Background
Hand splinting
Task-specific training
The cognitive orientation to occupational performance (CO-OP) approach
Functional hand splints combined with task-specific training
Objectives
Objective 1
Hypothesis 1
Objective 2
Hypothesis 2
Objective 3
Hypothesis 3
Methods
Trial design
Participants
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Diagnosis of cerebral palsy or brain injury (minimum 12 months post injury).
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Age 4-15 years.
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Manual Abilities Classification System (MACS) level I – IV.
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Impaired hand function as a result of the neurological condition.
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Goals related to improving hand function.
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Sufficient language, cognitive and behavioural skills to set goals, interact with the therapist and participate within a group context (according to CO-OP guidelines [29]).
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Parents able to commit to a two week block of therapy.
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Known allergy to thermoplastic splinting material.
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Impaired hand function resulting from secondary condition (eg. Fracture or burn).
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Significant intellectual or language impairment (according to CO-OP guidelines [29]).
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Current treatment not compatible with the study.
Ethical considerations and registration
Recruitment
Sample size
Randomisation
Sequence generation
Allocation concealment mechanism
Blinding
Study procedures
Interventions
Functional splinting
The cognitive orientation to occupational performance (CO-OP)
Therapeutic considerations
Reliability training of assessors and treatment administrators
Measures
Demographic and classification measures
Manual abilities classification system (MACS)
Gross motor function classification system (GMFCS)
House thumb classification
Outcome measures
Outcome measures according to ICF domain | |
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Body function and structure | Activity and participation |
Wrist range of motion | COPM |
Box & blocks test | GAS |