TY  - JOUR
ID  - Simon-Martinez2020
T1  - {Effects of combining constraint-induced movement therapy and action-observation training on upper limb kinematics in children with unilateral cerebral palsy: a randomized controlled trial}
A1  - Simon-Martinez, Cristina
A1  - Mailleux, Lisa
A1  - Jaspers, Ellen
A1  - Ortibus, Els
A1  - Desloovere, Kaat
A1  - Klingels, Katrijn
A1  - Feys, Hilde
JA  - Scientific Reports
Y1  - 2020
VL  - 10
IS  - 1
SP  - 10421
PB  - Nature Publishing Group
SN  - 2045-2322
UR  - http://www.nature.com/articles/s41598-020-67427-2
M2  - doi: 10.1038/s41598-020-67427-2
KW  - Health care
KW  - Outcomes research
KW  - Paediatric research
KW  - Paediatrics
KW  - Randomized controlled trials
KW  - Therapeutics
N2  - Modified constraint-induced movement therapy (mCIMT) improves upper limb (UL) motor execution in unilateral cerebral palsy (uCP). As these children also show motor planning deficits, action-observation training (AOT) might be of additional value. Here, we investigated the combined value of AOT to mCIMT on UL kinematics in children with uCP in a randomized controlled trial. Thirty-six children with uCP completed an UL kinematic and clinical evaluation after participating in a 9-day mCIMT camp wearing a splint for 6 h/day. The experimental group (mCIMT   AOT, n = 20) received 15 h of AOT, i.e. video-observation and execution of unimanual tasks. The control group (mCIMT   placebo, n = 16) watched biological-motion free videos and executed the same tasks. We examined changes in motor control (movement duration, peak velocity, time-to-peak velocity, and trajectory straightness) and kinematic movement patterns (using Statistical Parametric Mapping) during the execution of three unimanual, relevant tasks before the intervention, after and at 6 months follow-up. Adding AOT to mCIMT mainly affected movement duration during reaching, whereas little benefit is seen on UL movement patterns. mCIMT, with or without AOT, improved peak velocity and trajectory straightness, and proximal movement patterns. Clinical and kinematic improvements are poorly related. Although there seem to be limited benefits of AOT to CIMT on UL kinematics, our results support the inclusion of kinematics to capture changes in motor control and movement patterns of the proximal joints.
M1  - file={:C$\backslash$:/Users/cristina.simonmar/AppData/Local/Mendeley Ltd./Mendeley Desktop/Downloaded/Simon-Martinez et al. - 2020 - Effects of combining constraint-induced movement therapy and action-observation training on upper limb ki.pdf:pdf}
ER  -