title: The impact of combined constraint-induced and bimanual arm training program on the perceived hand-use experience of children with unilateral cerebral palsy.
abstract: OBJECTIVE
  To assess change in perceived hand-use experience following a combined bimanual with constraint intervention and to examine its relationship regarding objective hand-function among children with unilateral cerebral palsy (UCP).
  
  
  METHODS
  Twenty-six children with UCP received 6 hours of combined intervention daily for 10 days. The Children's Hand-use Experience Questionnaire (CHEQ), Assisting Hand Assessment (AHA), and the Jebsen-Taylor Test of Hand Function (JTTHF) assessed independence and experience, bimanual and unimanual function at baseline and 3-months post-intervention.
  
  
  RESULTS
  Significant improvement over time was noted in AHA and in JTTHF scores. No significant difference was noted on the CHEQ. Although significant associations were noted between JTTHF and AHA results and CHEQ at 3-months post-intervention, no significant associations were noted between changed scores over time.
  
  
  CONCLUSIONS
  Although measured hand-function and performance improved, this may not be reflected in the hand-use experience during bimanual performance following a combined program. Children's experience merits treatment strategy implementation and investigation.
authors.affiliation: a Department of Occupational Therapy , Alyn Hospital, Pediatric and Adolescent Rehabilitation Center , Jerusalem , Israel.
authors.forename: Marilyn
authors.initials: M
authors.lastname: Cohen-Holzer
authors.affiliation: a Department of Occupational Therapy , Alyn Hospital, Pediatric and Adolescent Rehabilitation Center , Jerusalem , Israel.
authors.forename: Gilad
authors.initials: G
authors.lastname: Sorek
authors.affiliation: a Department of Occupational Therapy , Alyn Hospital, Pediatric and Adolescent Rehabilitation Center , Jerusalem , Israel.
authors.forename: Julie
authors.initials: J
authors.lastname: Kerem
authors.affiliation: a Department of Occupational Therapy , Alyn Hospital, Pediatric and Adolescent Rehabilitation Center , Jerusalem , Israel.|b Physical Therapy Department, School of Health Professions, Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
authors.forename: Michal
authors.initials: M
authors.lastname: Katz-Leurer
mesh_terms: D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D005081:Exercise Therapy / Q000379:methods* / Q000523:psychology; D005260:Female; D006225:Hand / Q000503:physiopathology*; D006801:Humans; D008297:Male; D000066530:Neurological Rehabilitation / Q000379:methods* / Q000523:psychology; D010465:Perception; D011795:Surveys and Questionnaires
keywords: Bilateral; cerebral palsy; constraint; hemiplegia; perceived experience