The Efficacy of Two Models of Intensive Upper Limb Training on Health-Related Quality of Life in Children with Hemiplegic Cerebral Palsy Mainstreamed in Regular Schools: A Double-Blinded, Randomized Controlled Trial.

Children with hemiplegic cerebral palsy (CP) are at risk of reduced upper limb function and poorer quality of life than their typically developing peers. Although upper limb impairments have potential negative impact on the health-related quality of life (HRQOL) in children with hemiplegic CP, the e...

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Publicado en:Physiotherapy Theory & Practice Vol. 39; no. 1; pp. 10 - 26
Autores principales: Bingol, Hasan, Kerem Gunel, Mintaze, Alkan, Halil
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
      vid: 39
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2021.1999355
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        atl: The Efficacy of Two Models of Intensive Upper Limb Training on Health-Related Quality of Life in Children with Hemiplegic Cerebral Palsy Mainstreamed in Regular Schools: A Double-Blinded, Randomized Controlled Trial.
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          Bingol, Hasan
          Kerem Gunel, Mintaze
          Alkan, Halil
        affil: Department of Therapy and Rehabilitation, Vocational School of Health Services, Mus Alparslan University, 49250-Güzeltepe/Mus, Turkey
      sug:
        subj:
          Cerebral Palsy Rehabilitation
          Hemiplegia Rehabilitation
          Kinesiotherapy Methods
          Constraint-Induced Therapy
          Functional Training Methods
          Quality of Life Evaluation
          Treatment Outcomes Evaluation
          Mainstreaming (Education)
          Pediatric Physical Therapy
          Human
          Child
          Randomized Controlled Trials
          Double-Blind Studies
          Random Assignment
          Students with Disabilities
          Children with Disabilities
          Comparative Studies
          Post Hoc Analysis
          Power Analysis
          Students, Elementary
          Clinical Assessment Tools
          Scales
          Rasch Analysis
          Questionnaires
          Data Analysis Software
          Descriptive Statistics
          Mann-Whitney U Test
          Repeated Measures
          One-Way Analysis of Variance
          Male
          Female
          Two-Way Analysis of Variance
          Child: 6-12 years
          Male
          Female
      ab: Children with hemiplegic cerebral palsy (CP) are at risk of reduced upper limb function and poorer quality of life than their typically developing peers. Although upper limb impairments have potential negative impact on the health-related quality of life (HRQOL) in children with hemiplegic CP, the efficacy of upper limb rehabilitation approaches aiming to improve upper limb impairments on HRQOL has not been adequately investigated. This study compares the efficacy of two modes of activity-based upper limb rehabilitation (modified constraint-induced movement therapy [mCIMT] and bimanual training [BIM]) on HRQOL outcomes in children with hemiplegic CP mainstreamed in regular schools. Thirty children with hemiplegic CP aged between 7 and 11 years (mean age 8.53 ± 1.54 years) who had functional ability levels of I–III according to the Manual Ability Classification System (MACS), Gross Motor Classification System (GMFCS), and Communication Function Classification System (CFCS) were randomly assigned to receive mCIMT or BIM training. Result: Both mCIMT and BIM yielded statistically significant improvements in all HRQOL domains immediately after the 10-week interventions (P <.001), which were retained at 16 weeks. While there were some differences in the intervention effects, both of these upper limb rehabilitation approaches based on intensive unimanual or bimanual activity may be beneficial for improving perceived life satisfaction related to physical activity, general mood, family, friends, and school among children with hemiplegic CP mainstreamed in regular schools.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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