Longitudinal development of hand use in children with unilateral spastic cerebral palsy from 18 months to 18 years

Eliasson, Ann‐Christin; Nordstrand, Linda; Backheden, Magnus; Holmefur, Marie

doi:10.1111/dmcn.15370

Cited by 9 publications

(27 citation statements)

References 30 publications

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“…All components of the ICF were investigated, with most of the studies reporting longitudinal outcomes in more than one component (Figure 1). The activity component was the most investigated (67.9%, n = 38 studies), 16,17,31,32,34–36,38,39,41,46,47,49–51,53,54,56,58,60–66,68,70–72,76–83 followed by body functions and structures (42.9%, n = 24 studies) 32,34,37–39,41,43–45,47,48,51,52,55–59,66,69,73,74,82,84 . Participation (14.2%, n = 8 studies) 33,40,42,48,52,67,75,78 and environmental factors (3.6%, n = 2 studies) 33,42 were the least studied.…”

Section: Resultsmentioning

confidence: 99%

“…The GMFCS was used to classify and stratify participants in 51 (91.1%) of the 56 studies; 16,17,31,33–49,51–70,72–75,77–81,83,84 14 studies (25%) used the MACS, 32,39,41,42,50,53,61,68,71,75,79,80,82,84 and three studies (5.4%) used the CFCS 36,53,68 . None of the studies grouped participants using the EDACS or the VFCS; only one study did not use any classification system to group children 76 .…”

Section: Resultsmentioning

confidence: 99%

“…32,38,43,57,59,69,82,84 The 38 studies retrieved on the activity component showed differences between levels of the GMFCS. The main outcomes investigated were mobility, 16,17,31,35,39,46,49,51,53,54,58,60,65,72,76,78,83 walking, carrying, moving, and handling objects, 31,32,35,49,50,54,65,66,71,76,82 selfcare, 31,39,46,51,53,54,66,72,[79][80][81] and communication. 36,41,47,[61]…”

Section: Discussionmentioning

confidence: 99%

“…16,17, All components of the ICF were investigated, with most of the studies reporting longitudinal outcomes in more than one component (Figure 1). The activity component was the most investigated (67.9%, n = 38 studies) , 16,17,31,32,[34][35][36]38,39,41,46,47,[49][50][51]53,54,56,58,[60][61][62][63][64][65][66]68,[70][71][72][76][77][78][79][80][81][82][83] followed by body functions and structures (42.9%, n = 24 stu dies). 32,34,[37][38][39]41,[43][44][45]…”

Section: R E Su Ltsmentioning

confidence: 99%

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Development of children, adolescents, and young adults with cerebral palsy according to the ICF: A scoping review

Chagas

Magalhães

Sousa

et al. 2022

Develop Med Child Neuro

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Aim To identify and provide a descriptive overview of the development of children, adolescents, and young adults with cerebral palsy (CP) in longitudinal studies; and map areas of focus according to the components of the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). Method Longitudinal studies of the development of children, adolescents, and/or young adults with CP were included in this scoping review. A search for eligible studies was conducted in the databases MEDLINE, PubMed, LILACS, EMBASE, Cochrane, CINAHL, and Scopus, and was restricted to the years 2002 to 2022. All outcome measures of the studies were classified into ICF components. Results In the 56 studies included, there were 19 438 participants, involving mainly children, followed by adolescents, and lastly young adults. All components of the ICF were investigated and many studies reported outcomes in more than one component. Activity was the most investigated (67.9%; n = 38 studies), followed by body functions and structures (42.9%; n = 24 studies). Participation (14.2%; n = 8 studies) and environmental factors (3.6%; n = 2 studies) were the least studied. None of the studies investigated personal factors as an outcome. Interpretation This scoping review provides an overview of studies on the development of children, adolescents, and young adults with CP, using the ICF framework, identifying current areas of focus and gaps in the research. Future studies should target participation, contextual factors, and the transition into adulthood. What this paper adds The International Classification of Functioning, Disability, and Health can be used to map a range of outcomes through developmental studies. The main outcomes investigated in children with cerebral palsy were activity, and body functions and structures. Little has been explored in participation and contextual factors outcomes over time. The main classification used to stratify the participants was the Gross Motor Function Classification System.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: R E Su Ltsmentioning

confidence: 99%

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Development of children, adolescents, and young adults with cerebral palsy according to the ICF: A scoping review

Chagas

Magalhães

Sousa

et al. 2022

Develop Med Child Neuro

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“… 10 22 23 These limitations have led to efforts exploring the effects of caregiver-led home programmes as cost-effective adjuncts to conventional service delivery models. 7 17 19 Such programmes can help augment treatment dosing, promote UE use within children’s naturalistic settings thereby facilitating training carryover outside the clinic/school, and encourage greater family involvement in their child’s rehabilitation. 24–28 …”

Section: Introductionmentioning

confidence: 99%

A protocol for a single-arm interventional study assessing the effects of a home-based joystick-operated ride-on-toy navigation training programme to improve affected upper extremity function and spontaneous use in children with unilateral cerebral palsy (UCP)

et al. 2023

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IntroductionChildren with unilateral cerebral palsy (UCP) face significant limitations in upper extremity (UE) function and require effective interventions that promote intensive goal-directed practice while maximising motivation and adherence with therapy. This study builds on our past work and will assess the effects of a 6-week researcher-caregiver codelivered, home-based ride-on-toy navigation training (RNT) programme in young children with UCP. We hypothesise that the RNT programme will be acceptable, feasible to implement, and lead to greater improvements in unimanual and bimanual function when combined with conventional therapy, compared with conventional therapy provided alone.Methods and analysis15 children with UCP between 3 and 8 years will be recruited. During the 6-week control phase, participants will receive treatement-as-usual alone. During the subsequent 6-week intervention phase, in addition to conventional therapy, RNT will be provided 4–5 times/week (2 times by researchers, 2–3 times by caregivers), 30–45 min/session. We will assess UE function using standardised tests (Quality of Upper Extremity Skills Test and Shriner’s Hospital Upper Extremity Evaluation), reaching kinematics, wrist-worn accelerometry, caregiver-rated ABILHAND-Kids questionnaire, and training-specific measures of movement control during RNT. Programme feasibility and acceptance will be assessed using device use metrics, child and caregiver exit questionnaires, training-specific measures of child engagement, and the Physical Activity Enjoyment Scale. All assessments will be conducted at pretest, following the control phase (midpoint), and after completion of the intervention phase (post-test).Ethics and disseminationThe study is approved by the Institutional Review Board of the University of Connecticut (# H22-0059). Results from this study will be disseminated through peer-reviewed manuscripts in scientific journals in the field, through national and international conferences, and through presentations to parent advocacy groups and other support organisations associated with CP.Trial registration numberNCT05559320.

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Changes Induced by Early Hand-Arm Bimanual Intensive Therapy Including Lower Extremities in Young Children With Unilateral Cerebral Palsy

Araneda,

Ebner-Karestinos,

Paradis

et al. 2024

JAMA Pediatr

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ImportanceIntensive interventions are provided to young children with unilateral cerebral palsy (UCP), classically focused on the upper extremity despite the frequent impairment of gross motor function. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) effectively improves manual dexterity and gross motor function in school-aged children.ObjectiveTo verify if HABIT-ILE would improve manual abilities in young children with UCP more than usual motor activity.Design, Setting, and ParticipantsThis prospective randomized clinical trial (November 2018 to December 2021), including 2 parallel groups and a 1:1 allocation, recruitment took place at European university hospitals, cerebral palsy specialized centers, and spontaneous applications at 3 sites: Brussels, Belgium; Brest, France; and Pisa, Italy. Matched (age at inclusion, lesion type, cause of cerebral palsy, and affected side) pairs randomization was performed. Young children were assessed at baseline (T0), 2 weeks after baseline (T1), and 3 months after baseline (T2). Health care professionals and assessors of main outcomes were blinded to group allocation. At least 23 young children (in each group) aged 12 to 59 months with spastic/dyskinetic UCP and able to follow instructions were needed. Exclusion criteria included uncontrolled seizures, scheduled botulinum toxin injections, orthopedic surgery scheduled during the 6 months before or during the study period, severe visual/cognitive impairments, or contraindications to magnetic resonance imaging.InterventionsTwo weeks of usual motor activity including usual rehabilitation (control group) vs 2 weeks (50 hours) of HABIT-ILE (HABIT-ILE group).Main Outcomes and MeasuresPrimary outcome: Assisting Hand Assessment (AHA); secondary outcomes: Gross Motor Function Measure-66 (GMFM-66), Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT), and Canadian Occupational Performance Measure (COPM).ResultsOf 50 recruited young children (26 girls [52%], median age; 35.3 months for HABIT-ILE group; median age, 32.8 months for control group), 49 were included in the final analyses. Change in AHA score from T0 to T2 was significantly greater in the HABIT-ILE group (adjusted mean score difference [MD], 5.19; 95% CI, 2.84-7.55; P &lt; .001). Changes in GMFM-66 (MD, 4.72; 95% CI, 2.66-6.78), PEDI-CAT daily activities (MD, 1.40; 95% CI, 0.29-2.51), COPM performance (MD, 3.62; 95% CI, 2.91-4.32), and satisfaction (MD, 3.53; 95% CI, 2.70-4.36) scores were greater in the HABIT ILE group.Conclusions and RelevanceIn this clinical trial, early HABIT-ILE was shown to be an effective treatment to improve motor performance in young children with UCP. Moreover, the improvements had an impact on daily life activities of these children.Trial registrationClinicalTrials.gov Identifier: NCT04020354

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Longitudinal development of hand use in children with unilateral spastic cerebral palsy from 18 months to 18 years

Cited by 9 publications

References 30 publications

Development of children, adolescents, and young adults with cerebral palsy according to the ICF: A scoping review

Development of children, adolescents, and young adults with cerebral palsy according to the ICF: A scoping review

A protocol for a single-arm interventional study assessing the effects of a home-based joystick-operated ride-on-toy navigation training programme to improve affected upper extremity function and spontaneous use in children with unilateral cerebral palsy (UCP)

Changes Induced by Early Hand-Arm Bimanual Intensive Therapy Including Lower Extremities in Young Children With Unilateral Cerebral Palsy

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