The Impact of Dosing Schedule on the Efficacy of Hand-Arm Bimanual Intensive Therapy Including the Lower Extremities (HABIT-ILE) in Children With Bilateral Cerebral Palsy.
Neurorehabil Neural RepairApr 30, 2026 (epub)
Susan E Sienko, Cathleen Buckon, Nicole Metelski et al.
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In 30 seconds
This randomized controlled trial evaluated the efficacy of two dosing schedules of Hand-Arm Bimanual Intensive Therapy Including the Lower Extremities (HABIT-ILE) in 21 children aged 5 to 17 years with bilateral cerebral palsy. Both massed and distributed schedules resulted in significant improvements in motor skills, with no clear advantage of one schedule over the other.
Key findings
- Both dosing schedules resulted in significant gains in upper and lower extremity function (P < .05).
- No advantage was found for either the massed or distributed dosing schedule.
- Improvements were noted in balance and trunk control across both groups.
- The distributed model allows for more flexible therapy scheduling for families.
Why it matters
Understanding the effectiveness of different therapy schedules can help clinicians tailor interventions to better fit family needs, potentially enhancing adherence to intensive therapy programs for children with bilateral cerebral palsy.