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This 3-year research project aims to investigate and compare the immediate and long-term treatment effectiveness as well as motor improving curve and potential predictors of the unimanual intensive training and bimanual intensive training protocols with an equivalent intervention period in children with hemiplegic CP and children with CP with apparently one side affected. In addition, based on the ICF-CY model, comprehensive outcome measures including motor functions as well as psychological functions will be included.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| unilateral upper limbs intensive training | Experimental | The unimanual intensive training group focuses on the training of the more affected arm and restraint the less affected arm. |
|
| bilateral upper limbs intensive training | Experimental | The bimanual intensive training focuses activities that required the use of both hands. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| unilateral upper limbs intensive training | Other | The unimanual intensive training group focuses on the training of the more affected arm and restraint the less affected arm. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes from Melbourne Assessment 2 (MA-2) | baseline, week 4, week 8, week 24 | |
| Changes from Pediatric Motor Activity Log-Revised (PMAL-R) | baseline, week 4, week 8, week 24 | |
| Changes from ABILHAND-Kids | baseline, week 4, week 8, week 24 | |
| Changes from Test of Playfulness (ToP) | week 1, week 4, week 5, week 8 | |
| Changes from Box and Block Test (BBT) | weekly test (from baseline to week 8) | |
| Changes from Engagement Questionnaire (EQ) | weekly test (from week 1 to week 8) | |
| Changes from Satisfactory Questionnaire (SQ) | baseline, week 4, week 8, week 24 | |
| Changes from Building Tower Test (BTT) | weekly test (from baseline to week 8) | |
| Changes from String Beads Test (SBT) | weekly test (from baseline to week 8) | |
| Changes from Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2) | baseline, week 4, week 8, week 24 | |
| Performance changes assessed by Kinematics Analysis |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from Pediatric Evaluation of Disability Inventory (PEDI) | baseline, week 4, week 8, week 24 | |
| Changes from Cerebral Palsy Quality of Life Questionnaire for Children (CPQOL) | baseline, week 4, week 8, week 24 |
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The inclusion criteria of this study are:
Participants will be exclude for:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tien-Ni Wang | Contact | 886-2-33668163 | tnwang@ntu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Tien-Ni Wang | Department of Occupational Therapy, School of Medicine, National Taiwan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | Zhongzheng District | 100 | Taiwan |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| bilateral upper limbs intensive training | Other | The bimanual intensive training focuses activities that required the use of both hands. |
|
Kinematic Analysis including parameters of endpoint control, inter-joints coordination, and trunk involvement, we will analyse children's performance changes from performing reaching tasks |
| baseline, week 8, week 24 |
| Changes from muscle strength | Measured by Electromyography (EMG) | baseline, week 8, week 24 |
| Changes from Parenting Stress Index-Short Form (PSI-short) | baseline, week 4, week 8, week 24 |