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Forced use as a home-based intervention in children with congenital hemiplegic cerebral palsy: choosing the appropriate constraint

Forced use as a home-based intervention in children with congenital hemiplegic cerebral palsy: choosing the appropriate constraint
Forced use as a home-based intervention in children with congenital hemiplegic cerebral palsy: choosing the appropriate constraint
Purpose: The purpose of this study was (1) to identify the most appropriate splint from children's and parents' perspective as reflected by effectiveness and adherence to home-based forced use therapy (FUT). (2) To provide guidance in the development of a practical and effective protocol based on forced use principles.

Method: A crossover design with a convenience sample of children with hemiplegic cerebral palsy and their parents was used to test three types of splint (mitt, short splint and long splint) during home-based FUT. Children wore the splints for a minimum of 1 h/ day during physical activity. Outcome measures included a daily log and a questionnaire (completed by parents), an actometer worn on the affected hand to quantify movement and video recordings to inform quality of movement.

Results: The short splint was found to be the most effective and acceptable restraining device. Wearing devices for more than 1 h per day was not considered acceptable by either parents or children.

Conclusion: A short splint, worn for 1 h per day was found to be the most acceptable protocol.

constraint-induced therapy, cerebral palsy
1748-3107
25-33
Psychouli, Pavlina
575998d6-8e62-43b6-b7cb-0dfab1273e26
Burridge, Jane H.
0110e9ea-0884-4982-a003-cb6307f38f64
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93
Psychouli, Pavlina
575998d6-8e62-43b6-b7cb-0dfab1273e26
Burridge, Jane H.
0110e9ea-0884-4982-a003-cb6307f38f64
Kennedy, Colin
7c3aff62-0a86-4b44-b7d7-4bc01f23ec93

Psychouli, Pavlina, Burridge, Jane H. and Kennedy, Colin (2010) Forced use as a home-based intervention in children with congenital hemiplegic cerebral palsy: choosing the appropriate constraint. Disability and Rehabilitation: Assistive Technology, 5 (1), 25-33. (doi:10.3109/17483100903121489).

Record type: Article

Abstract

Purpose: The purpose of this study was (1) to identify the most appropriate splint from children's and parents' perspective as reflected by effectiveness and adherence to home-based forced use therapy (FUT). (2) To provide guidance in the development of a practical and effective protocol based on forced use principles.

Method: A crossover design with a convenience sample of children with hemiplegic cerebral palsy and their parents was used to test three types of splint (mitt, short splint and long splint) during home-based FUT. Children wore the splints for a minimum of 1 h/ day during physical activity. Outcome measures included a daily log and a questionnaire (completed by parents), an actometer worn on the affected hand to quantify movement and video recordings to inform quality of movement.

Results: The short splint was found to be the most effective and acceptable restraining device. Wearing devices for more than 1 h per day was not considered acceptable by either parents or children.

Conclusion: A short splint, worn for 1 h per day was found to be the most acceptable protocol.

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Published date: January 2010
Keywords: constraint-induced therapy, cerebral palsy

Identifiers

Local EPrints ID: 153037
URI: http://eprints.soton.ac.uk/id/eprint/153037
ISSN: 1748-3107
PURE UUID: b2fc664c-3b1f-4c10-afe2-e7089f2af693
ORCID for Jane H. Burridge: ORCID iD orcid.org/0000-0003-3497-6725

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Date deposited: 18 May 2010 10:16
Last modified: 14 Mar 2024 02:41

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Author: Pavlina Psychouli
Author: Colin Kennedy

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