Article

Our objective was to identify predictors for treatment outcomes after
home-based constraint-induced therapy (CIT) in children with cerebral palsy (CP).
METHOD. Forty-three children (aged 4-12 yr) with CP were treated with
individualized CIT at home for 4 wk. Potential predictors were age, sex, affected
hand, and upper-extremity motor capacity measured by the Peabody Developmental
Motor Scale, 2nd edition (PDMS-2). Outcomes were the Pediatric Motor Activity Log
(PMAL) Amount of Hand Use and Quality of Hand Use subscales and the Functional
Independence Measure for Children (WeeFIM). RESULTS. A higher PDMS-2 Visual-Motor
Integration subscale score predicted a better WeeFIM score after home-based CIT
(adjusted R(2) = .35). Younger age predicted better performance on the PMAL
Amount of Hand Use and Quality of Hand Use subscales (adjusted R(2) = .06-.08)
after home-based CIT. CONCLUSION. The potential predictors may allow occupational
therapy practitioners to target those children who will benefit most after
home-based constraint-induced therapy.
CI - Copyright (c) 2014 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS