The Pirate group intervention protocol description and a case report of a modified constraint-induced movement therapy combined with bimanual training for young children with unilateral spastic cerebral palsy

Pauline B. Aarts, Margo van Hartingsveldt, Patricia G. Anderson, Ingrid van den Tillaar, Jan van der Burg, Alexander C. Geurts

Research output: Contribution to journalArticleAcademicpeer-review

22 Citations (Scopus)

Abstract

The purpose of this article was to describe a child-friendly modified constraint-induced movement therapy protocol that is combined with goal-directed task-specific bimanual training (mCIMT-BiT). This detailed description elucidates the approach and supports various research reports. This protocol is used in a Pirate play group setting and aims to extend bimanual skills in play and self-care activities for children with cerebral palsy and unilateral spastic paresis of the upper limb. To illustrate the content and course of treatment and its effect, a case report of a two-year-old boy is presented. After the eight-week mCIMT-BiT intervention, the child improved the capacity of his affected arm and hand in both quantitative and qualitative terms and his bimanual performance in daily life as assessed by the Assisting Hand Assessment, ABILHAND-Kids, Video Observations Aarts and Aarts Module Determine Developmental Disregard, Canadian Occupational Performance Measure and Goal Attainment Scaling. It is argued that improvement of affected upper-limb capacity in a test situation may be achieved and retained relatively easily, but it may take a lot more training to stabilize the results and automate motor control of the upper limb. Future studies with groups of children should elaborate on these intensity and generalization issues.

Original languageEnglish
Pages (from-to)76-87
Number of pages12
JournalOccupational Therapy International
Volume19
Issue number2
Early online date12 Jul 2011
DOIs
Publication statusPublished - Jun 2012

Fingerprint Dive into the research topics of 'The Pirate group intervention protocol description and a case report of a modified constraint-induced movement therapy combined with bimanual training for young children with unilateral spastic cerebral palsy'. Together they form a unique fingerprint.

Cite this