Feasibility Trial of Thumb Taping by Parents in Infants with Cerebral Palsy: Brief Report.

Aim: To determine the feasibility and acceptability of parent-delivered elastic taping to the thumb and wrist in infants with cerebral palsy (CP). Design: Randomized cross-over feasibility trial. Participants: 20 infants (11 male; mean age 22 months) with CP. Intervention: Groups A and B received ta...

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Detalles Bibliográficos
Publicado en:Developmental Neurorehabilitation Vol. 23; no. 1; pp. 50 - 59
Autores principales: Pearse, JE, Cadwgan, JE, Wisher, V, Jesmont, C, Mason-Burton, P, Barry, M, Jona James, J, Kelly, S, Basu, AP
Formato: case study consumer/patient teaching materials pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Jan2020
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Aim: To determine the feasibility and acceptability of parent-delivered elastic taping to the thumb and wrist in infants with cerebral palsy (CP). Design: Randomized cross-over feasibility trial. Participants: 20 infants (11 male; mean age 22 months) with CP. Intervention: Groups A and B received taping for 4 and 2 weeks, respectively. Outcomes: Primary: Recruitment and retention rates; adherence to protocol; Parent Satisfaction Questionnaire. Secondary: House Thumb score; Zancolli classification; Assisting Hand Assessment (AHA)/mini AHA. Exploratory: Duration of hand regard, thumb in palm, and open hand contact with toys during AHA/mini AHA. Results: Recruitment was feasible (95.2% uptake). Completion rates were 80% and 60% in Groups A and B. Questionnaire feedback was generally positive. Some parents reported increased awareness of the taped hand. Objective improvements were rare though one participant showed consistent improvement in thumb position. Conclusion: Taping proved feasible and acceptable; individual case benefit suggests further research is required. Trial registration: ISRCTN41918400.