An ecological approach of Constraint Induced Movement Therapy for 2-3-year-old children: A randomized control trial

被引：72
作者：
Eliasson, Ann-Christin [1 ,3 ]
Shaw, Karin [3 ]
Berg, Elisabeth [2 ]
Krumlinde-Sundholm, Lena [1 ]
机构：
[1] Karolinska Inst, Dept Womens & Childrens Hlth, Neuropediat Unit, S-17176 Stockholm, Sweden
[2] Karolinska Inst, Dept Learning Informat Management & Eth, Med Stat Unit, S-17176 Stockholm, Sweden
[3] Stockholm Cty Council, Habilitat & Hlth Serv, S-11895 Stockholm, Sweden
来源：
RESEARCH IN DEVELOPMENTAL DISABILITIES | 2011年 / 32卷 / 06期
关键词：
Cerebral palsy; Children; Constraint Induced Movement Therapy; Intervention; Hand function; HEMIPLEGIC CEREBRAL-PALSY; EFFICACY; RELIABILITY; PROGRAM;
D O I：
10.1016/j.ridd.2011.05.024
中图分类号：
G76 [特殊教育];
学科分类号：
040109 ;
摘要：
The aim was to evaluate the effect of Eco-CIMT in young children with unilateral cerebral palsy in a randomized controlled crossover design. The training was implemented within the regular pediatric services, provided by the child's parents and/or preschool teacher and supervised by the child's regular therapist. Methods: Twenty-five children (mean age 28.8 months [SD 11.2], 72% male) participated. Assisting Hand Assessment (AHA) was used as the outcome measure. The Eco-CIMT was provided for 2 h a day over a period of two months. Children were randomized into two groups and started either with Eco-CIMT or as controls with a four-month washout period before crossing over. Result: A significant effect of Eco-CIMT was found when compared to the control period, and the estimated treatment effect was 5.47 (95% C.I. 2.93-8.02) (including both Group 1 and Group 2) (p < 0.001). The non-significant estimated carryover effect allowed us to collapse the two groups based on estimates from the ANOVA model. No clear relationship to hours of training, age or general attitudes of mastery was found. Conclusion: Eco-CIMT influenced development more than ordinary treatment at this age when Eco-CIMT was performed by parents and preschool teachers supervised by the child's ordinary therapist. (C) 2011 Elsevier Ltd. All rights reserved.
引用
收藏
页码：2820 / 2828
页数：9
相关论文
共 38 条
[21]   The assisting hand assessment: current evidence of validity, reliability, and responsiveness to change [J].
Krumlinde-Sundholm, Lena ;
Holmefur, Marie ;
Kottorp, Anders ;
Eliasson, Ann-Christin .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2007, 49 (04) :259-264
[22]  
Law M, 1997, DEV MED CHILD NEUROL, V39, P664
[23]   Goal-directed functional therapy: A longitudinal study on gross motor function in children with cerebral palsy [J].
Lowing, Kristina ;
Bexelius, Annemarie ;
Carlberg, Eva Brogren .
DISABILITY AND REHABILITATION, 2010, 32 (11) :908-916
[24]  
Mahoney Gerald, 2006, Downs Syndr Res Pract, V10, P67, DOI 10.3104/reviews.307
[25]   Goal-directed training: linking theories of treatment to clinical practice for improved functional activities in daily life [J].
Mastos, M. ;
Miller, K. ;
Eliasson, A. C. ;
Imms, C. .
CLINICAL REHABILITATION, 2007, 21 (01) :47-55
[26]  
MORGAN G, 2007, DIMENSION MASTERY QU
[27]   Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Controlled Trial [J].
Novak, Iona ;
Cusick, Anne ;
Lannin, Natasha .
PEDIATRICS, 2009, 124 (04) :E606-E614
[28]   Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia [J].
Sakzewski, Leanne ;
Ziviani, Jenny ;
Boyd, Roslyn .
PEDIATRICS, 2009, 123 (06) :E1111-E1122
[29]   Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia [J].
Sakzewski, Leanne ;
Ziviani, Jenny ;
Abbott, David F. ;
Macdonell, Richard A. L. ;
Jackson, Graeme D. ;
Boyd, Roslyn N. .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2011, 53 (04) :313-320
[30]   CONSORT 2010 Statement Updated Guidelines for Reporting Parallel Group Randomized Trials [J].
Schulz, Kenneth F. ;
Altman, Douglas G. ;
Moher, David .
OBSTETRICS AND GYNECOLOGY, 2010, 115 (05) :1063-1070
1234