Home-based bimanual training based on motor learning principles in children with unilateral cerebral palsy and their parents (the COAD-study): rationale and protocols

Journal article

M. L A P Schnackers, L. W M E Beckers, Y. J. Janssen-Potten, Pauline B. M Aarts, Eugene A Rameckers, Jan van der Burg, Imelda de Groot, Rob Smeets, Sander Geurts, Bert Steenbergen and Nicole Brouwers. (2018). Home-based bimanual training based on motor learning principles in children with unilateral cerebral palsy and their parents (the COAD-study): rationale and protocols. BMC Pediatrics. 18(1), pp. 1-9. https://doi.org/10.1186/s12887-018-1110-2
AuthorsM. L A P Schnackers, L. W M E Beckers, Y. J. Janssen-Potten, Pauline B. M Aarts, Eugene A Rameckers, Jan van der Burg, Imelda de Groot, Rob Smeets, Sander Geurts, Bert Steenbergen and Nicole Brouwers
Abstract

Background
Home-based training is considered an important intervention in rehabilitation of children with unilateral cerebral palsy. Despite consensus on the value of home-based upper limb training, no evidence-based best practice exists. Promoting compliance of children to adhere to an intensive program while keeping parental stress levels low is an important challenge when designing home-based training programs. Incorporating implicit motor learning principles emerges to be a promising method to resolve this challenge.

Methods
Here we describe two protocols for home-based bimanual training programs, one based on implicit motor learning principles and one based on explicit motor learning principles, for children with unilateral spastic cerebral palsy aged 2 through 7 years. Children receive goal-oriented, task-specific bimanual training in their home environment from their parents for 3.5 h/week for 12 weeks according to an individualized program. Parents will be intensively coached by a multidisciplinary team, consisting of a pediatric therapist and remedial educationalist. Both programs consist of a preparation phase (goal setting, introductory meetings with coaching professionals, design of individualized program, instruction of parents, home visit) and home-based training phase (training, video-recordings, registrations, and telecoaching and home visits by the coaching team). The programs contrast with respect to the teaching strategy, i.e. how the parents support their child during training. In both programs parents provide their child with instructions and feedback that focus on the activity (i.e. task-oriented) or the result of the activity (i.e. result-oriented). However, in the explicit program parents are in addition instructed to give exact instructions and feedback on the motor performance of the bimanual activities, whereas in the implicit program the use of both hands and the appropriate motor performance of the activity are elicited via manipulation of the organization of the activities.

Discussion
With the protocols described here, we aim to take a next step in the development of much needed evidence-based home-based training programs for children with unilateral cerebral palsy.

Keywordscerebral palsy; rehabilitation; upper extremity; home program; task-specific training; implicit motor learning; explicit motor learning; bimanual performance; parental stress
Year2018
JournalBMC Pediatrics
Journal citation18 (1), pp. 1-9
PublisherBioMed Central
ISSN1471-2431
Digital Object Identifier (DOI)https://doi.org/10.1186/s12887-018-1110-2
Scopus EID2-s2.0-85045571402
Open accessPublished as ‘gold’ (paid) open access
Author's accepted manuscript
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Open
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Deposited23 Apr 2021
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Wilson, Peter Henry, Adams, Imke l. J., Caeyenberghs, Karen, Thomas, Patrick, Smits-Engelsman, Bouwein C. M. and Steenbergen, Bert. (2016). Motor imagery training enhances motor skill in children with DCD: A replication study. Research in Developmental Disabilities. 57, pp. 54 - 62. https://doi.org/10.1016/j.ridd.2016.06.014
Attendance behavior of ex-members in fitness clubs: A retrospective study applying the stages of change
Middelkamp, Jan, Van Rooijen, Maaike and Steenbergen, Bert. (2016). Attendance behavior of ex-members in fitness clubs: A retrospective study applying the stages of change. Perceptual and Motor Skills. 122(1), pp. 350 - 359. https://doi.org/10.1177/0031512516631075
Motor imagery training for children with developmental coordination disorder: Study protocol for a randomized controlled trial
Adams, Imke L. J., Steenbergen, Bert, Lust, Jessica M. and Smits-Engelsman, Bouwein C. M.. (2016). Motor imagery training for children with developmental coordination disorder: Study protocol for a randomized controlled trial. BMC Neurology. 16(5), pp. 1 - 9. https://doi.org/10.1186/s12883-016-0530-6
Action planning and position sense in children with Developmental Coordination Disorder
Adams, Imke L. J., Ferguson, Gillian D., Lust, Jessica M., Steenbergen, Bert and Smits-Engelsman, Bouwein C. M.. (2016). Action planning and position sense in children with Developmental Coordination Disorder. Human Movement Science. 46, pp. 196 - 208. https://doi.org/10.1016/j.humov.2016.01.006
Revealing hot cognition in children with motor coordination problems: What's the go?
Rahimi-Golkhandan, S., Steenbergen, B., Piek, J. P., Caeyenberghs, K. and Wilson, Peter Henry. (2016). Revealing hot cognition in children with motor coordination problems: What's the go? Research in Developmental Disabilities. 106, pp. 55 - 64. https://doi.org/10.1016/j.bandc.2016.04.010
Participation : Both a means and an end. A conceptual analysis of processes and outcomes in childhood disability
Imms, Christine, Granlund, Mats, Wilson, Peter, Steenbergen, Bert, Rosenbaum, Peter and Gordon, Andrew M.. (2016). Participation : Both a means and an end. A conceptual analysis of processes and outcomes in childhood disability. Developmental Medicine and Child Neurology. 59(1), pp. 16 - 25. https://doi.org/10.1111/dmcn.13237
Motor imagery difficulties in children with Cerebral Palsy: A specific or general deficit?
Lust, Jessica M., Wilson, Peter Henry and Steenbergen, Bert. (2016). Motor imagery difficulties in children with Cerebral Palsy: A specific or general deficit? Research in Developmental Disabilities. 57, pp. 102 - 111. https://doi.org/10.1016/j.ridd.2016.06.010
Coupling of online control and inhibitory systems in children with atypical motor development: A growth curve modelling study
Ruddock, Scott, Caeyenberghs, Karen, Piek, Jan, Sugden, David, Hyde, Christian, Morris, Sue, Rigoli, Daniela, Steenbergen, Bert and Wilson, Peter. (2016). Coupling of online control and inhibitory systems in children with atypical motor development: A growth curve modelling study. Brain and Cognition. 109, pp. 84 - 95. https://doi.org/10.1016/j.bandc.2016.08.001
Learning of writing letter-like sequences in children with physical and multiple disabilities
Jongbloed-Pereboom, Marjolein, Peeters, Angele, Overvelde, Anneloes, Nijhuis-van der Sanden, Maria W. G. and Steenbergen, Bert. (2015). Learning of writing letter-like sequences in children with physical and multiple disabilities. Research in Developmental Disabilities. 36, pp. 150 - 161. https://doi.org/10.1016/j.ridd.2014.10.005
Reliability of the modified Paediatric Evaluation of Disability Inventory, Dutch version (PEDI-NL) for children with cerebral palsy and cerebral visual impairment
Salavati, M., Waninge, A., Rameckers, E. A. A., de Blécourt, A. C. E., Krijnen, W. P., Steenbergen, B. and van der Schans, C. P.. (2015). Reliability of the modified Paediatric Evaluation of Disability Inventory, Dutch version (PEDI-NL) for children with cerebral palsy and cerebral visual impairment. Research in Developmental Disabilities. 37, pp. 189 - 201. https://doi.org/10.1016/j.ridd.2014.11.018
From numeracy to arithmetic: Precursors of arithmetic performance in children with cerebral palsy from 6 till 8 years of age
Van Rooijen, M., Verhoeven, L. and Steenbergen, Bert. (2015). From numeracy to arithmetic: Precursors of arithmetic performance in children with cerebral palsy from 6 till 8 years of age. Research in Developmental Disabilities. 45-46, pp. 49 - 57. https://doi.org/10.1016/j.ridd.2015.07.001
Second generation system development and multi-centre studies of the Elements VR-rehab system
Mumford, Nick, Shum, David, Thomas, Patrick, Steenbergen, Bert, Duckworth, Jonathan, Eldridge, Ross, Williams, Gavin, Green, Dido, Rogers, Jeff, Caeyenberghs, Karen and Wilson, Peter H.. (2015). Second generation system development and multi-centre studies of the Elements VR-rehab system. 2015 International Conference on Virtual Rehabilitation. Spain: IEEE Computer Society. pp. 164 - 165 https://doi.org/10.1109/ICVR.2015.7358601
Predictive models to determine imagery strategies employed by children to judge hand laterality
Spruijt, Steffie, Jongsma, Marijtje L. A., van der Kamp, John and Steenbergen, Bert. (2015). Predictive models to determine imagery strategies employed by children to judge hand laterality. PLoS ONE. 10(5), pp. 1 - 14. https://doi.org/10.1371/journal.pone.0126568
Motor imagery for walking: A comparison between cerebral palsy adolescents with hemiplegia and diplegia
Molina, Michele, Kudlinski, Cyril, Guilbert, Jessica, Spruijt, Steffie, Steenbergen, Bert and Jouen, François. (2015). Motor imagery for walking: A comparison between cerebral palsy adolescents with hemiplegia and diplegia. Research in Developmental Disabilities. 37, pp. 95 - 101. https://doi.org/10.1016/j.ridd.2014.10.053
Assessing motor imagery using the hand rotation task: Does performance change across childhood?
Butson, Michael Lloyd, Hyde, Christian, Steenbergen, Bert and Williams, Jacqueline Louise. (2014). Assessing motor imagery using the hand rotation task: Does performance change across childhood? Human Movement Science. 35, pp. 50 - 65. https://doi.org/10.1016/j.humov.2014.03.013
Mild impairments of motor imagery skills in children with DCD
Noten, Malou, Wilson, Peter, Ruddock, Scott and Steenbergen, Bert. (2014). Mild impairments of motor imagery skills in children with DCD. Research in Developmental Disabilities. 35(5), pp. 1152 - 1159. https://doi.org/10.1016/j.ridd.2014.01.026
Hot executive function in children with Developmental Coordination Disorder: Evidence for heightened sensitivity to immediate reward
Rahimi-Golkhandan, Shahin, Piek, Jan, Steenbergen, Bert and Wilson, Peter. (2014). Hot executive function in children with Developmental Coordination Disorder: Evidence for heightened sensitivity to immediate reward. Cognitive Development. 32, pp. 23 - 37. https://doi.org/10.1016/j.cogdev.2014.06.002
Unravelling developmental disregard in children with unilateral cerebral palsy by measuring event-related potentials during a simple and complex task
Zielinski, Ingar, Jongsma, Marijtje, Baas, C, Aarts, Pauline and Steenbergen, Bert. (2014). Unravelling developmental disregard in children with unilateral cerebral palsy by measuring event-related potentials during a simple and complex task. BMC Neurology. 14(6), pp. 1 - 9. https://doi.org/10.1186/1471-2377-14-6
Assessment of upper limb capacity in children with unilateral cerebral palsy: Construct validity of a Rasch-reduced Modified House Classification
Geerdink, Yvonne A., Lindeboom, Robert, de Wolf, Sander, Steenbergen, Bert, Geurts, Alexander C. and Aarts, Pauline B.. (2014). Assessment of upper limb capacity in children with unilateral cerebral palsy: Construct validity of a Rasch-reduced Modified House Classification. Developmental Medicine and Child Neurology. 56(6), pp. 580 - 586. https://doi.org/10.1111/dmcn.12395
Neglect-like characteristics of developmental disregard in children with cerebral palsy revealed by event related potentials
Zielinski, Ingar M., Steenbergen, Bert, Baas, C. M., Aarts, P. B. and Jongsma, M. L.. (2014). Neglect-like characteristics of developmental disregard in children with cerebral palsy revealed by event related potentials. BMC Neurology. 14(221), pp. 1 - 10. https://doi.org/10.1186/s12883-014-0221-0
Compromised motor control in children with DCD: A deficit in the internal model? - A systematic review
Adams, Imke, Lust, Jessica, Wilson, Peter H. and Steenbergen, Bert. (2014). Compromised motor control in children with DCD: A deficit in the internal model? - A systematic review. Neuroscience and Biobehavioral Reviews. 47, pp. 225 - 244. https://doi.org/10.1016/j.neubiorev.2014.08.011
Deficits of hot executive function in developmental coordination disorder: Sensitivity to positive social cues
Rahimi-Golkhandan, Shahin, Steenbergen, Bert, Piek, Jan and Wilson, Peter H.. (2014). Deficits of hot executive function in developmental coordination disorder: Sensitivity to positive social cues. Human Movement Science. 38, pp. 209 - 224. https://doi.org/10.1016/j.humov.2014.09.008
Gross motor function, functional skills and caregiver assistance in children with spastic cerebral palsy (CP) with and without cerebral visual impairment (CVI)
Salavati, Masoud, Rameckers, Eugene, Steenbergen, Bert and Van Der Schans, Cess. (2014). Gross motor function, functional skills and caregiver assistance in children with spastic cerebral palsy (CP) with and without cerebral visual impairment (CVI). European Journal of Physiotherapy. 16(3), pp. 159 - 167. https://doi.org/10.3109/21679169.2014.899392
Cognitive precursors of arithmetic development in primary school children with cerebral palsy
Van Rooijen, M., Verhoeven, L., Smits, D. W., Dallmeijer, A. J., Becher, J. G. and Steenbergen, Bert. (2014). Cognitive precursors of arithmetic development in primary school children with cerebral palsy. Research in Developmental Disabilities. 35(4), pp. 826 - 832. https://doi.org/10.1016/j.ridd.2014.01.016
Anticipatory action planning increases from 3 to 10 years of age in typically developing children
Jongbloed-Pereboom, Marjolein, Nijhuis-Van Der Sanden, Maria, Saraber-Schiphorst, Nicole, Craje, Celine and Steenbergen, Bert. (2013). Anticipatory action planning increases from 3 to 10 years of age in typically developing children. Journal of Experimental Child Psychology. https://doi.org/10.1016/j.jecp.2012.08.008
Mental rotation strategies reflected in event-related (de)synchronization of alpha and mu power
Ter Horst, Arjan, Van Lier, Rob and Steenbergen, Bert. (2013). Mental rotation strategies reflected in event-related (de)synchronization of alpha and mu power. Psychophysiology. https://doi.org/10.1111/psyp.12076
Effects of Hand Orientation on Motor imagery : Event Related Potentials Suggest Kinesthetic Motor imagery to Solve the Hand Laterality Judgment Task
Jongsma, Marijtje, Meulenbroek, Ruud, Okely, Judith, Baas, C, van der Lubbe, Rob and Steenbergen, Bert. (2013). Effects of Hand Orientation on Motor imagery : Event Related Potentials Suggest Kinesthetic Motor imagery to Solve the Hand Laterality Judgment Task. PLoS ONE. https://doi.org/10.1371/journal.pone.0076515
The learning-oddball paradigm : Data of 24 separate individuals illustrate its potential usefulness as a new clinical tool
Jongsma, Mariltje, van Rijn, Clementina, Gerrits, Niels, Eichele, Tom, Steenbergen, Bert, Maes, Joseph and Quian, Rodrigo. (2013). The learning-oddball paradigm : Data of 24 separate individuals illustrate its potential usefulness as a new clinical tool. Clinical Neurophysiology. https://doi.org/10.1016/j.clinph.2012.09.009
Norm scores of the box and block test for children ages 3-10 years
Jongbloed-Pereboom, Marjolein, Nijhuis-van der Sanden, Maria and Steenbergen, Bert. (2013). Norm scores of the box and block test for children ages 3-10 years. American Journal of Occupational Therapy.
Impaired motor planning and motor imagery in children with unilateral spastic cerebral palsy : Challenges for the future of pediatric rehabilitation
Steenbergen, Bert, Jongbloed-Pereboom, Marjolein, Spruijt, Steffie and Gordon, Andrew. (2013). Impaired motor planning and motor imagery in children with unilateral spastic cerebral palsy : Challenges for the future of pediatric rehabilitation. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.12306
Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities
Waninge, Aly, Van Der Putten, Annette, Stewart, Roy, Steenbergen, Bert, Van Wijck, Rudd and Van Der Schans, Cees. (2013). Heart rate and physical activity patterns in persons with profound intellectual and multiple disabilities. Journal of Strength and Conditioning Research. https://doi.org/10.1519/JSC.0b013e31828bf1aa
Assessment of motor imagery in cerebral palsy via mental chronometry : The case of walking
Spruijt, Steffie, Jouen, Francois, Molina, Michele, Kudlinski, Cyril, Guilbert, Jessica and Steenbergen, Bert. (2013). Assessment of motor imagery in cerebral palsy via mental chronometry : The case of walking. Research in Developmental Disabilities. https://doi.org/10.1016/j.ridd.2013.08.044
Pathophysiology of impaired hand function in children with unilateral cerebral palsy
Gordon, Andrew, Bleyenheuft, Yannick and Steenbergen, Bert. (2013). Pathophysiology of impaired hand function in children with unilateral cerebral palsy. Developmental Medicine and Child Neurology. https://doi.org/10.1111/dmcn.12304
Assessment of upper-limb capacity, performance, and developmental disregard in children with cerebral palsy : Validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R)
Houwink, Annemieke, Geerdink, Yvonne, Steenbergen, Bert, Geurts, Alexander and Aarts, Pauline. (2013). Assessment of upper-limb capacity, performance, and developmental disregard in children with cerebral palsy : Validity and reliability of the revised Video-Observation Aarts and Aarts module: Determine Developmental Disregard (VOAA-DDD-R). Developmental Medicine and Child Neurology. https://doi.org/10.1111/j.1469-8749.2012.04442.x
Upper-limb motor control in patients after stroke : Attentional demands and the potential beneficial effects of arm support
Houwink, Annemieke, Steenbergen, Bert and Geurts, Alexander. (2013). Upper-limb motor control in patients after stroke : Attentional demands and the potential beneficial effects of arm support. Human Movement Science. https://doi.org/10.1016/j.humov.2012.01.007
Anticipatory planning reveals segmentation of cortical motor output during action observation
Janssen, Loes, Steenbergen, Bert and Carson, Richard. (2013). Anticipatory planning reveals segmentation of cortical motor output during action observation. Cerebral Cortex. https://doi.org/10.1093/cercor/bht220
Pragmatic abilities in children with congenital visual impairment: An exploration of non-literal language and advanced theory of mind understanding
Pijnacker, J, Vervloed, M and Steenbergen, Bert. (2012). Pragmatic abilities in children with congenital visual impairment: An exploration of non-literal language and advanced theory of mind understanding. Journal of Autism and Developmental Disorders. 42(11), pp. 2440 - 2449. https://doi.org/10.1007/s10803-012-1500-5
Effectieve leestrainingen voor ouderen met maculadegeneratie
Pijnacker, J., Steenbergen, Bert, Verstraten, P., Vandermeulen, J. and van Damme, W.. (2012). Effectieve leestrainingen voor ouderen met maculadegeneratie. Neuropraxis. 16(3), pp. 1 - 2.
Arithmetic performance of children with cerebral palsy : The influence of cognitive and motor factors
Van Rooijen, Maaike, Verhoeven, Ludo, Smits, Dirk, Ketelaar, Marjolijn, Becher, Jules and Steenbergen, Bert. (2012). Arithmetic performance of children with cerebral palsy : The influence of cognitive and motor factors. Research in Developmental Disabilities. 33(2), pp. 530 - 537. https://doi.org/10.1016/j.ridd.2011.10.020
Different mental rotation strategies reflected in the rotation related negativity
ter Horst, Arjan, Jongsma, Marijtje, Janssen, Lieneke, Van Lier, Rob and Steenbergen, Bert. (2012). Different mental rotation strategies reflected in the rotation related negativity. Psychophysiology. 49(4), pp. 566 - 573. https://doi.org/10.1111/j.1469-8986.2011.01322.x
The effect of chronic deafferentation on mental imagery : A case study
ter Horst, A, Cole, Jonathan, van Lier, R and Steenbergen, Bert. (2012). The effect of chronic deafferentation on mental imagery : A case study. PLoS ONE. 7(8), pp. 1 - 8. https://doi.org/10.1371/journal.pone.0042742
Feasibility and reliability of the modified Berg Balance Scale in persons with severe intellectual and visual disabilities
Waninge, Aly, Van Wijck, Rudd, Steenbergen, Bert and Van Der Schans, Cees. (2011). Feasibility and reliability of the modified Berg Balance Scale in persons with severe intellectual and visual disabilities. Journal of Intellectual Disability Research. 55(3), pp. 292 - 301. https://doi.org/10.1111/j.1365-2788.2010.01358.x
Spatial dependency of action simulation
ter Horst, Arjan, Van Lier, Rob and Steenbergen, Bert. (2011). Spatial dependency of action simulation. Experimental Brain Research. 212(4), pp. 635 - 644. https://doi.org/10.1007/s00221-011-2748-2
Typical and atypical (cerebral palsy) development of unimanual and bimanual grasp planning
Janssen, Loes and Steenbergen, Bert. (2011). Typical and atypical (cerebral palsy) development of unimanual and bimanual grasp planning. Research in Developmental Disabilities. 32(3), pp. 963 - 971. https://doi.org/10.1016/j.ridd.2011.02.002
Behavioral evidence for left-hemisphere specialization of motor planning
Janssen, Loes, Meulenbroek, Rudd and Steenbergen, Bert. (2011). Behavioral evidence for left-hemisphere specialization of motor planning. Experimental Brain Research. 209(1), pp. 65 - 72. https://doi.org/10.1007/s00221-010-2519-5
Action planning in typically and atypically developing children (unilateral cerebral palsy)
Craje, Celine, Aarts, Pauline, Nijhuis-van-der Sanden, Maria and Steenbergen, Bert. (2010). Action planning in typically and atypically developing children (unilateral cerebral palsy). Research in Developmental Disabilities. 31(5), pp. 1039 - 1046. https://doi.org/10.1016/j.ridd.2010.04.007
Determining specificity of motor imagery training for upper limb improvement in chronic stroke patients : A training protocol and pilot results
Craje, Celine, Van Der Graaf, Chantal, Lem, Frits, Geurts, Alexander and Steenbergen, Bert. (2010). Determining specificity of motor imagery training for upper limb improvement in chronic stroke patients : A training protocol and pilot results. International Journal of Rehabilitation Research. 33(4), pp. 359 - 362. https://doi.org/10.1097/MRR.0b013e32833abe8e
Neural evidence for impaired action selection in right hemiparetic cerebral palsy
van Elk, Michiel, Craje, Celine, Beeren, Manuela, Steenbergen, Bert, van Schie, Hein and Bekkering, Harold. (2010). Neural evidence for impaired action selection in right hemiparetic cerebral palsy. Brain Research. 1349(19), pp. 56 - 67. https://doi.org/10.1016/j.brainres.2010.06.055
Motor planning in bimanual object manipulation : Two plans for two hands?
Janssen, Loes, Craje, Celine, Weigelt, Matthias and Steenbergen, Bert. (2010). Motor planning in bimanual object manipulation : Two plans for two hands? Motor Control. 14(2), pp. 240 - 254. https://doi.org/10.1123/mcj.14.2.240
implicit and explicit learning : Applications from basic research to sports for individuals with impaired movement dynamics
Steenbergen, Bert, Van Der Kamp, John, Verneau, Marion, Jongbloed-Pereboom, Marjolein and Masters, Rich. (2010). implicit and explicit learning : Applications from basic research to sports for individuals with impaired movement dynamics. Disability and Rehabilitation. 32(18), pp. 1509 - 1516. https://doi.org/10.3109/09638288.2010.497035
Compromised motor planning and Motor imagery in right Hemiparetic Cerebral Palsy
Craje, Celine, van Elk, Michael, Beeren, Manuela, van Schie, Hein, Bekkering, Harold and Steenbergen, Bert. (2010). Compromised motor planning and Motor imagery in right Hemiparetic Cerebral Palsy. Research in Developmental Disabilities. 31(6), pp. 1313 - 1322. https://doi.org/10.1016/j.ridd.2010.07.010
Neural evidence for compromised motor imagery in right hemiparetic cerebral palsy
van Elk, Michael, Craje, Celine, Beeren, Manuela, Steenbergen, Bert, van Schie, Hein and Bekkering, Harold. (2010). Neural evidence for compromised motor imagery in right hemiparetic cerebral palsy. Frontiers in Neurology. 1, pp. 1 - 6. https://doi.org/10.3389/fneur.2010.00150
Mental rotation task of hands : Differential influence number of rotational axes
ter Horst, Arjan, Van Lier, Rob and Steenbergen, Bert. (2010). Mental rotation task of hands : Differential influence number of rotational axes. Experimental Brain Research. 203(2), pp. 347 - 354. https://doi.org/10.1007/s00221-010-2235-1
Combined effects of planning and execution constraints on bimanual task performance
Janssen, Loes K., Beuting, Marieke, Meulenbroek, Rudd B. and Steenbergen, Bert. (2009). Combined effects of planning and execution constraints on bimanual task performance. Experimental Brain Research. 192(1), pp. 61 - 73. https://doi.org/10.1007/s00221-008-1554-y
Motor imagery training in hemiplegic cerebral palsy: A potentially useful therapeutic tool for rehabilitation
Steenbergen, Bert, Craje, Celine, Nilsen, Dawn M. and Gordon, Andrew M.. (2009). Motor imagery training in hemiplegic cerebral palsy: A potentially useful therapeutic tool for rehabilitation. Developmental Medicine and Child Neurology. 51(9), pp. 690 - 696. https://doi.org/10.1111/j.1469-8749.2009.03371.x
Visual information for action planning in left and right congenital hemiparesis
Craje, Celine, van der Kamp, John and Steenbergen, Bert. (2009). Visual information for action planning in left and right congenital hemiparesis. Brain Research. 1261(19), pp. 54 - 64. https://doi.org/10.1016/j.brainres.2008.12.074
The effect of the "rod-and-frame" illusion on grip planning in a sequential object manipulation task
Craje, Celine, Van Der Kamp, John and Steenbergen, Bert. (2008). The effect of the "rod-and-frame" illusion on grip planning in a sequential object manipulation task. Experimental Brain Research. 185(1), pp. 53 - 62. https://doi.org/10.1007/s00221-007-1130-x
Fingertip force control during bimanual object lifting in hemiplegic cerebral palsy
Steenbergen, Bert, Charles, Jeanne and Gordon, Andrew M.. (2008). Fingertip force control during bimanual object lifting in hemiplegic cerebral palsy. Experimental Brain Research. 186(2), pp. 191 - 201. https://doi.org/10.1007/s00221-007-1223-6
Eye-hand coordination during manual object transport with the affected and less affected hand in adolescents with hemiparetic cerebral palsy
Verrel, Julius, Bekkering, Harold and Steenbergen, Bert. (2008). Eye-hand coordination during manual object transport with the affected and less affected hand in adolescents with hemiparetic cerebral palsy. Experimental Brain Research. 187(1), pp. 107 - 116. https://doi.org/10.1007/s00221-008-1287-y
Attentional processes of high-skilled soccer players with congenital hemiparesis: Differences related to the side of the hemispheric lesion
Steenbergen, Bert and van der Kamp, John. (2008). Attentional processes of high-skilled soccer players with congenital hemiparesis: Differences related to the side of the hemispheric lesion. Motor Control. 12(1), pp. 55 - 66. https://doi.org/10.1123/mcj.12.1.55
Bimanual coordination in children with hemiplegic cerebral palsy
Gordon, Andrew M. and Steenbergen, Bert. (2008). Bimanual coordination in children with hemiplegic cerebral palsy. In In A.C. Eliasson and P.A. Burtner (Ed.). Improving hand function in children with cerebral palsy: Theory, evidence and intervention pp. 160 - 175 Mac Keith Press.