Department of Occupational Therapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
10.32598/SJRM.13.6.3261
Abstract
Background and Aims Cerebral palsy (CP) is one of the common disabilities in children caused by brain damage. Children with CP should receive rehabilitation suitable for their age and developmental stage. There are various treatment approaches to improve the condition of these children. However, there are a few approaches that specifically focus on both the upper and lower extremities. There is an approach called hand-arm bimanual intensive therapy including lower extremities (HABIT-ILE) that can affect the upper limb and the lower limbs of children with CP. The present study aims to review the clinical trials on the effectiveness of this method for children with CP. Methods This is a scoping review. A search was conducted in PubMed, Scopus and Web of Science databases using the keywords “CP”, “cerebral palsy”, “HABIT-ILE” AND “hand-arm bimanual intensive therapy including lower extremities”. A total of 82 were found by the initial search. Of these, 60 articles were excluded due to not being a clinical trial. Also, from the remaining 22 articles, 15 were excluded due to similarities in all three databases and one article was excluded due to lack of access to the full text. Finally, 6 articles were included in this research. Results Intensive two-handed hand-arm therapy including the lower limb has shown promising results in improving the function of the upper and lower limbs in children with cerebral palsy. In this study, 82 articles were found, and according to the inclusion and exclusion criteria, 6 articles were included in the study and reviewed. Conclusion The approach of intensive two-handed hand-arm treatment including the lower limb has been much appreciated by therapists due to its nature and the inclusion of the lower limb in addition to the upper limb. However, very few studies have been conducted in this field. It seems that larger and stronger studies are needed to investigate this approach in terms of the age range studied and the amount of time for interventions, as well as the generalization of this approach to other neurological problems.
Mirasadi Nia, S. A., Kalantari, M., Hejazi Shirmard, M., & Pashmdarfard, M. (2025). The Effectiveness of Hand-arm Bimanual Intensive Therapy Including Lower Extremities for Children With Cerebral Palsy: A Scoping Review. The Scientific Journal of Rehabilitation Medicine, 13(6), 1022-1033. doi: 10.32598/SJRM.13.6.3261
MLA
Seyyed Ali Mirasadi Nia; Minoo Kalantari; Mahnaz Hejazi Shirmard; Marzieh Pashmdarfard. "The Effectiveness of Hand-arm Bimanual Intensive Therapy Including Lower Extremities for Children With Cerebral Palsy: A Scoping Review". The Scientific Journal of Rehabilitation Medicine, 13, 6, 2025, 1022-1033. doi: 10.32598/SJRM.13.6.3261
HARVARD
Mirasadi Nia, S. A., Kalantari, M., Hejazi Shirmard, M., Pashmdarfard, M. (2025). 'The Effectiveness of Hand-arm Bimanual Intensive Therapy Including Lower Extremities for Children With Cerebral Palsy: A Scoping Review', The Scientific Journal of Rehabilitation Medicine, 13(6), pp. 1022-1033. doi: 10.32598/SJRM.13.6.3261
VANCOUVER
Mirasadi Nia, S. A., Kalantari, M., Hejazi Shirmard, M., Pashmdarfard, M. The Effectiveness of Hand-arm Bimanual Intensive Therapy Including Lower Extremities for Children With Cerebral Palsy: A Scoping Review. The Scientific Journal of Rehabilitation Medicine, 2025; 13(6): 1022-1033. doi: 10.32598/SJRM.13.6.3261
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