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Feasibility Trial of Thumb Taping by Parents in Infants with Cerebral Palsy: Brief Report.
Developmental Neurorehabilitation 2019 January 23
AIM: To determine the feasibility and acceptability of parent-delivered elastic taping to the thumb and wrist in infants with cerebral palsy (CP).
DESIGN: Randomized cross-over feasibility trial.
PARTICIPANTS: 20 infants (11 male; mean age 22 months) with CP.
INTERVENTION: Groups A and B received taping for 4 and 2 weeks, respectively.
OUTCOMES: Primary: Recruitment and retention rates; adherence to protocol; Parent Satisfaction Questionnaire. Secondary: House Thumb score; Zancolli classification; Assisting Hand Assessment (AHA)/mini AHA. Exploratory: Duration of hand regard, thumb in palm, and open hand contact with toys during AHA/mini AHA.
RESULTS: Recruitment was feasible (95.2% uptake). Completion rates were 80% and 60% in Groups A and B. Questionnaire feedback was generally positive. Some parents reported increased awareness of the taped hand. Objective improvements were rare though one participant showed consistent improvement in thumb position.
CONCLUSION: Taping proved feasible and acceptable; individual case benefit suggests further research is required.
TRIAL REGISTRATION: ISRCTN41918400.
DESIGN: Randomized cross-over feasibility trial.
PARTICIPANTS: 20 infants (11 male; mean age 22 months) with CP.
INTERVENTION: Groups A and B received taping for 4 and 2 weeks, respectively.
OUTCOMES: Primary: Recruitment and retention rates; adherence to protocol; Parent Satisfaction Questionnaire. Secondary: House Thumb score; Zancolli classification; Assisting Hand Assessment (AHA)/mini AHA. Exploratory: Duration of hand regard, thumb in palm, and open hand contact with toys during AHA/mini AHA.
RESULTS: Recruitment was feasible (95.2% uptake). Completion rates were 80% and 60% in Groups A and B. Questionnaire feedback was generally positive. Some parents reported increased awareness of the taped hand. Objective improvements were rare though one participant showed consistent improvement in thumb position.
CONCLUSION: Taping proved feasible and acceptable; individual case benefit suggests further research is required.
TRIAL REGISTRATION: ISRCTN41918400.
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