Upper limb function of children with unilateral cerebral palsy after a magic-themed HABIT: A pre-post-study with 3- and 6-month follow-up

Journal article


Hines, Ashleigh, Bundy, Anita C., Black, Deb, Haertsch, Maggie and Wallen, Margaret. (2019) Upper limb function of children with unilateral cerebral palsy after a magic-themed HABIT: A pre-post-study with 3- and 6-month follow-up. Physical & Occupational Therapy in Pediatrics. 39(4), pp. 404 - 419. https://doi.org/10.1080/01942638.2018.1505802
AuthorsHines, Ashleigh, Bundy, Anita C., Black, Deb, Haertsch, Maggie and Wallen, Margaret
Abstract

Aims: To examine changes in upper limb function, and performance in everyday tasks, for children with unilateral cerebral palsy who participated in a magic-themed hand-arm bimanual intensive therapy (HABIT). Methods: Twenty-eight children participated; mean age 10 y 6 mo (SD 2 y 2 mo), n = 15 male and n = 13 female. Using a single group, pre-and post-test design, the magic-themed HABIT was delivered for 60 hours over 10 days. Bimanual and unimanual hand function were measured using the Assisting Hand Assessment (AHA) and Box and Blocks Test (BBT). Occupational performance was rated using the Canadian Occupational Performance Measure (COPM). Two parent questionnaires explored change in bimanual hand use in everyday activities; ABILHAND-Kids and Children’s Hand-use Experience Questionnaire (CHEQ). Assessments were completed pre-, immediately post, 3 months and 6 months after the intervention. Results: Friedman’s ANOVA revealed a significant improvement for COPM and CHEQ grasp subscale. Repeated measures ANOVA revealed a significant improvement in BBT, and ABILHAND-Kids, and no significant change for AHA. Conclusions: Children who participated in the magic-themed HABIT experienced improved occupational performance, unimanual skills, and parent ratings of performance in challenging everyday tasks.

KeywordsHemiplegia; novel intervention; hand-arm bimanual intensive therapy; pediatrics
Year2019
JournalPhysical & Occupational Therapy in Pediatrics
Journal citation39 (4), pp. 404 - 419
PublisherTaylor & Francis
ISSN0194-2638
Digital Object Identifier (DOI)https://doi.org/10.1080/01942638.2018.1505802
Scopus EID2-s2.0-85060177052
Page range404 - 419
Research GroupSchool of Allied Health
Place of publicationUnited States of America
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