Publications by authors named "A Defesche"
Background: To identify and examine neural reorganization of the sensory network in terms of lesion type, somatotopic organization of the primary somatosensory area, and functional connectivity in relation to sensory function in children and young adults with cerebral palsy (CP).
Methods: systematic review, Prospero registration ID 342570. PubMed; Cochrane; Web of Science; Embase; CINAHL and PEDro from inception to March 13, 2021.
(1) Background: Next to motor impairments, children with unilateral spastic cerebral palsy (CP) often experience sensory impairments. Intensive bimanual training is well known for improving motor abilities, though its effect on sensory impairments is less known. (2) Objective: To investigate whether bimanual intensive functional therapy without using enriched sensory materials improves somatosensory hand function.
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- This study examines the effects of botulinum toxin A (BoNT-A) injections combined with bimanual task-oriented therapy (BITT) on children with unilateral Cerebral Palsy, measuring various hand assessment scores and goal achievement.
- A total of 35 children participated, split into four treatment groups: BoNT-A only, BITT only, both treatments combined, and a control group, with outcomes assessed over 24 weeks.
- Results showed no significant differences in bimanual activities overall, but the BoNT-A group had better hand use in specific tasks, while the BITT group exhibited notable improvements in satisfaction and performance regarding their therapy goals.
Objective: This study reports on the effects of botulinum toxin A (BoNT-A) injections in the upper extremity (UE) of children with unilateral Cerebral Palsy (uCP) combined with bimanual task oriented therapy (BITT) or either treatment modality performed separately on UE range of motion (ROM), spasticity and (functional) strength.
Methods: Thirty-five children, mean age 7.14 years (SD 2.
Background: Assessment of arm-hand use is very important in children with cerebral palsy (CP) who encounter arm-hand problems. To determine validity and reliability of new instruments to assess actual performance, a set of standardized test situations including activities of daily living (ADL) is required. This study gives information with which such a set for upper extremity skill research may be fine-tuned, relative to a specific research question.
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