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Effect of parent-delivered action observation therapy on upper limb function in unilateral cerebral palsy: a randomized controlled trial

Effect of parent-delivered action observation therapy on upper limb function in unilateral cerebral palsy: a randomized controlled trial
Effect of parent-delivered action observation therapy on upper limb function in unilateral cerebral palsy: a randomized controlled trial
AIM:To determine whether home-based, parent-delivered therapy comprising action observation (AO) and repeated practice (RP) improves upper limb function more than RP alone in children with unilateral cerebral palsy (UCP).

METHOD:Design: single-blinded parallel-group randomized controlled trial with 1:1 allocation comparing AO+RP (intervention) with RP alone (control). Randomization: computer-generated, with allocation concealment by opaque sequentially-numbered envelopes.

SETTING: northern England, August 2011 to September 2013.

PARTICIPANTS: 70 children with UCP; mean age 5.6 years (SD 2.1), 31 female.

INTERVENTION: home-based activities were provided, tailored to interests and abilities.

DURATION: 15 minutes/day, 5 days/week for 3 months.

ASSESSMENTS: Assisting Hand Assessment (AHA; primary outcome measure), Melbourne Assessment 2 (MA2), and ABILHAND-Kids at baseline, 3 months, and 6 months.

RESULTS: Outcome data was available at 3 months for 28 children in the AO+RP group and 31 controls, and at 6 months for 26 and 28 children respectively. There were no between-group differences in AHA, MA2, or ABILHAND-Kids at 3 or 6 months versus baseline (all p>0.05). Combined-group improvements (p<0.001), observed in AHA and MA2 at 3 months, were maintained at 6 months. ABILHAND-Kids also showed improvement at 3 months (p=0.003), maintained at 6 months.

INTERPRETATION: Parent-delivered RP (with or without AO) improves upper limb function and could supplement therapist input.
0012-1622
1-8
Kirkpatrick, Emma
ef4472be-90bf-400a-b100-e9d26cb907fc
Pearse, Janice
fa1ace85-d439-4f7c-8a93-1c289d83bdb9
James, Peter
1f32c052-3a90-4f58-82a9-5d7725ee508f
Basu, Anna
173d6b22-453a-44b7-b2fd-b01f862ee3a9
Kirkpatrick, Emma
ef4472be-90bf-400a-b100-e9d26cb907fc
Pearse, Janice
fa1ace85-d439-4f7c-8a93-1c289d83bdb9
James, Peter
1f32c052-3a90-4f58-82a9-5d7725ee508f
Basu, Anna
173d6b22-453a-44b7-b2fd-b01f862ee3a9

Kirkpatrick, Emma, Pearse, Janice, James, Peter and Basu, Anna (2016) Effect of parent-delivered action observation therapy on upper limb function in unilateral cerebral palsy: a randomized controlled trial. Developmental Medicine and Child Neurology., 1-8. (doi:10.1111/dmcn.13109). (PMID:27038153)

Record type: Article

Abstract

AIM:To determine whether home-based, parent-delivered therapy comprising action observation (AO) and repeated practice (RP) improves upper limb function more than RP alone in children with unilateral cerebral palsy (UCP).

METHOD:Design: single-blinded parallel-group randomized controlled trial with 1:1 allocation comparing AO+RP (intervention) with RP alone (control). Randomization: computer-generated, with allocation concealment by opaque sequentially-numbered envelopes.

SETTING: northern England, August 2011 to September 2013.

PARTICIPANTS: 70 children with UCP; mean age 5.6 years (SD 2.1), 31 female.

INTERVENTION: home-based activities were provided, tailored to interests and abilities.

DURATION: 15 minutes/day, 5 days/week for 3 months.

ASSESSMENTS: Assisting Hand Assessment (AHA; primary outcome measure), Melbourne Assessment 2 (MA2), and ABILHAND-Kids at baseline, 3 months, and 6 months.

RESULTS: Outcome data was available at 3 months for 28 children in the AO+RP group and 31 controls, and at 6 months for 26 and 28 children respectively. There were no between-group differences in AHA, MA2, or ABILHAND-Kids at 3 or 6 months versus baseline (all p>0.05). Combined-group improvements (p<0.001), observed in AHA and MA2 at 3 months, were maintained at 6 months. ABILHAND-Kids also showed improvement at 3 months (p=0.003), maintained at 6 months.

INTERPRETATION: Parent-delivered RP (with or without AO) improves upper limb function and could supplement therapist input.

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More information

Accepted/In Press date: 4 February 2016
e-pub ahead of print date: 31 March 2016
Published date: October 2016
Organisations: University of Southampton, Clinical Trials Unit

Identifiers

Local EPrints ID: 390723
URI: http://eprints.soton.ac.uk/id/eprint/390723
ISSN: 0012-1622
PURE UUID: c4ce9709-c8e4-42d2-b34c-e5947032a822
ORCID for Emma Kirkpatrick: ORCID iD orcid.org/0000-0002-3099-1605

Catalogue record

Date deposited: 20 Apr 2016 08:47
Last modified: 16 Dec 2019 20:01

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Contributors

Author: Emma Kirkpatrick ORCID iD
Author: Janice Pearse
Author: Peter James
Author: Anna Basu

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