Subscribe to RSS
DOI: 10.1055/s-0031-1274007
Therapy of Hemiparesis in children and adolescents – a 5 years experience
Objective: CIMT developed as somewhat a „gold-standard„ for children with hemiparesis during the last years. Antidromic the therapeutic approach in four centres for hemiparesis in children and adolescents diversified from a well defined protocol to an individual treatment decision.
Methods: Quantitative and qualitative analysis of five „intensive therapy camps„ with n=50 children with congemital hemiparesis. Therapy methods: constraint 2–10 hours/day, Shaping 1–2 hours/day, bimanal functional training, bimanual ADL based therapy, therapy in groups, developing of strategies (not necessarily in conjunction with functional improvements), casting, botulinum toxin, strength training, orthotics
Results:
-
The corticospinal reorganization influences the method of therapy
-
Therapy goal and task analysis define on which therapy methods is taken emphasis on.
-
Group acticities are an important factor for treatment success
-
Induced changes are relevant for everyday life.
-
The choice of therapy may be modified or changed during the course of an intensive therapy camp.
-
Sensitive to change are Goal Attainment Scaling, Canadian occupational performance measure, Assisting Hand Assessment, Jebson Taylor Test, Range of motion (active, passive).
Discussion: CIMT is an effective approach, but should not limit the scope of available therapy approaches, which have to be chosen according to task analysis.