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 investigate whether 6 weeks mCIMT followed by 2 bimanual task-specific training (mCIMT-BiT) in CP improves spontaneous use affected limb both qualitative and quantitative terms more than usual care (UC) same duration. Methods. Children Manual Ability Classification System (MACS) scores I, II, or III...

The Assisting Hand Assessment (AHA) has earlier demonstrated excellent validity and rater reliability. This study aimed to evaluate test-retest reliability of the AHA alternate forms between Small kids vs School 2 board games in AHA.Test-retest was evaluated by repeated testing with weeks interval.Fifty-five children unilateral cerebral palsy, age range years 3 months 11 months.Intraclass correlation coefficients smallest detectable difference were calculated. Common item common person...

Aim The aim of this study was to provide an overview what is known about constraint‐induced movement therapy ( CIMT ) in children with unilateral cerebral palsy CP ), identify current knowledge gaps, and suggestions for future research. Method Nine experts participated a consensus meeting. A comprehensive literature search conducted data were summarized before the core model produced by E uropean network H ealth T echnology ssessment used as framework discussion critical issues Results All...

Abstract Introduction Young children with unilateral cerebral palsy (CP) received a home‐based training program using video coaching for parents. The primary aim of our study was to evaluate the effectiveness on use affected arm and hand during bimanual activities explore factors that affect treatment response. Secondary, we evaluated whether effects were retained after an 8‐week break, if data available, explored second uni‐ or block. Furthermore, adherence evaluated. Methods Explorative...

In a subset of children with unilateral Cerebral Palsy (CP) discrepancy between capacity and performance the affected upper limb can be observed. This is known as Developmental Disregard (DD). Though phenomenon DD has been well documented, its underlying cause still under debate. originally explained based on principles operant conditioning. Alternatively, it proposed that results from diminished automaticity movements, resulting in an increased cognitive load when using hand. To investigate...

Abstract The purpose of this article was to describe a child‐friendly modified constraint‐induced movement therapy protocol that is combined with goal‐directed task‐specific bimanual training (mCIMT–BiT). This detailed description elucidates the approach and supports various research reports. used in Pirate play group setting aims extend skills self‐care activities for children cerebral palsy unilateral spastic paresis upper limb. To illustrate content course treatment its effect, case...

Aim To investigate the validity and reliability of revised Video‐Observation Aarts module: Determine Developmental Disregard (VOAA‐DDD‐R). Method Upper‐limb capacity performance were assessed in children with unilateral spastic cerebral palsy (CP) by measuring overall duration affected upper‐limb use frequency specific behaviours during a task which bimanual activity was demanded (‘stringing beads’) stimulated (‘decorating muffin’). disregard defined as difference between both tasks. Raters...

Aim Motor imagery refers to the mental simulation of a motor action without producing an overt movement. Implicit can be regarded as first‐person kinesthetic perceptual judgement, and addresses capacity engage into manipulation one's body schema. In this study, we examined whether children with unilateral cerebral palsy ( CP ) are able in implicit imagery. Method A modified version hand laterality judgment task was employed. Erroneous responses, reaction times, event‐related potentials from...

In children with unilateral cerebral palsy (CP), it is widely believed that mirror movements contribute to non-use of the affected hand despite preserved capacity, a phenomenon referred as developmental disregard. We aimed test whether are related disregard, and clarify relation between bimanual function.A repetitive squeezing task simultaneously measuring both hands' grip-forces was developed assess by using maximum cross-correlation coefficient (CCCmax ) well strength measures (MMstrength...

Background The negative discrepancy between residual functional capacity and reduced use of the contralesional hand, frequently observed after a brain lesion, has been termed Learned Non-Use (LNU) is thought to depend on interaction neuronal mechanisms during recovery learning-dependent mechanisms. Objective Albeit LNU phenomenon generally accepted exist, currently, no transdisciplinary definition exists. Furthermore, although therapeutic approaches are implemented in clinical practice...

Abstract Background Although early home-based upper limb training programs are promising, in-depth understanding of parents’ experiences with these is still limited. We developed an program for infants and toddlers (8–36 months) or at risk unilateral cerebral palsy using video coaching parents. The aim this qualitative study was to evaluate the a approach in order optimize implementation strategies. Methods held semi-structured interviews parents 13 children palsy, who participated our...

Children with unilateral Cerebral Palsy (CP) often show diminished awareness of the remaining capacity their affected upper limb. This phenomenon is known as Developmental Disregard (DD). DD has been explained by operant conditioning. Alternatively, can be described a developmental delay resulting from lack use hand during crucial periods. We hypothesize that this associated general in executive functions (EF) related to motor behavior, also EFs. Twenty-four children CP participated...

Unilateral Cerebral Palsy (CP) is a neurodevelopmental disorder that very common cause of disability in childhood. It characterized by unilateral motor impairments are frequently dominated the upper limb. In addition to reduced movement capacity affected limb, several children with CP show awareness remaining This phenomenon disregarding preserved limb regularly referred as Developmental Disregard (DD). Different theories have been postulated explain DD, each suggesting slightly different...

Many trials fail to include the targeted number of participants, causing scientific and ethical problems. The COAD trial home-based training programs (HBTPs) for children with unilateral cerebral palsy (CP) encountered recruitment problems, even though parent-delivered approach complies recent health-care developments in Netherlands. current project aimed identify barriers trial. This summative, multidimensional evaluation comprised informal conversational interviews which stakeholders who...

Background In children with Brachial Plexus Birth Injury, a non-use of the affected upper limb despite sufficient capacity, is sometimes observed, called developmental disregard. The combination modified constraint-induced-movement-therapy bimanual training frequently applied to overcome disregard in unilateral Cerebral Palsy. current study effects are investigated Injury comparison We hypothesize that effective Injury.Methods Data 19 (Mage: 4.1 years) and 18 Palsy 4.5 were compared. (54 h...

A new computer software program to score video observations, Video Observations Aarts and (VOAA) was developed evaluate paediatric occupational therapy interventions. The VOAA is an observation tool that assesses the frequency, duration quality of arm/hand use in children, particular those with cerebral palsy. Reliability studies show first module, designed a forced-use programme, has excellent content validity index (0.93) good intra- inter-observer reliability (Cohen's kappas ranging from...

In 2003 new computer software, the VOAA (Video Observations Aarts and Aarts), was designed to score evaluate two important aspects of spontaneous upper limb use, i.e. overall duration frequency specific behaviours. The aim this study investigate test-retest, interrater intrarater reliability construct validity a module, VOAA-DDD, determine developmental disregard in children with spastic unilateral cerebral palsy (CP).A test-retest design three raters for two-group were used. Subjects total...