scholarly journals Assessment of bimanual performance in 3-D movement analysis: Validation of a new clinical protocol in children with unilateral cerebral palsy

2020 ◽  
Vol 63 (5) ◽  
pp. 408-415 ◽  
Author(s):  
Florence Gaillard ◽  
Marine Cacioppo ◽  
Brice Bouvier ◽  
Guillaume Bouzille ◽  
Christopher J. Newman ◽  
...  
BMC Neurology ◽  
2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Brian Hoare ◽  
Michael Ditchfield ◽  
Megan Thorley ◽  
Margaret Wallen ◽  
Jenny Bracken ◽  
...  

PLoS ONE ◽  
2017 ◽  
Vol 12 (7) ◽  
pp. e0180196 ◽  
Author(s):  
Lisa Mailleux ◽  
Ellen Jaspers ◽  
Els Ortibus ◽  
Cristina Simon-Martinez ◽  
Kaat Desloovere ◽  
...  

2019 ◽  
Author(s):  
Cristina Simon-Martinez ◽  
Lisa Mailleux ◽  
Jasmine Hoskens ◽  
Els Ortibus ◽  
Ellen Jaspers ◽  
...  

AbstractIntroductionConstraint-induced movement therapy (CIMT) improves upper limb (UL) motor execution in unilateral cerebral palsy (uCP). As these children also show motor planning deficits, action-observation training (AOT) might be of additional value. Here, we investigated the combined effect of AOT to CIMT and identified factors influencing treatment response.MethodsForty-four children with uCP (mean 9y6m, SD 1y10m) participated in a 9-day camp wearing a splint for 6 hours/day and were allocated to the CIMT+AOT (n=22) and the CIMT+placebo group (n=22). The CIMT+AOT group received 15 hours of AOT (i.e. video-observation) and executed the observed tasks, whilst the CIMT+AOT group watched videos free of biological motion and executed the same tasks. The primary outcome measure was bimanual performance. Secondary outcomes included measures at body function and activity level assessed before (T1), after (T2) the intervention, and at 6 months follow-up (T3). Influencing factors included behavioural and neurological characteristics.ResultsAlthough no between-groups differences were found (p>0.05), the addition of AOT led to higher gains in children with initially poorer bimanual performance (p=0.02). Both groups improved in all outcome measures after the intervention and retained the gains at follow up (p<0.01). Poor sensory function resulted in larger improvements in the total group (p=0.03) and high amount of mirror movements tended to result in better response to the additional AOT training (p=0.06). Improvements were similar irrespective of the type of brain lesion or corticospinal tract wiring pattern.ConclusionsAdding AOT to CIMT, resulted in better outcome for children with poor motor function and high amount of mirror movements. CIMT with or without AOT seems to be more beneficial for children with poor sensory function.Trial registrationRegistered at ClinicalTrials.gov on 22nd August 2017 (Identifier: NCT03256357).


2018 ◽  
Vol 60 (8) ◽  
pp. 839-845 ◽  
Author(s):  
Florence Gaillard ◽  
Armel Cretual ◽  
Sebastien Cordillet ◽  
Caroline Le Cornec ◽  
Corentin Gonthier ◽  
...  

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515296p1-7512515296p1
Author(s):  
Heather Roberts ◽  
Angela Shierk ◽  
Arianne Joy V. Alfonso ◽  
Mauricio R. Delgado ◽  
Paul Yeatts

Abstract Date Presented 04/13/21 Children with unilateral cerebral palsy participating in repeat doses of pediatric constraint-induced movement therapy camp augmented with the Hocoma Armeo®Spring demonstrated significant improvements in hand function and bimanual performance for both doses and showed a generalized upward trend in hand function over time. Primary Author and Speaker: Heather Roberts Additional Authors and Speakers: Sara P. Johnston, David Plutschack


2020 ◽  
Vol 13 ◽  
pp. 175628641989806 ◽  
Author(s):  
Cristina Simon-Martinez ◽  
Lisa Mailleux ◽  
Jasmine Hoskens ◽  
Els Ortibus ◽  
Ellen Jaspers ◽  
...  

Introduction: Constraint-induced movement therapy (CIMT) improves upper limb (UL) motor execution in unilateral cerebral palsy (uCP). As these children also show motor planning deficits, action-observation training (AOT) might be of additional value. Here, we investigated the combined effect of AOT to CIMT and identified factors influencing treatment response. Methods: A total of 44 children with uCP (mean 9 years 6 months, SD 1 year 10 months) participated in a 9-day camp wearing a splint for 6 h/day and were allocated to the CIMT + AOT ( n = 22) and the CIMT + placebo group ( n = 22). The CIMT + AOT group received 15 h of AOT (i.e. video-observation) and executed the observed tasks, whilst the CIMT + AOT group watched videos free of biological motion and executed the same tasks. The primary outcome measure was bimanual performance. Secondary outcomes included measures of body function and activity level assessed before (T1), after the intervention (T2), and at 6 months follow-up (T3). Influencing factors included behavioural and neurological characteristics. Results: Although no between-groups differences were found ( p > 0.05; η2 = 0–16), the addition of AOT led to higher gains in children with initially poorer bimanual performance ( p = 0.02; η2 = 0.14). Both groups improved in all outcome measures after the intervention and retained the gains at follow up ( p < 0.01; η2 = 0.02–0.71). Poor sensory function resulted in larger improvements in the total group ( p = 0.03; η2 = 0.25) and high amounts of mirror movements tended to result in a better response to the additional AOT training ( p = 0.06; η2 = 0.18). Improvements were similar irrespective of the type of brain lesion or corticospinal tract wiring pattern. Conclusions: Adding AOT to CIMT, resulted in a better outcome for children with poor motor function and high amounts of mirror movements. CIMT with or without AOT seems to be more beneficial for children with poor sensory function. Trial registration: Registered at ClinicalTrials.gov on 22nd August 2017 (ClinicalTrials.gov identifier: NCT03256357).


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