Keita Kanamori, Tomohisa Suzuki, Chiharu Ota
Parenting attitude towards children with autism spectrum disorders: the Japan environment and children's study
BMJ paediatrics open
handarm bimanual intensive therapy habit promotes hand function using intensive practice bimanual functional play tasks intervention shown efficacious improve upperextremity ue function children unilateral spastic cerebral palsy uscp addition ue function deficits lowerextremity le function uele coordination also impaired children uscp recently new intervention introduced le simultaneously engaged habit handarm bimanual intensive therapy including lower extremities habitile positive effects therapy demonstrated ue le function children uscp however unknown whether addition constant le component bimanual intensive therapy attenuates ue improvements observed children uscp retrospective study based multiple randomized protocols aims compare ue function improvements children uscp habit habitile study included 86 children uscp received 90 h either habit n 42 habitile n 44 participants previous studies children assessed 46 months intervention primary outcomes abilhandkids assisting hand assessment secondary measures included jebsentaylor test hand function pediatric evaluation disability inventory pedi selfcare functional ability domain canadian occupational performance measure copm data analysis performed using twoway repeatedmeasures analysis variance repeated measures test sessions groups showed similar significant improvements tests test session effect p 0001 group test session interaction p 005 except pedi copm larger improvements tests found habitile group test session effect p 0001 group test session interaction p 005 larger improvements may explained constant simultaneous uele engagement observed habitile intervention since many daily living activities included pedi copm goals involve le specifically uele coordination conclude ue improvements children uscp attenuated simultaneous uele engagement intensive intervention addition systematic le engagement bimanual intensive intervention habitile leads larger functional improvements activities daily living involving le