results from a Randomised Controlled Trial. Developmental Medicine and Child Neurology. 52(Suppl s2), pp. 13 - 13. https://doi.org/10.1111/j.1469-8749.2009.03595.x
Modified constraint-induced movement therapy or bimanual occupational therapy following injection of botulinum toxin-A to improve bimanual performance in young children with hemiplegic cerebral palsy: a randomised controlled trial methods paper
Hoare, Brian, Imms, Christine, Rawicki, Hyam and Carey, Leeanne. (2010) Modified constraint-induced movement therapy or bimanual occupational therapy following injection of botulinum toxin-A to improve bimanual performance in young children with hemiplegic cerebral palsy: a randomised controlled trial methods paper. BMC Neurology. 10(1), pp. 58 - 78. https://doi.org/10.1186/1471-2377-10-58
Activity Level Assessment of the Upper Limb in Children with Hemiplegic Cerebral Palsy. Treatment Innovation and its Impact on Measurement
Hoare, Brian, Imms, Christine and Carey, Leeanne. (2008) Activity Level Assessment of the Upper Limb in Children with Hemiplegic Cerebral Palsy. Treatment Innovation and its Impact on Measurement. Australasian Academy of Cerebral Palsy and Developmental Medicine (AusACPDM) Biennial Conference. Australia: Australasian Academy of Cerebral Palsy and Developmental Medicine. pp. 1 - 10
Constraint-Induced Movement Therapy in the Treatment of the Upper Limb in Children with Hemiplegic Cerebral Palsy: a Cochrane Systematic Review
Hoare, Brian, Imms, Christine, Carey, Leeanne and Wasiak, Jason. (2007) Constraint-Induced Movement Therapy in the Treatment of the Upper Limb in Children with Hemiplegic Cerebral Palsy: a Cochrane Systematic Review. Clinical Rehabilitation. 21(8), pp. 675 - 686. https://doi.org/10.1177/0269215507080783