Article

OBJECTIVES: To determine retention of treatment outcomes at 52 weeks following a
matched-pairs randomized comparison trial of constraint-induced movement therapy
(CIMT) and bimanual training (BIM). METHODS: Sixty-four children (mean age = 10.2
+/- 2.7 years, 52% male) were included. The Melbourne Assessment of Unilateral
Upper Limb Function (MUUL), Assisting Hand Assessment (AHA), and Canadian
Occupational Performance Measure (COPM) were the primary outcome measures.
Evaluations were at baseline and at 26 and 52 weeks. RESULTS: There were no
baseline differences between groups on any measure. No significant differences
were found between groups on primary outcomes at 52 weeks. Both groups retained
the significant gains made from baseline to 26 weeks at the 1-year follow-up
assessment for unimanual capacity on the MUUL, for bimanual performance on the
AHA, and on the COPM. CONCLUSION: Intensive unimanual and bimanual training can
both lead to long-term significant improvements in unimanual capacity, bimanual
performance, and individualized outcomes. Gains established at 26 weeks were
maintained at 12 months postintervention despite most children receiving no
direct therapy during that time.

Langue : ANGLAIS