Hand-Arm Bimanual Intensive Training Including Lower Extremities (HABIT-ILE)

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Description[edit | edit source]


Hand-Arm Bimanual Intensive Therapy including Lower Extremities (HABIT-ILE) is a therapy approach for children with cerebral palsy, particularly those with spastic hemiplegia.[1] The principles of motor learning and neuroplasticity from Constraint-Induced Movement Therapy (CIMT) is applied into HABIT-ILE[2], which is achieved by encouraging problem-solving and repetitive practice[1]. Unlike CIMT, HABIT-ILE emphasises improving the use of upper limbs, as well as global postural control and cross-limb coordination[2],through intensive practice of activities that involve combined use of both upper and lower limbs bilaterally[1],

Indication[edit | edit source]

add text here relating to the indication for the intervention

Clinical Application[edit | edit source]

Clinical Presentation[edit | edit source]

ICF

MACS

GMFCS

Outcome measures[edit | edit source]

Several studies have employed a range of outcome measures to evaluate the effectiveness of HABIT-ILE in assessing improvements in gross and fine motor function, as well as levels of participation and quality of life. Some examples are listed below.

  • Assisting Hand Assessment (AHA)
  • 6-Minute Walk Test (6MWT)
  • Pediatric Evaluation of Disability Inventory (PEDI)
  • Box and Block test
  • Finger strength test
  • Step length & weight distribution
  • ABILHAND-Kids questionnaire
  • ABILOCO-Kids questionnaire
  • Assessment of Life Habits (Life-H) questionnaire
  • ACTIVLIM-CP questionnaire
  • Canadian Occupational Performance Measure

Procedure[edit | edit source]

Resources[edit | edit source]

[3]

References[edit | edit source]

  1. ↑ 1.0 1.1 1.2 Bleyenheuft Y, Gordon AM. Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) for Children with Cerebral Palsy. Physical & Occupational Therapy in Pediatrics [Internet]. 2014 Oct 1;34(4):390–403. Available from: https://doi.org/10.3109/01942638.2014.932884
  2. ↑ 2.0 2.1 Bleyenheuft Y, Arnould C, De Brito Brandão M, Bleyenheuft C, Gordon AM. Hand and arm bimanual intensive therapy including lower extremity (HABIT-ILE) in children with unilateral spastic cerebral palsy. Neurorehabilitation and Neural Repair [Internet]. 2014 Dec 19;29(7):645–57. Available from: https://doi.org/10.1177/1545968314562109
  3. ↑ Cerebral Palsy Alliance. What is HABIT-ILE Intensive Therapy? [Internet]. YouTube. 2023 [cited 2024 Feb 1]. Available from: https://www.youtube.com/watch?v=1lCyLT_d-FU
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