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Intensive Bimanual Intervention for Children Who Have Undergone Hemispherectomy: A Pilot Study
Maxime T Robert1, Claudio L Ferre, Karen Y Chin
1Centre for Interdisciplinary Research in Rehabilitation and Social Integration (Dr Robert), Faculty of Medicine, Université Laval, Quebec, Canada; Department of Occupational Therapy (Dr Ferre), Boston University, Boston, Massachusetts; Department of Biobehavioral Sciences (Ms Chin and Dr Gordon), Teachers College, Columbia University, New York, New York; Burke Neurological Institute (Ms Chin and Dr Friel), Weill Cornell Medicine, New York, New York; Graduate Program in Rehabilitation Sciences (Dr Brandao), School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Weinberg Family Cerebral Palsy Center (Dr Carmel), Vagelos College of Physicians and Surgeons, Columbia University, New York, New York; Institute of Neuroscience (Drs Araneda and Bleyenheuft), Université catholique de Louvain, Brussels, Belgium.
Purpose:
To conduct a pilot study to assess the feasibility and effectiveness of an intensive bimanual intervention on upper limb function in children who have undergone hemispherectomy.
Methods:
Thirteen children received 90 hours of intensive bimanual training (Hand-Arm Bimanual Intensive Therapy, HABIT). The Jebsen-Taylor Test of Hand Function (JTTHF), Box and Block Test (BBT), Assisting Hand Assessment (AHA), ABILHAND-Kids, and Canadian Occupational Performance Measure (COPM) were assessed by a masked clinician twice before, immediately, and 6 months after treatment.
Results:
Significant improvements over time were found in the JTTHF, AHA, ABILHAND-Kids, and COPM.
Conclusion:
Completion of HABIT was feasible for children with hemispherectomy. Improvement of bimanual function and functional goals can be related to the nature of the activities prioritized in HABIT training.
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