Texas Scottish Rite Hospital for Children
The goal of this clinical trial is to learn about the implementation of Therapy Together, a pediatric constraint-induced movement therapy program in young children with unilateral cerebral palsy. The main question\[s\] it aims to answer are: * Is the Therapy Together program effective in improving hand function and occupational performance compared to usual care? * Is it feasible to implement the Therapy Together program within the standard care, early intervention framework? Participants will participate in an 8-week pediatric constraint-induced movement therapy program. Researchers will compare the group completing the Therapy Together Program to a group that is receiving usual care to see if there is a difference in the change in hand function, occupational performance, and development.
A randomized waitlist control trial with early intervention therapists, infants/toddlers (ages 3 mo - 5 yrs 11 mo) with unilateral cerebral palsy (or at risk for developing cerebral palsy) and caregivers comparing Therapy Together to usual care followed by semi-structured interviews with caregivers and therapists will be utilized to examine the implementation and effectiveness of Therapy Together within early intervention. Therapy Together Program: The Therapy Together program includes caregiver education and coaching on implementing therapeutic activities that are play-based, age-appropriat…
Inclusion Criteria: * at risk for developing cerebral palsy or have been diagnosed with cerebral palsy * children ages 3 months to 5 years 11 months * present with asymmetric hand use * present with a unilateral upper limb impairment * able to visually attend to objects * demonstrate an interest in objects * attempt to reach for or grasp objects with the impaired upper extremity Exclusion Criteria: * uncontrolled epilepsy * significant visual impairment * severe behavioral problems * inability to complete the assessment protocol.
8-week caregiver-led pediatric constraint-induced movement therapy program
8 weeks of usual care received in an early intervention therapy program
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