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Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) for Children with Cerebral Palsy.

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Bleyenheuft, Yannick [UCL] Gordon, Andrew M [Department of Biobehavioral Sciences, Teachers College, Columbia University, NY]

ABSTRACT Hand-arm Bimanual Intensive Therapy and Constrained-Induced Movement Therapy have shown evidence of effectiveness in improvement of upper extremity use in children with unilateral spastic cerebral palsy (CP). The effectiveness of interventions that are based on intensive practice of activities that combine UE and LE functions has not been reported. We propose that bimanual UE activities that simultaneously require trunk and LE postural adaptations uniquely address motor control limitations of children with unilateral spastic CP. The aim of this perspective is to present such an approach Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE). HABIT-ILE is unique in selection of tasks and activities that require simultaneous control and coordination of UE and LE movements. It is a motor-learning-based approach using problem solving and highly structured practice. During the intervention, activities and tasks are progressively graded toward more complex bimanual coordination for the UE and increasing demands of the LE. HABIT-ILE is provided in small groups for 90 hr using a camp model. Future research (randomized controlled trial) is needed to determine the effectiveness of HABIT-ILE.

Document type Article de périodique (Journal article)
Access type Accès interdit
Publication date 2014
Language Anglais
Journal information "Physical & Occupational Therapy in Pediatrics : a quarterly journal of developmental therapy" - Vol. 34, no.4, p. 390-403 (2014)
Peer reviewed yes
Publisher Informa Healthcare (New York)
issn 0194-2638
e-issn 1541-3144
Affiliation UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience
Keywords Cerebral palsy ; Gait ; Motor control
Links
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Bibliographic reference Bleyenheuft, Yannick ; Gordon, Andrew M. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) for Children with Cerebral Palsy.. In: Physical & Occupational Therapy in Pediatrics : a quarterly journal of developmental therapy, Vol. 34, no.4, p. 390-403 (2014)
Permanent URL http://hdl.handle.net/2078.1/152046