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

Disability and Rehabilitation. Assistive Technology
Pavlina PsychouliColin Kennedy

Abstract

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

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Citations

Jun 3, 2011·Journal of Child Neurology·Warren D Lo
May 14, 2014·Journal of Child Neurology·Leanne SakzewskiAnn-Christin Eliasson
Jan 26, 2016·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Pavlina Psychouli, Colin R Kennedy
Apr 2, 2019·The Cochrane Database of Systematic Reviews·Brian J HoareChristine Imms
Nov 26, 2013·Developmental Medicine and Child Neurology·Ann Christin EliassonUNKNOWN European network for Health Technology Assessment (EUnetHTA)
Nov 2, 2021·Journal of Pediatric Orthopedics·Anna RamboDerek M Kelly

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