Terapia ręki u dzieci z mózgowym porażeniem dziecięcym (MPD) – Grupa Piratów

• Authors: Marta Pawlak , Beata Wnuk , Daniela Kowalicka , Aleksandra Rosłoniec

Title variants

EN

Upper limb therapy in children with cerebral palsy (CP) – The Pirate Group

• Languages of publication: PL

Abstracts

EN

Introduction Children with cerebral palsy (CP) in the form of spastic hemiplegia experience numerous difficulties concerning an affected upper limb such as reaching for objects, gripping or manipulating them. These limitations affect their everyday activity. Conducting an effective and simultaneously an interesting therapy aimed at meeting the child’s individual needs and improving upper limb function is a challenge for a physiotherapist. The aim of the study was to assess the effectiveness of upper limb therapy carried out within the project titled “The Pirate Group” based on Constraint-Induced Movement Therapy (CIMT) and Bimanual Training (BIT) conducted in a specially arranged environment. Material and methods The research included 16 children with CP in the form of spastic hemiplegia. Mean age of the study participants was 4.23 years. The children underwent a two-week Constraint-Induced Movement Therapy (CIMT) combined with Bimanual Training (BIT). In order to evaluate the effects of the therapy, each child underwent the Assisting Hand Assessment (AHA) prior to the therapy and after its completion. Results Statistical analysis revealed a significant difference (p<0.05) between the results of AHA prior to and after the therapy (t(14)=9.12, p<0.0001). An improvement in the affected upper limb function was noted in all the children participating in the research. Conclusions The project titled “The Pirate Group”, based on CIMT and BIT is an effective therapeutic intervention which improves spontaneous activity of the affected upper limb in children with hemiplegia.

Keywords

PL

mózgowe porażenie dziecięce; hemiplegia; terapia ręki; terapia wymuszona koniecznością; trening bimanualny

EN

cerebral palsy; hemiplegia; hand therapy; Constraint-Induced Movement Therapy; Bimanual Training

• Journal: Advances in Rehabilitation
• Year: 2018
• Volume: 31
• Issue: 4
• Pages: 57-67

Dates

published

2018-03-14

Contributors

author

Marta Pawlak

author

Beata Wnuk

author

Daniela Kowalicka

author

Aleksandra Rosłoniec

References

• Rosenbaum P. Cerebral palsy: what parents and doctors want to know. BMJ 2003;326(7396):970-4.
• Beaman J, Kalisperis F, Miller-Skomorucha K. The infant and child with cerebral palsy. In: Tecklin J, editor. Pediatrical physical therapy. 5th ed. Sydney: Lippincott Williams & Wilkins; 2015.p.187-246.
• Pellegrino L. Cerebral palsy. In: Batshaw M, Pellegrino L, Roizen N, editors. Children with disabilities. 6th ed. Baltimore: Brookes; 2007.p.387-408.
• Shusterman M. The cerebral palsy tool kit. From Diagnosis to Understanding. Greenville: CP NOW; 2015.
• Worldcpday.org [Internet]. World Cerebral Palsy Day [updated 2017 May 26; cited 2017 June 14]. Available from: https://www.worldcpday.org/tools/.
• Christensen D, Van Naarden Braun K, Doernberg N, Maenner M, Arneson C, Durkin M, et al. Prevalence of cerebral palsy, co-occurring autism spectrum disorders and motor functioning. Dev Med Child Neurol 2014;56(1):59-65.
• McIntyre S, Morgan C, Walker K, Novak I. Cerebral palsy-don’t delay. Dev Dis Res Rev 2011;17(2):114-29.
• Novak I. Evidence-based diagnosis, health care and rehabilitation for children with cerebral palsy. J Child Neurol 2014;29(8):1141-56.
• Mellaerts E, Sevenants W, editors. Zaopatrzenie ortopedyczne kończyny górnej w MPDZ. Konferencja PS NDT-Bobath; 2015 May 9; Warszawa: Polskie Stowarzyszenie NDT-Bobath; 2015.
• Case-Smith J, DeLuca S, Stevenson R, Ramey S. Multicenter randomized controlled trial of pediatric constraint-induced movement therapy: 6-month follow-up. Am J Occup Ther 2012;66(1):15-23.
• Aarts P, Hartingsveldt M, Anderson P, Tillaar I, Burg J, Geurts A. The Pirat Group Intervention Protocol: Description and a case report of a modified constraint-induced movement therapy combined with bimanual training for young children with unilateral spastic cerebral palsy. Occup Ther Int 2012;19:76-87.
• Skazewski L, Ziviani J, Fabbott D, Macdonell R, Jackson G, Boyd R. Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia. Dev Med Child Neurol 2011;53:313-20.
• Dong V, Tung I, Siu H, Fong K. Studies comparing the efficacy of constraint-induced movement therapy and bimanual training in children with unilateral cerebral palsy: A systematic review. Dev Neurorehabil 2013;16(2):133-43.
• Chiu H, Ada L. Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy: a systematic review. J Physiother 2016;62:130-7.
• Reidy T, Naber E, Viguers E, Allison K, Brady K, Carney J, et al. Outcomes of a clinic-based pediatric constraint-induced movement therapy program. Phys Occup Ther Pediatr 2012;32(4):355-67.
• Aarts P, Jongerius P, Geerdink Y, Limbeek J, Geurts A. Effectiveness of modified constraint-induced movement therapy in children with unilateral spastic cerebral palsy: a randomized controlled trial. Neurorehabil Neural Repair 2010;24(6):509-18.
• Xu K, Wang L, Mai J, He L. Efficacy of constraint-induced movement therapy and electrical stimulation on hand function of children with hemiplegic cerebral palsy: a controlled clinical trial. Disabil Rehabil 2012;34(4):337-46.
• Coker P, Karakostas T, Dodds C, Hsiang S. Gait characteristics of children with hemiplegic cerebral palsy before and after modified constraint-induced movement therapy. Disabil Rehabil 2010;32(5):402-8.
• DeLuca S, Case-Smith J, Stevenson R, Ramey S. Constraint-induced movement therapy (CIMT) for young children with cerebral palsy: Effects of therapeutic dosage. J Pediatr Rehabil Med 2012;5:133-42.
• Eliasson A, Krumlinde-Sundholm L, Gordon A, Feys H, Klingels K, Aarts P, et al. Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy: an expert consensus. Dev Med Child Neurol 2014;56:125-37.
• Gelkop N, Burshtein D, Lahav A, Brezner A, Al-Oraibi S, Ferre C, et al. Efficacy of constraint-induced movement therapy and bimanual training in children with hemiplegic cerebral palsy in an educational setting. Phys Occup Ther Pediatr 2015;35(1):24-39.
• Eliasson A, Shaw K, Berg E, Krumlinde-Sundholm L. An ecological approach of constraint induced movement therapy for 2-3-years-old children: A randomized control trial. Res Dev Disabil 2011;32:2820-8.
• Brito Brandao M, Mancini M, Vaz D, Pereira de Melo A, Fonseca S. Adapted version of constraint-induced movement therapy promotes functioning in children with cerebral palsy: a randomized controlled trial. Clin Rehabil 2010;24:639-47.
• Lin K, Wang T, Wu C, Chen C, Chang K, Lin Y, et al. Effects of home-based constraint-induced therapy versus dose-matched control intervention on functional outcomes and caregiver well-being in children with cerebral palsy. Res Dev Disabil 2011;32:1483-91.
• Hoare B, Imms C, Villanueva E, Rawicki H, Matyas T, Carey L. Intensive therapy following upper limb botulinum toxin A injection in young children with unilateral cerebral palsy: a randomized trial. Dev Med Child Neurol 2013;55:238-47.
• Deppe W, Thuemmler K, Fleischer J, Berger C, Meyer S, Wiedemann B. Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia – a randomized controlled trial. Clin Rehabil 2013;27(10):909-20.
• Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol 2013;53:885-910.
• Fedrizzi E, Rosa-Rizzotto M, Turconi A, Pagliano E, Fazzi E, Pozza L, et al. Unimanual and bimanual intensive training in children with hemiplegic cerebral palsy and persistence in time of hand function improvement: 6-moth follow-up results of a multisite clinical trial. J Child Neurol 2012;00(0):1-15.
• Lam-Damji S, Fay L, Ng Y. A practical guide to implementing constraint therapy and bimanual training. Toronto: Holland Bloorview Kids Rehabilitation Hospital; 2016.
• Green D, Schertz M, Gordon A, Moore A, Margalit T, Farquharson Y, et al. A multi-site study of functional outcomes following a themed approach to hand-arm bimanual intensive therapy for children with hemiplegia. Dev Med Child Neurol 2013:1-7.
• Skazewski L, Ziviani J, Boyd R. Efficacy of upper limb therapies for unilateral cerebral palsy: A meta-analysis. Pediatrics 2014;133(1):175-204.
• Harpster K, Brevoort K, Ralenkotter E, Strain-Riggs S. Pediatric modified constraint induced movement therapy (mCIMT) plus bimanual training (BIT). Evidence-based care guideline for pediatric constraint induced movement therapy. Cincinnati: Children's Hospital Medical Center; 2014.
• Wnuk B. Terapia dzieci z mózgowym porażeniem dziecięcym. Grupa piratów. Łódź: Akademia humanistyczno-ekonomiczna; 2016; Praca dyplomowa.
• Paczkowska A, Szmalec J, Krumlinde-Sundholm L, Britt-Marie Z, Marcinkowski J. Ręka dominująca i ręka asystująca w diagnozie dziecka z dysfunkcją kończyny górnej – dla optymalizacji rehabilitacji. Hygeia Public Health 2015;50(1):21-5.
• Holmefur M. The assisting hand assessment: continued development, psychometrics and longitudinal use. Stockholm: Karolinska Institutet; 2009.
• Al-Oraibi S, Eliasson A. Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: a home-based model. Disabil Rehabil 2011; 33(21-22):2006-12.
• Eliasson A, Krumlinde-Sundholm L, Shaw K, Wang C. Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Dev Med Child Neurol 2005;47:266-75.
• Rostami H, Malamiri A. Effect of treatment environment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: a randomized controlled trial. Disabil Rehabil 2012;34(1):40-4.
• Choudhary A, Gulati S, Kabra M, Singh U, Sankhyan N, Pandey R, et al. Efficacy of modified constraint induced movement therapy in improving upper limb function in children with hemiplegic cerebral palsy: A randomized controlled trial. Brain Dev 2013;35:870-6.

Identifiers

DOI

10.1515/rehab-2015-0079