TY - JOUR
AU - Greaves, Susan
AB - BACKGROUND: There is high-level evidence supporting constraint-induced movement therapy(CIMT) and bimanual therapy for children with unilateral cerebral palsy.Evidence-based intervention includes time-limited, goal-directed,skills-based, intensive blocks of practice based on motor learning theory.AIM AND METHODS: Using supporting literature and clinical insight, we provide a theoreticalrationale to highlight previously unreported differences between CIMT andbimanual therapy.DISCUSSION: The current emphasis on total dosage of practice for achieving positiveoutcomes fails to recognise the influence of other critical concepts withinmotor learning. Limitations exist in the application of motor learningprinciples using CIMT due to its unimanual nature. CIMT is effective fordevelopment of unimanual actions brought about by implicit learning, howeverit is difficult to target explicit learning that is required for learninghow to use two hands together. Using bimanual therapy, object properties canbe adapted to trigger goal-related perceptual and cognitive processesrequired for children to learn to recognise when two hands are required fortask completion.CONCLUSION: CIMT and bimanual should be viewed as complementary. CIMT could be used totarget unimanual actions. Once these actions are established, bimanualtherapy could be used for children to learn how to use these actions forbimanual skill development.
TI - Unimanual versus bimanual therapy in children with unilateral cerebral palsy: Same, same, but different
JF - Journal of Pediatric Rehabilitation Medicine
DO - 10.3233/prm-170410
DA - 2017-03-17
UR - https://www.deepdyve.com/lp/ios-press/unimanual-versus-bimanual-therapy-in-children-with-unilateral-cerebral-x7zDjWH6cE
SP - 47
EP - 59
VL - 10
IS - 1
DP - DeepDyve
ER -