Document Type : Review Article
Authors
1
medical university of Shahid Beheshti
2
PhD in Occupational Therapy, Associated Professor Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3
Department of Occupational Therapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4
PhD, Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
10.22037/sjrm.2024.117278.3261
Abstract
Introduction:
Cerebral palsy is one of the common causes of disability in children due to brain damage. For this reason, children with cerebral palsy should be placed in a rehabilitation process suitable for their age and developmental stage. There are various treatment approaches to improve the condition of children with cerebral palsy. However, there are few approaches that specifically focus on both the upper and lower limbs. In the meantime, two-hand intensive hand-arm therapy including the lower limbs was proposed as an approach that can focus on the upper and lower limbs. It also affects the lower limbs of these children. The present study deals with a short review on the effectiveness of the intensive two-handed hand-arm treatment approach including the lower limbs in children with cerebral palsy.
Method:
The search was performed in PubMed, Scopus and Web of Science databases. Search keywords included CP, Cerebral Palsy, HABIT-ILE and Hand-Arm Bimanual Intensive Therapy Including Lower Extremities.
Results:
Two-handed hand-arm intensive treatment including the lower limb has shown promising results in improving the function of the upper and lower limbs in children with cerebral palsy. This is because, unlike other approaches, the main focus of this approach has been on the use of both hands and coordination between the upper and lower limbs. However, this approach faces challenges such as the lack of sufficient evidence.
Discussion and 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 such as stroke.
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