Feasibility of caregiver-directed home-based hand-arm bimanual intensive training: a brief report.
Feasibility of caregiver-directed home-based hand-arm bimanual intensive training: a brief report.
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DOI：
10.3109/17518423.2014.948641
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发表时间：
2015-02
影响因子：
1.3
通讯作者：
Gordon AM
中科院分区：
文献类型：
--
作者：
Ferre CL;Brandão MB;Hung YC;Carmel JB;Gordon AM
确定对单侧痉挛性脑瘫儿童进行家庭强化双手干预的可行性。 11 名儿童（年龄 29-54 个月）接受了由训练有素的护理人员提供的 90 小时的家庭双手强化治疗 (H-HABIT)。使用育儿压力指数和每日日志来监测育儿压力水平和依从性。分别使用辅助手评估（AHA）和加拿大职业绩效测量（COPM）在两次治疗前基线疗程和两次治疗后疗程（即刻和六个月）评估双手表现的质量和功能目标表现/满意度的变化。 10 名儿童完成了这项研究，护理人员平均完成了 85.6 小时的 H-HABIT。每日日志表明护理人员的依从性很高。干预期间压力水平保持稳定。孩子们的 AHA 和 COPM 表现出显着改善。 H-HABIT 是改善手部功能的可行干预措施，值得在随机对照试验中进一步研究。
To determine feasibility of a home-based, intensive bimanual intervention with children with unilateral spastic cerebral palsy. Eleven children (aged 29–54 months) received 90 hours of home hand-arm bimanual intensive therapy (H-HABIT) provided by their trained caregivers. Parenting stress levels and compliance were monitored using the Parenting Stress Index and daily logs. Quality of bimanual performance and changes in performance/satisfaction of functional goals were assessed using the Assisting Hand Assessment (AHA) and Canadian Occupational Performance Measure (COPM), respectively, at two pretreatment baseline sessions and two posttreatment sessions (immediate and six months). Ten children completed the study with caregivers completing on average 85.6 hours of H-HABIT. Daily logs indicated high caregiver compliance. Stress levels remained stable across the intervention. Children demonstrated significant improvements in the AHA and COPM. H-HABIT is a feasible intervention for improving hand function and merits further investigation in a randomized-control trial.