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Intensive Bimanual Intervention for Children Who Have Undergone Hemispherectomy: A Pilot Study

Journal Article
Maxime T Robert, Claudio L Ferre, Karen Y Chin, Marina B Brandao, Jason Carmel, Rodrigo Araneda, Yannick Bleyenheuft, Kathleen Friel, Andrew M Gordon
Year Published: 
Pediatr Phys Ther. 2021 Jul 1;33(3):120-127. doi: 10.1097/PEP.0000000000000804.
PMID: 34151886 | DOI: 10.1097/PEP.0000000000000804
Abstract on PubMed


Purpose: To conduct a pilot study to assess the feasibility and effectiveness of an intensive bimanual intervention on upper limb function in children who have undergone hemispherectomy.

Methods: Thirteen children received 90 hours of intensive bimanual training (Hand-Arm Bimanual Intensive Therapy, HABIT). The Jebsen-Taylor Test of Hand Function (JTTHF), Box and Block Test (BBT), Assisting Hand Assessment (AHA), ABILHAND-Kids, and Canadian Occupational Performance Measure (COPM) were assessed by a masked clinician twice before, immediately, and 6 months after treatment.

Results: Significant improvements over time were found in the JTTHF, AHA, ABILHAND-Kids, and COPM.

Conclusion: Completion of HABIT was feasible for children with hemispherectomy. Improvement of bimanual function and functional goals can be related to the nature of the activities prioritized in HABIT training.


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