Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia

Sakzewski, Leanne; Ziviani, Jenny; Boyd, Roslyn N.

doi:10.1542/peds.2008-3335

Cited by 219 publications

(174 citation statements)

References 39 publications

Supporting

Mentioning

158

Contrasting

Unclassified

Order By: Relevance

“…Our previous systematic review and meta-analysis identified 12 randomized controlled trials (RCTs) of constraint-induced movement therapy (CIMT), hand arm intensive bimanual training (HABIT), neurodevelopmental treatment (NDT), and intramuscular injections of botulinum toxin A (BoNT-A) augmenting occupational therapy (OT). 3 Findings suggested that intramuscular injections of BoNT-A provided a modest supplementary effect to OT on improving UL outcomes and a strong effect on improving individualized goals. The limited studies of NDT indicated weak to moderate effects on improving quality of UL movement and fine motor skills, despite being commonly used in clinical practice.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

2014

Self Cite

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: Children with unilateral cerebral palsy present with impaired upper limb (UL) function affecting independence, participation, and quality of life and require effective rehabilitation. This study aims to systematically review the efficacy of nonsurgical upper limb therapies for children with unilateral cerebral palsy. METHODS: Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, the Cochrane Central Register of Controlled Trials, and PubMed were searched to December 2012. Randomized controlled or comparison trials were included. RESULTS: Forty-two studies evaluating 113 UL therapy approaches (N = 1454 subjects) met the inclusion criteria. Moderate to strong effects favoring intramuscular injections of botulinum toxin A and occupational therapy (OT) to improve UL and individualized outcomes compared with OT alone were identified. Constraint-induced movement therapy achieved modest to strong treatment effects on improving movement quality and efficiency of the impaired UL compared with usual care. There were weak treatment effects for most outcomes when constraint therapy was compared with an equal dose (amount) of bimanual OT; both yielded similar improved outcomes. Newer interventions such as action observation training and mirror therapy should be viewed as experimental. CONCLUSIONS: There is modest evidence that intensive activity-based, goal-directed interventions (eg, constraint-induced movement therapy, bimanual training) are more effective than standard care in improving UL and individualized outcomes. There is little evidence to support block therapy alone as the dose of intervention is unlikely to be sufficient to lead to sustained changes in UL outcomes. There is strong evidence that goal-directed OT home programs are effective and could supplement hands-on direct therapy to achieve increased dose of intervention.

show abstract

Section: Discussionmentioning

confidence: 98%

“…Adequately powered RCTs of CIMT and HABIT using reliable and valid outcome measures were recommended. 3 In the past 4 years, a large number of RCTs particularly investigating CIMT and modified CIMT (mCIMT) have emerged.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

2014

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ботулинотерапия -часть восстановительного лечения ребенка с ДЦП, что неоднократно подчер-кивалось в консенсусах по лечению таких больных [3,10,11], а также в нескольких обзорах и метаана-лизах [2,12]. Этот метод входит в число основных лечебных подходов (наряду с функциональными методами терапии и консервативным ортопедиче-ским лечением), которые применяются у большин-ства пациентов со спастическими формами ДЦП [3].…”

Section: Discussionunclassified

Selection of a dose of the botulinum toxin A in spastic forms of cerebral palsy

Куренков

Клочкова

Каримова

et al. 2015

Z. nevrol. psikhiatr. im. S.S. Korsakova

View full text Add to dashboard Cite

“…The results of these exams are important to determine the patient general condition, and they allow doctors prescribing drugs to control the recurrent seizures, relax the muscles, or conducting surgeries of different kinds (e.g. some patients require tubes feeding or the cutting of certain nerves of the spinal cord to reduce the pain and spasticity) [8,9,10].On the other hand, it is fundamental for patients with CP to receive co mp lementary treat ment activities at home that can with her/his healthcare. For example, some patients require good nutrition and intestinal protection with softening of feces, fluids, fiber and laxat ives in addit ion protection against injuries to their joints [9,10].The prenatal care reduces significantly the risk of suffering CP in children.…”

Section: Treatment/therapy For Cpmentioning

confidence: 99%

“…some patients require tubes feeding or the cutting of certain nerves of the spinal cord to reduce the pain and spasticity) [8,9,10].On the other hand, it is fundamental for patients with CP to receive co mp lementary treat ment activities at home that can with her/his healthcare. For example, some patients require good nutrition and intestinal protection with softening of feces, fluids, fiber and laxat ives in addit ion protection against injuries to their joints [9,10].The prenatal care reduces significantly the risk of suffering CP in children. In the most of cases, when a wo man presents complications during pregnancy and is treated in time at a prenatal clinic, is possible to prevent lesions that cause disorders in the brain of the fetus [11,12].…”

Section: Treatment/therapy For Cpmentioning

confidence: 99%

A Didactic Transmitter to Support the Communication and Learning Process of Children with Cerebral Palsy

Berrezueta-Guzmán

Coronel-Maldonado

Serpa-Andrade

et al. 2016

MATEC Web of Conferences

View full text Add to dashboard Cite

Abstract. Nowadays, more than one billion people live with some form of disability (almost 15% of the world population). In this line, the preterm and low weight in neonates constitute important public health pro blems, especially in low and middle income countries. Infants who survive preterm birth are at increased risk of developing neurological problems such as Cerebral Palsy (CP) and impaired cognitive function. T he CP comprises a series of disturbances in brain functions, motor, hearing, vision and learning for people who have it. In the same way, this disease does not allow to patients to use ICT tools to express their feelings, ideas, and needs, or in general, improve their learning process. On this basis, in this paper we present a ICT -based tool that relies on an embedded system and a mobile application, able to be used by patients that can perform slight head movements, or hand movements. Likewise, our system can detect these movements to help during the co mmunication or learning tasks. The system was evaluated and adjusted in several tests carried out with 47 children (20 girls, and 27 boys). T he achieved results are encouraging, and have shown 89% of acceptance by the patients.

show abstract

Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia

Cited by 219 publications

References 39 publications

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

Efficacy of Upper Limb Therapies for Unilateral Cerebral Palsy: A Meta-analysis

Selection of a dose of the botulinum toxin A in spastic forms of cerebral palsy

A Didactic Transmitter to Support the Communication and Learning Process of Children with Cerebral Palsy

Contact Info

Product

Resources

About