Exploring Engagement as a Key Ingredient in the Efficacy of CIMT and HABIT Interventions for Children with Unilateral Spastic Cerebral Palsy.
Aims: Person-level engagement, though well studied in counseling, mental health, and adult rehabilitation, is also critical in pediatric rehabilitation, yet it remains underexplored in motor learning interventions for children with unilateral spastic cerebral palsy (USCP). This study investigated ho...
| Publicado en: | Physical & Occupational Therapy in Pediatrics Vol. 46; no. 3; pp. 400 - 418 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2026
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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=193124008&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193124008 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01942638 PTP jtl: Physical & Occupational Therapy in Pediatrics issn: 01942638 maglogo: N pubinfo: dt: 2026 vid: 46 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 193124008 190682800 193124008 193124008 10.1080/01942638.2025.2601537 193124008 ppf: 400 ppct: 18 formats: tig: atl: Exploring Engagement as a Key Ingredient in the Efficacy of CIMT and HABIT Interventions for Children with Unilateral Spastic Cerebral Palsy. aug: au: Delfing, Dalina Chin, Karen Rachwani, Jaya Friel, Kathleen M. Santamaria, Victor Imms, Christine Gordon, Andrew M. affil: Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY, USA sug: subj: Cerebral Palsy Rehabilitation Cerebral Palsy Rehabilitation Constraint-Induced Therapy Patient Participation Treatment Outcomes Human Retrospective Design Child Adolescence Age Factors Functional Assessment Mann-Whitney U Test Wilcoxon Signed Rank Test Post Hoc Analysis Funding Source Scales Child: 6-12 years Adolescent: 13-18 years ab: Aims: Person-level engagement, though well studied in counseling, mental health, and adult rehabilitation, is also critical in pediatric rehabilitation, yet it remains underexplored in motor learning interventions for children with unilateral spastic cerebral palsy (USCP). This study investigated how individual characteristics, including age and mastery motivation, influenced person-level engagement and examined how engagement affected motor outcomes. Methods: A retrospective analysis was conducted involving 49 children with USCP aged 6–17 years who participated in either constraint-induced movement therapy (CIMT) or hand-arm bimanual intensive therapy (HABIT). Engagement was assessed through video coding and behavioral questionnaires, while hand function was evaluated using three standardized tests. Results: Findings indicated that age was significantly related to engagement. Engagement measures correlated with improvements in hand capacity as measured by the Jebsen-Taylor Hand Function Test, but not with performance on the Assisting Hand Assessment. Conclusion: The results highlighted the relationship between age and engagement, emphasizing the importance of age-appropriate intervention strategies. Engagement played a role in improvements observed on capacity-based hand function tests, suggesting that engagement during therapeutic camps may be more critical for capacity-based than for performance-based motor activities. These insights support the design of targeted, age-appropriate interventions that optimize therapeutic outcomes for children with USCP. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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