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The Effects of Internet-Based Home Training on Upper Limb Function in Adults With Cerebral Palsy

By Brown, Susan H.; Lewis, Colleen A.; McCarthy, Joseph M.; Doyle, Stephen T.; Hurvitz, Edward A.; Neurorehabilitation and Neural Repair, Vol. 24, No. 6, pp. 575-583
Publication Date: July 2010

Study assessed the effects of a home and Internet based upper limb intervention program targeting motor and sensory function in adults with hemiplegic cerebral palsy (CP). Participants were 4 male and 8 female adults aged 21 to 57 years, GMFCS (Gross Motor Function Classification System for Cerebral Palsy) Levels I to III with asymmetric upper limb involvement taking part in the Upper Limb Training and Assessment (ULTRrA) program. Clinical and functional measures included the Motor Activity Log (MAL), the Nine-Hole Peg test, and grip strength. An upper limb training system consisting of a laptop, webcam, target light board, and hand manipulation and discrimination devices was installed in each participant’s home. Training occurred 40 minutes a day, 5 days a week for 8 weeks and included both unilateral and bilateral reach movements as well as a series of hand sensorimotor tasks such as card turning, tactile object identification, and tactile discrimination. Data generated during each session were transmitted to the laboratory via the Internet. Main outcome measures were movement time, interlimb delay time, and performance on hand sensorimotor tasks. Following training, affected limb reach movement time decreased significantly for unilateral and bilateral tasks. Interlimb delay during sequential reaching also decreased. Significant improvement in hand manipulation tasks was also seen. Compliance was excellent and there were no adverse effects. Study limitations and implication for future research are discussed.
Published by: Sage Publications   (Website:http://www.sagepub.com)

American Society of Neurorehabilitation    (Web Site: http://www.asnr.com )
Link to text: http://dx.doi.org/10.1177/1545968310361956
This publication is included in the library of the National Rehabilitation Information Center (NARIC), accession number J59022
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