COLHEMI : une expérience de rééducation intensive pour des enfants hémiplégiques associant la thérapie induite par la contrainte, l'entraînement bimanuel et la thérapie orientée par les buts

Being inspired by international experiments, we proposed in France, for hemiplegic children, a model of intensive care implemented in a 2 weeks-rehabilitation camp, which associated constraint-induced therapy and bimanual intensive training, but also included a time of goal-oriented therapy: COLHEMI. This program was estimated at J0, J15 (immediate exit of the program) and at 6 months, with tools assessing global capacities (EMFG, IDE), manual capacities (grip strength by E-link, Box and blocks test, Melbourne test), bimanual performance (AHA, CHEQ) and satisfaction. Six children were included in the first session of COLHEMI (2 boys, 4 girls, average age 7.5 years-min. 6 years and max. 9 years old, 6 right hemiplegias). The preliminary results show variable but real functional profits for each of 6 children, and a favorable evolution of the CHEQ. The children and the parents reported a big satisfaction regarding the quality of the program COLHEMI.