Bimanual Training in Children With Hemiplegia "HABIT"

Recruiting

Phase 1/2 Results N/A

Trial Description

A randomized control trial of bimanual training in children with hemiplegia. The protocols have been developed at Columbia University to be child friendly and draws upon our experience since 1997 with constraint-induced movement therapy in children with cerebral palsy. The investigators will test the hypothesis that bimanual training (HABIT) will result in improved hand function in children with hemiplegia.

Detailed Description

A new treatment involving bimanual (Hand-Arm Bimanual Intensive Therapy (HABIT). The protocols have been developed at Columbia University to be child friendly and draws upon our experience since 1997 with constraint-induced movement therapy in children with cerebral palsy. The investigators developed HABIT in 2004 as an alternative to constraint-therapy that avoids use of a restraint. The interventions are performed in a 15 day day-camp setting with several children and at least one therapist per child. The investigators have conducted 24 day camps to date since 2002, and are now collaborating with clinicians worldwide to expand our treatment availability. The aim is to promote the use of and improve the coordination of movement of both hands together. PARTICIPATION IS FREE. Please check out our website for more information: http://www.tc.edu/centers/cit/

Conditions

Interventions

  • HABIT Other
    Intervention Desc: 90 hours of bimanual training over 3 weeks in a day camp environment
    ARM 1: Kind: Experimental
    Label: HABIT
    Description: Hand-Arm Bimanual Intensive Therapy (HABIT)

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from baseline in quality of bimanual hand use at 12 months 12 months No
Primary Change from baseline in manual dexterity at 12 months 12 months No
Secondary Change from baseline in upper extremity strength at 12 months 12 months No
Secondary Change from baseline in range of upper extremity motion at 12 months 12 months No
Secondary Change from baseline in goal achievement at 12 months 12 months No

Sponsors