{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:30:26Z","timestamp":1791181826113,"version":"4.1.0"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To investigate the efficacy of the Hand\u2010Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT\u2010ILE) compared with usual physiotherapy delivered at the same dosage in children with bilateral cerebral palsy (CP) in Benin.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n This randomized controlled trial involved 32 children (19 males, 13 females) with bilateral CP, aged 2 to 4\u2009years, classified in Gross Motor Function Classification System levels III and IV, randomly allocated to HABIT\u2010ILE or a high\u2010dosage physiotherapy group. Interventions were delivered at a 2\u2010week camp. Children were assessed before and after interventions and at the 2\u2010month follow\u2010up using the Gross Motor Function Measure (GMFM), the Both Hands Assessment (BoHA), the Canadian Occupational Performance Measure (COPM), and the Activity Limitations Questionnaire, West African version (ACTIVLIM\u2010CP\u2010WA).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A significant group\u2009\u00d7\u2009testing time interaction indicated a significant improvement in GMFM scores after HABIT\u2010ILE, which was sustained at the follow\u2010up. Children in the usual physiotherapy group improved slightly at the follow\u2010up. No significant changes in BoHA were observed in either group. Both groups improved in COPM scores, with a larger improvement after HABIT\u2010ILE. The ACTIVLIM\u2010CP\u2010WA measures improved over time with no group differences.<\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n HABIT\u2010ILE is more efficacious in improving motor and functional outcomes in children with bilateral CP than usual physiotherapy administered at the same dosage, demonstrating the importance of therapy content.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.70414","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T08:08:08Z","timestamp":1787299688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["HABIT<\/scp>\n \u2010\n ILE<\/scp>\n in young children with bilateral cerebral palsy in Benin: A randomized controlled trial"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4996-6909","authenticated-orcid":false,"given":"Emmanuel Segnon","family":"Sogbossi","sequence":"first","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels Belgium"},{"name":"School of Physical Therapy, Faculty of Health Sciences University of Abomey\u2010Calavi Cotonou Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Ebner\u2010Karestinos","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels Belgium"},{"name":"Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences Universidad Andres Bello Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffroy","family":"Saussez","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels Belgium"},{"name":"Forme & Fonctionnement Humain (FfH) Lab, CeREF\u2010Sant\u00e9, Haute Ecole Louvain en Hainaut Montignies\u2010sur\u2010Sambre Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6798-5145","authenticated-orcid":false,"given":"Julie","family":"Paradis","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels Belgium"},{"name":"Occupational Therapy Department Haute Ecole L\u00e9onard de Vinci, CIR Laboratory Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solange H.","family":"Sotindjo Adon","sequence":"additional","affiliation":[{"name":"Service de Kin\u00e9sith\u00e9rapie et d'Appareillage Orthop\u00e9dique du Centre Hospitalier Universitaire des D\u00e9partements du Borgou et de l'Alibori Parakou Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solange","family":"Dossou","sequence":"additional","affiliation":[{"name":"Centre Medico\u2010social Sainte Elisabeth de la Trinit\u00e9 Calavi Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toussaint G","family":"Kpadonou","sequence":"additional","affiliation":[{"name":"Cliniques Universitaires de M\u00e9decine Physique et R\u00e9adaptation, CNHU\u2010HKM Cotonou Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo","family":"Araneda","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels Belgium"},{"name":"Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences Universidad Andres Bello Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6688-932X","authenticated-orcid":false,"given":"Yannick","family":"Bleyenheuft","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience Universit\u00e9 Catholique de Louvain Brussels 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