Influence of functional scales, brain lesion characteristics and corticospinal tract reorganization on the effectiveness of HABIT-ILE in unilateral cerebral palsy

Details

Supervisors

Bleyenheuft, Yannick ; Araneda Oyaneder, Rodrigo

Faculty

Faculté des sciences de la motricité

Degree label

Master [120] en sciences de la motricité, orientation générale, à finalité approfondie

Abstract

BACKGROUND: The « Hand and Arm Bimanual Intensive Therapy – Including Lower Extremity » (HABIT-ILE) for children with cerebral palsy (CP) stimulates the upper limbs, lower limbs and postural control to improve the child's functional independence in everyday life activities. OBJECTIVES: The aim is to evaluate if some characteristics of children with unilateral CP (MACS, GMFCS, lesion type, lesion side and CST reorganization) could influence the effectiveness of HABIT-ILE. METHODS: 51 children with unilateral CP participated to a HABIT-ILE camp between 2013 and 2019. All children were assessed before (T1) and after the 2-weeks of intervention (T2). Paired-t tests and Forward Stepwise Regressions were conducted to analyse the effectiveness of HABIT-ILE and to identify the characteristics (independent variables) that best predicted the effectiveness of HABIT-ILE (dependent variable) respectively. RESULTS: Lesion type can slightly influence the MFPT-MA changes (6,2%); lesion side can slightly influence the AHA changes (12,8%) and the BBT-MA changes (6,9%); CST reorganization can slightly influence the AHA changes (6,2%) and JTTHF-MA changes (13,3%). CONCLUSION: This study showed that HABIT-ILE has significant positive effects in upper and lower extremities of children with unilateral CP. The effectiveness of HABIT-ILE measured by some functional assessments (AHA, BBT-MA, MFPT-MA and JTTHF-MA) can slightly be predicted by the lesion side, lesion type and CST reorganization.