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Am J Occup Ther. 2014 Mar-Apr;68(2):159-66. doi: 10.5014/ajot.2014.009860.

Potential predictors of functional outcomes after home-based constraint-induced therapy for children with cerebral palsy.

Author information

  • 1Chia-ling Chen, MD, PhD, is Professor, Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan, and Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan.
  • 2Keh-chung Lin, ScD, OTR, is Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, and Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei.
  • 3Lin-ju Kang, PhD, is Assistant Professor, Graduate Institute of Early Intervention, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan.
  • 4Ching-yi Wu, ScD, OTR, is Professor, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, and Healthy Aging Research Center at Chang Gung University, 259 Wen-Hwa First Road, Kwei-Shan, Tao-Yuan 333, Taiwan; cywu@mail.cgu.edu.tw.
  • 5Hsieh-ching Chen, PhD, is Professor, Department of Industrial Engineering and Management, National Taipei University of Technology, Taipei, Taiwan.
  • 6Yu-wei Hsieh, PhD, is Assistant Professor, Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan.

Abstract

OBJECTIVE. Our objective was to identify predictors for treatment outcomes after home-based constraint-induced therapy (CIT) in children with cerebral palsy (CP). METHOD. Forty-three children (aged 4-12 yr) with CP were treated with individualized CIT at home for 4 wk. Potential predictors were age, sex, affected hand, and upper-extremity motor capacity measured by the Peabody Developmental Motor Scale, 2nd edition (PDMS-2). Outcomes were the Pediatric Motor Activity Log (PMAL) Amount of Hand Use and Quality of Hand Use subscales and the Functional Independence Measure for Children (WeeFIM). RESULTS. A higher PDMS-2 Visual-Motor Integration subscale score predicted a better WeeFIM score after home-based CIT (adjusted R² = .35). Younger age predicted better performance on the PMAL Amount of Hand Use and Quality of Hand Use subscales (adjusted R² = .06-.08) after home-based CIT. CONCLUSION. The potential predictors may allow occupational therapy practitioners to target those children who will benefit most after home-based constraint-induced therapy.

Copyright © 2014 by the American Occupational Therapy Association, Inc.

PMID:
24581402
[PubMed - in process]
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