Early Intensive Bimanual Stimulation Program (BB-Bim) for Infants at Risk of Unilateral Cerebral Palsy: A Randomized, Multiple-Baseline, Single-Case Study.
Importance: Clinical practice guidelines for infants at high risk of cerebral palsy (CP) emphasize the importance of very early and intensive intervention. Objective: To determine the feasibility of a new, home-based, early intensive bimanual stimulation program (BB–Bim) and its impact on hand funct...
| Publicado en: | American Journal of Occupational Therapy Vol. 77; no. 6; pp. 1 - 10 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
American Occupational Therapy Association
Nov/Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174599869&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174599869 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Nov/Dec2023 vid: 77 iid: 6 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 174599869 174599869 174599869 10.5014/ajot.2023.050232 174599869 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Early Intensive Bimanual Stimulation Program (BB-Bim) for Infants at Risk of Unilateral Cerebral Palsy: A Randomized, Multiple-Baseline, Single-Case Study. aug: au: Bard-Pondarré, Rachel Vuillerot, Carole Al-Abiad, Nahime Verdun, Stéphane Chabrier, Stéphane Chaléat-Valayer, Emmanuelle affil: Rachel Bard-Pondarré, OT, MSc, is Occupational Therapist and Research Project Coordinator, Centre des Massues Croix-Rouge française, Lyon, France sug: subj: Early Intervention Cerebral Palsy Therapy Constraint-Induced Therapy Methods Simulations Human Randomized Controlled Trials Random Assignment Infant Descriptive Statistics Questionnaires Linear Regression Pilot Studies Infant: 1-23 months ab: Importance: Clinical practice guidelines for infants at high risk of cerebral palsy (CP) emphasize the importance of very early and intensive intervention. Objective: To determine the feasibility of a new, home-based, early intensive bimanual stimulation program (BB–Bim) and its impact on hand function in infants at risk of unilateral CP. Design: Single case experimental design, multiple baseline across subjects, lasting from 12 to 15 wk, including a 4- to 7-wk randomized baseline, followed by 8 wk of BB–Bim. Setting: Home. Participants: Infants (ages 3–12 mo) with suspected unilateral CP, whose parents agreed to participate in the stimulation program. Intervention: Parent-provided bimanual stimulation 20 min/day, 6×/wk, with weekly occupational therapist coaching visits. Measures: Weekly repeated measures were the Hand Assessment in Infants (HAI) and Goal Attainment Scaling (GAS). Feasibility and relevance were assessed with a logbook and a parental report, including 10 continuous 0–10 scaled questions. Results: Six infants were included (2 with left and 4 with right brain lesions). Parents provided a mean 3.4 to 6.2 stimulation sessions/wk. Feasibility and relevance were highly rated (Ms = 8.2–9.6, SDs = 0.2–1.3). Stimulation significantly improved HAI bimanual and total scores for all infants, with no impact on HAI unilateral scores. GAS scores improved with stimulation (significant for 3 infants). Conclusions and Relevance: BB–Bim was feasible and tended to improve bimanual function in infants at risk of unilateral CP. What This Article Adds: Parent-provided daily bimanual stimulation at home is feasible when parents are coached weekly by an occupational therapist. Bimanual stimulation seems to improve functional interactions between the hands among infants at high risk of unilateral CP. Parent-provided, daily, early intensive bimanual stimulation (BB–Bim) at home is feasible when parents are coached weekly by an occupational therapist. BB–Bim seems to improve functional interactions between the hands among infants at high risk of unilateral cerebral palsy. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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