dc.creator | Palomo-Carrión, Rocío | es |
dc.creator | Piñero Pinto, Elena | es |
dc.creator | Ando-LaFuente, Sara | es |
dc.creator | Ferri-Morales, Asunción | es |
dc.creator | Bravo-Esteban, Elisabeth | es |
dc.creator | Romay-Barrero, Helena | es |
dc.date.accessioned | 2020-12-16T18:58:04Z | |
dc.date.available | 2020-12-16T18:58:04Z | |
dc.date.issued | 2020-09-16 | |
dc.identifier.citation | Palomo-Carrión, R., Piñero Pinto, E., Ando-LaFuente, S., Ferri-Morales, A., Bravo-Esteban, E. y Romay-Barrero, H. (2020). Unimanual Intensive Therapy with or without Unaffected Hand Containment in Children with Hemiplegia. A Randomized Controlled Pilot Study. Journal of Clinical Medicine, 9 (9), 1-14. | |
dc.identifier.issn | 2077-0383 | es |
dc.identifier.uri | https://hdl.handle.net/11441/103332 | |
dc.description.abstract | Children with hemiplegia have lower spontaneous use and quality of movement in the
affected upper limb. The modified constraint-induced movement therapy (mCIMT) is applied to
improve the affected upper limb function. The objective of this study was to study the efficacy of
unaffected hand containment to obtain changes in the function of the affected upper limb after applying
two unimanual therapies. A randomized controlled pilot study was performed with 16 children
diagnosed with congenital infantile hemiplegia, with eight children randomized in each group
(average age: 5.54 years; SD: 1.55). mCIMT and unimanual therapy without containment (UTWC)
were applied, with a total of 50 h distributed in five weeks (two h/per day). Two assessments were
performed (pre- and post-treatment) to evaluate the affected upper limb spontaneous use, measured
with the Shiners Hospital Upper Extremity Evaluation (SHUEE), and the quality of movement,
measured with the Quality of Upper Extremity Skills Test (QUEST scale). The progression of the
variables was different in both groups. The results are expressed in the median of the improvement
percent and interquartile range (IQR). The spontaneous use analysis showed an improvement percent
of 31.65 (IQR: 2.33, 110.42) in the mCIMT group with respect to 0.00 (IQR: 0.00, 0.00) in the UTWC
group. The quality of movement increased in the mCIMT and UTWC groups, 24.21 (IQR: 13.44,
50.39), 1.34 (IQR: 0.00, 4.75), respectively and the greatest increase was obtained in the grasp variable
for both groups. The use of unaffected hand containment in mCIMT would produce improvements
in the affected upper limb functionality in children with hemiplegia (4–8 years old) compared to the
same protocol without containment (UTWC). | es |
dc.format | application/pdf | es |
dc.format.extent | 14 | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Journal of Clinical Medicine | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Containment | es |
dc.subject | Family | es |
dc.subject | Home | es |
dc.subject | Infantile hemiplegia | es |
dc.subject | Intensive therapy | es |
dc.subject | Modified constraint induced movement therapy | es |
dc.subject | Rehabilitation | es |
dc.subject | Unimanual therapy without containment | es |
dc.subject | Upper extremity | es |
dc.title | Unimanual Intensive Therapy with or without Unaffected Hand Containment in Children with Hemiplegia. A Randomized Controlled Pilot Study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Fisioterapia | es |
dc.relation.publisherversion | https://doi.org/10.3390/jcm9092992 | es |
dc.identifier.doi | 10.3390/jcm9092992 | es |
dc.journaltitle | Journal of Clinical Medicine | es |
dc.publication.volumen | 9 | es |
dc.publication.issue | 9 | es |
dc.publication.initialPage | 1 | es |
dc.publication.endPage | 14 | es |