The influence of a constraint and bimanual training program using a variety of modalities on endurance and on the cardiac autonomic regulation system of children with unilateral cerebral palsy: A self-control clinical trial

NeuroRehabilitation
Marilyn Cohen-HolzerMichal Katz-Leurer

Abstract

An intensive hybrid program, combining constraint with bimanual training, improves upper extremity function as well as walking endurance of children with unilateral cerebral palsy (UCP). Endurance improvement may be associated with the cardiac autonomic regulation system (CARS) adaptation, known to be impaired among these children. To examine the influence of an intensive hybrid program on CARS, walking endurance and the correlation with upper extremity function of children with UCP. Twenty-four children aged 6-10 years with UCP participated in a hybrid program, 10 days, 6 hours per day. Data were collected pre-, post- and 3-months post-intervention. Main outcome measures included the Polar RS800CX for heart rate (HR) and heart rate variability (HRV) data, the 6-Minute Walk Test (6MWT) for endurance, and the Assisting Hand Assessment (AHA) and Jebsen-Taylor Test of Hand Function (JTTHF) for bimanual and unimanual function. A significant reduction in HR and an increase in HRV at post- and 3-month post-intervention was noted (χ22= 8.3, p = 0.016) along with a significant increase in 6MWT with a median increase of 81 meters (χ22= 11.0, p = 0.004) at the same interval. A significant improvement was noted in unimanual and bimanual p...Continue Reading

References

Feb 1, 1987·Physical Therapy·R W Bohannon, M B Smith
Jan 1, 1995·European Journal of Applied Physiology and Occupational Physiology·S H Boutcher, P Stein
Aug 19, 1999·Clinical Physiology·M P TulppoH V Huikuri
Oct 20, 1999·Medicine and Science in Sports and Exercise·J KangJ Angelucci
May 17, 2006·Developmental Medicine and Child Neurology·Robert J PalisanoDianne Russell
Jun 20, 2006·Developmental Medicine and Child Neurology·Ann-Christin EliassonPeter Rosenbaum
Feb 17, 2007·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Marie HolmefurAnn-Christin Eliasson
Feb 17, 2007·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Beth ProvostLesley Toser
Mar 23, 2007·Developmental Medicine and Child Neurology·Lena Krumlinde-SundholmAnn-Christin Eliasson
Nov 13, 2007·American Journal of Physical Medicine & Rehabilitation·Olaf VerschurenJan Willem Gorter
Dec 10, 2008·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Ziva YizharEli Carmeli
Dec 19, 2008·Medicine and Science in Sports and Exercise·David NunanDavid A Brodie
Sep 23, 2009·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Jane M ButlerLouise Ada
Nov 17, 2009·International Journal of Cardiology·Julian F ThayerJos F Brosschot
Mar 12, 2010·International Journal of Sports Medicine·A NummelaH Rusko
Oct 20, 2010·Research in Developmental Disabilities·Antonio Roberto ZamunérMarlene Aparecida Moreno
Jun 28, 2011·Neurorehabilitation and Neural Repair·Andrew M GordonJeanne R Charles
Jul 19, 2012·Developmental Medicine and Child Neurology·Lena Krumlinde-Sundholm
Jul 6, 2014·NeuroRehabilitation·Taly Amichai, Michal Katz-Leurer

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Citations

Apr 23, 2020·Journal of Clinical Medicine·Jakub S GąsiorBożena Werner

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Software Mentioned

Polar
Polar ® ProTrainer
Statistical Package for Social Sciences ( SPSS
Kubios variability

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