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Table 1 Summary of intervention content

From: INCITE: A randomised trial comparing constraint induced movement therapy and bimanual training in children with congenital hemiplegia

Session (and Activities)

Allocated Time

CIMT: Type of involved hand use

BIM training: Type of involved hand use

Fine motor activity stations

   

   a) Games

1 hour

Reach, precision grasp, power grasp, tool use, controlled placement and release, finger isolation, in-hand manipulation, wrist extension, supination

Stabilisation, symmetric and asymmetric bilateral movements, precision grasp, controlled placement and release, finger isolation, in-hand manipulation, wrist extension, supination

   b) Functional tasks

   

   c) Cooking

   

   d) Art and crafts

   

Circus Workshop

   

   a) Warm up and stretch

2 hours

Active stretching whole body

Active stretching whole body

   b) Ribbons

 

Grasp, shoulder external and internal rotation, adduction, horizontal abduction, flexion, elbow and wrist extension, supination

Grasp, shoulder external rotation, adduction, horizontal abduction, elbow and wrist extension. Symmetric movements.

   c) Devil Sticks

 

Grasp, shoulder adduction and flexion, elbow and wrist extension

Grasp, symmetric shoulder flexion, elbow extension, wrist extension. Asymmetric shoulder adduction.

   d) Hoops

 

Grasp, shoulder adduction and flexion, elbow extension, supination and wrist extension.

Grasp, shoulder adduction and flexion, elbow and wrist extension. Asymmetric movements

   e) Spinning plates

  

Grasp, shoulder adduction and flexion, elbow extension, supination and wrist extension, finger isolation, asymmetric bilateral movement

   f) Acrobalance

 

Strength, dynamic and static balance

Strength, dynamic and static balance

   g) Aerials

 

Power grasp, upper body strength.

Power grasp, upper body strength & symmetry.

Mealtimes

   

   a) Preparation

1.5 hours

Grasp and transportation, precision grasp, tool use, elbow flexion, extension, supination, wrist extension, radial deviation

Stabilisation, grasp, tool use (knife and fork), asymmetric bilateral movements

   b) Eating

   

   c) Cleanup

   

Games

   

   a) Parachute

 

Grasp, shoulder flexion, extension, adduction, elbow and wrist extension, supination, throw and catch

Symmetric and asymmetric movements, stabilisation, grasp, shoulder flexion, extension, adduction, elbow and wrist extension, supination

   b) Sports

   

Debriefing

0.5 hour

Group discussion about day

Group discussion about day