This study examined the use of the adult neuroscience-based Sense© intervention with children with hemiplegic cerebral palsy (HCP) to improve upper-limb somatosensory discrimination, motor function, and goal performance. Seventeen children with HCP (9 boys, 8 girls; mean age 5 10.2 yr) participated in this pilot matched-pairs trial with random allocation and 6-mo follow-up (intervention, n 5 7; control, n 5 10). The intervention group received Sense training 3·/wk for 6 wk (18 hr). Outcome measures included Goal Attainment Scaling, Sense_assess© Kids, and the Assisting Hand Assessment. The intervention group improved in goal performance, proprioception, and bimanual hand use and maintained improvement at 6-mo follow-up. The control group improved in occupational performance by 6-mo follow-up. .This study established the feasibility of using the Sense intervention in a pediatric setting and adds preliminary evidence to suggest that improving somatosensory function can improve motor function and goal performance among children with HCP.
Belinda McLean, OT, is PhD Candidate, School of Pediatrics and Child Health, University of Western Australia, Perth, and Department of Pediatric Rehabilitation, Princess Margaret Hospital for Children, Perth, Western Australia, Australia; Belinda; Susan Taylor, OT, is PhD Candidate, Department of Pediatric Rehabilitation, Princess Margaret Hospital for Children, Perth, Western Australia, Australia, and School of Occupational Therapy and Social Work, Curtin Un.
Learning Level: Intermediate
Target Audience: Occupational therapists and occupational therapy assistants
Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention