Intensive Bimanual Therapy Helps Children after Hemispherectomy скачать в хорошем качестве

Intensive Bimanual Therapy Helps Children after Hemispherectomy

Intensive Bimanual Intervention for Children Who Have Undergone Hemispherectomy: A Pilot Study QUEBEC, Canada—Physical therapy professor Maxime Robert talks about his research published in Pediatric Physical Therapy on the use of bimanual intensive therapy to help children with motor control after hemispherectomy neurosurgery. AUTHORS: Maxime T. Robert, PhD; Claudio L. Ferre, PhD; Karen Y. Chin, MSc; Marina B. Brandao, PhD; Jason Carmel, MD, PhD; Rodrigo Araneda, PhD; Yannick Bleyenheuft, PhD; Kathleen Friel, PhD; Andrew M. Gordon, PhD Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Dr Robert), Faculty of Medicine, Université Laval, Quebec, Canada; Department of Occupational Therapy (Dr Ferre), Boston University, Boston, Massachusetts; Department of Biobehavioral Sciences (Ms Chin and Dr Gordon), Teachers College, Columbia University, New York, New York; Burke Neurological Institute (Ms Chin and Dr Friel), Weill Cornell Medicine, New York, New York; Graduate Program in Rehabilitation Sciences (Dr Brandao), School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Weinberg Family Cerebral Palsy Center (Dr Carmel), Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; Institute of Neuroscience (Drs Araneda and Bleyenheuft), Université catholique de Louvain, Brussels, Belgium. PURPOSE: To conduct a pilot study to assess the feasibility and effectiveness of an intensive bimanual intervention on upper limb function in children who have undergone hemispherectomy. METHODS: Thirteen children received 90 hours of intensive bimanual training (Hand-Arm Bimanual Intensive Therapy, HABIT). The Jebsen-Taylor Test of Hand Function (JTTHF), Box and Block Test (BBT), Assisting Hand Assessment (AHA), ABILHAND-Kids, and Canadian Occupational Performance Measure (COPM) were assessed by a masked clinician twice before, immediately, and 6 months after treatment. RESULTS: Significant improvements over time were found in the JTTHF, AHA, ABILHAND-Kids, and COPM. CONCLUSION: Completion of HABIT was feasible for children with hemispherectomy. Improvement of bimanual function and functional goals can be related to the nature of the activities prioritized in HABIT training. PUBLICATION: Pediatr Phys Ther 2021;000:1–8 0898-5669/110/000000-0001 Pediatric Physical Therapy Copyright © 2021 Academy of Pediatric Physical Therapy of the American Physical Therapy Association CORRESPONDENCE: Maxime T. Robert, PhD, Teachers College, Columbia University, 525 W. 120th St, Box 93, New York, NY 10027 (maxime.robert@fmed.ulaval.ca). GRANT SUPPORT: This work was supported by a grant from the Brain Recovery Project. M.T.R. was supported by a postdoctoral training award from Fonds de Recherche en Santé du Quebec. The authors declare no conflicts of interest.