A multi‐site study of functional outcomes following a themed approach to hand–arm bimanual intensive therapy for children with hemiplegia

  title={A multi‐site study of functional outcomes following a themed approach to hand–arm bimanual intensive therapy for children with hemiplegia},
  author={Dido Green and Mitchell Schertz and Andrew M. Gordon and Amarlie Moore and Tamara Schejter Margalit and Yvonne Farquharson and Dafna Ben Bashat and Maya Weinstein and Jean-Pierre Lin and Aviva Fattal-Valevski},
  journal={Developmental Medicine \& Child Neurology},
AIM This study investigated the effects of a theme-based ('magic') variation of the hand-arm bimanual intensive therapy programme, in two different countries, in improving activity performance for children with hemiplegia, including those with severe movement restrictions. [] Key Method A within-participant experimental design was used with the Assisting Hand Assessment and Children's Hand Experience Questionnaire as primary outcome measures.
Identifying mechanisms of change in a magic-themed hand-arm bimanual intensive therapy programme for children with unilateral spastic cerebral palsy: a qualitative study using behaviour change theory
Overall, the success of Breathe Magic was observed through not only its intended mechanisms to enhance hand skills, but also through unintended psychological improvements in children’s hand function, as well as social and motivational benefits resulting from interaction between children and parents.
Effect of bimanual therapy on hand arm use among hemiparetic cerebral palsy children
Bimanual therapy was more effective in improving the hand arm use in daily activities among the children with hemiparetic cerebral palsy.
Use of Themed Occupational Therapy to Treat Assisted Living and Nursing Home Patients as an Alternative to Traditional Rehabilitative Therapy
A magic trick themed therapy is studied in patients with other diagnoses such as hemiplegia and cerebral palsy with positive results in bimanual use, but there are no current studies on post-stroke patients.
The Effect of Bimanual Training with or Without Constraint on Hand Functions in Children with Unilateral Cerebral Palsy: A Non-Randomized Clinical Trial
Both interventions Hybrid and Bimanual were similarly effective for improving use of the affected hand in bimanual tasks.
Effectiveness of functional hand splinting and the cognitive orientation to occupational performance (CO-OP) approach in children with cerebral palsy and brain injury: two randomised controlled trial protocols
The method to be used to conduct two randomised controlled trials investigating the immediate effect of functional hand splints and CO-OP in children with cerebral palsy and brain injury is described.
The impact of combined constraint-induced and bimanual arm training program on the perceived hand-use experience of children with unilateral cerebral palsy
Although measured hand-function and performance improved, this may not be reflected in the hand-use experience during bimanual performance following a combined program.
The application of enhanced virtual environments for co-located childhood movement disorder rehabilitation
In this paper we discuss potential benefits and future directions in virtual reality rehabilitation for co-located motor training in children with developmental movement disorders. We discuss the
Effectiveness of hand-arm bimanual intensive training on upper extremity function in children with cerebral palsy: A systematic review.
Comparison of Structured Skill and Unstructured Practice During Intensive Bimanual Training in Children With Unilateral Spastic Cerebral Palsy
Both groups showed improvements in dexterity and functional hand use, suggesting that for intensive bimanual approaches, intensive training at such high doses may not require structured practice to elicit improvements, however, there may be immediate added benefit of including goal training.


Randomized trial of constraint‐induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia
Aim  To determine if constraint‐induced movement therapy (CIMT) is more effective than bimanual training (BIM) in improving upper limb activity outcomes for children with congenital hemiplegia in a
The effect of combining daily restraint with bimanual intensive therapy in children with hemiparetic cerebral palsy: a self-control study.
Children with hemiparetic CP at this level of impairment might benefit from a short daily intervention program of combining restraint with bimanual training in order to improve unimanual and bimanually function.
Bimanual Training and Constraint-Induced Movement Therapy in Children With Hemiplegic Cerebral Palsy
A randomized trial comparing Constraint-induced movement therapy (CIMT) and a bimanual intervention that maintains the intensity of practice associated with CIMT but where children are engaged in functional bimanUAL tasks leads to similar improvements in hand function.
Effectiveness of Modified Constraint-Induced Movement Therapy in Children With Unilateral Spastic Cerebral Palsy: A Randomized Controlled Trial
Background. In children with unilateral spastic cerebral palsy (CP), there is only limited evidence for the effectiveness of modified constraint-induced movement therapy (mCIMT). Objective. To
Development of hand-arm bimanual intensive training (HABIT) for improving bimanual coordination in children with hemiplegic cerebral palsy.
A new intervention for children with hemiplegia, hand-arm bimanual intensive training (HABIT), is introduced, to address the limitations of CI therapy and to improve bimanUAL coordination.
Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment.
Pediatric CI therapy produced major and sustained improvement in motoric function in the young children with hemiparesis in the study, with supplemental evidence of quality-of-life changes for many children.
Feasibility of a Day-Camp Model of Modified Constraint-Induced Movement Therapy With and Without Botulinum Toxin A Injection for Children With Hemiplegia
The results suggest that children with congenital hemiplegia with varying severity of impairment in hand function may benefit from CI therapy, but not every child demonstrates improvements in handfunction.
Development and evidence of validity for the Children’s Hand‐use Experience Questionnaire (CHEQ)
The development of the Children’s Hand‐use Experience Questionnaire (CHEQ), and the evidence of its validity based on test content and internal structure of the three scales in it are described.
Qualitative analysis of therapeutic motor intervention programmes for children with cerebral palsy: an update.
It was concluded that fundamental research with adequate methodology was applied more often in the study period than in the period reviewed by Vermeer and Bakx, however, these developments did not lead to a substantial improvement in the scientific foundation of the interventions under study.
Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia
No one treatment approach seems to be superior; however, injections of botulinum toxin A provide a supplementary benefit to a variety of upper-limb–training approaches as well as more-intensive approaches such as constraint-induced movement therapy and hand-arm bimanual intensive training.