Developmental neurorehabilitation最新文献

This study aimed to investigate the effect of Sensory Integration Therapy (SIT) in children with cerebral palsy (CP). Twenty children with CP were randomly assigned to intervention and control groups. Quality of Upper Extremity Skills Test (QUEST), Trunk Control Measurement Scale (TCMS), and Pediatric Balance Scale (PBS) were used in pre-and post-treatment. There was a statistically significant increase in the dissociated movements sub-scale of the QUEST, dynamic reaching sub-scale of the TCMS, and PBS scores in the intervention group. There was a statistically significant increase in both dissociated movements and grasps sub-scale of the QUEST and PBS scores in the control group. In conclusion, SIT applications can be integrated into rehabilitation programs to improve dissociated upper extremity movements, dynamic trunk control, and balance control in children with CP.

Aim: To assess the evolution of postural control in individuals with Duchenne Muscular Dystrophy (DMD) over a 12-month period and to assess postural control under different sensory conditions, identifying the demands on the sensory systems.

Methods: Longitudinal study with individuals with DMD, Vignos stages 1 to 6. Postural control was assessed using Wii Balance Board with modified Sensory Organization Test (MSOT). Center of Pressure (COP) displacement velocity and displacement area were analyzed.

Results and conclusion: Postural control of 16 individuals worsened over 12 months. Significant decline was already evident at 6 months. There was a worsening of performance as the sensory conditions of MSOT progressed.

Interventions for improving motor function of children with congenital Zika syndrome (CZS) are still underexplored. This study aimed to evaluate the feasibility of a structured and specialized 12-week intervention based on the Bobath concept and Pediasuit protocol compared to no change in therapeutic routine on the motor function of children with CZS. This pilot randomized controlled trial was conducted in a support center for children with microcephaly in Brazil between February and May 2018. Sixteen children were included. Anthropometric variables and motor functions (GMFM-88) were assessed. The experimental group (EG) underwent a one-hour daily protocol (30 min of motor physiotherapy based on Bobath concept and 30 min using therapeutic clothing). The control group kept their therapeutic routine. GMFM-88 total scores showed statistically significant improvement between assessments only for EG (p < .001). A structured and specialized 12-week physical therapy protocol is feasible and may improve children with CZS motor function.

This study aimed to examine the effectiveness of ride-on car (ROC) training in a standing posture on mobility and socialization among toddlers with motor delays. Twenty-four participants were grouped into ROC training with mild delays (n = 9), ROC training with moderate delays (n = 7), conventional therapy with mild delays (n = 5), and conventional therapy with moderate delays (n = 3). Each group received two-hour sessions twice weekly for 12 weeks, followed by a 12-week no-training follow-up period. ROC training included driving and manual exploring, while conventional therapy emphasized developmental skills. All groups significantly improved in mobility, socialization, and goal achievement at posttest and follow-up. Toddlers with mild delays tend to have greater mobility gains through ROC training, while those with moderate delays tend to benefit more through conventional therapy. Future studies should explore the impact of training dosage, caregiver engagement, and motor impairment severity on outcomes with larger sample sizes.

Objective: To investigate the relationships among four hand function assessments in children with cerebral palsy (CP), capturing capacity, activity and participation levels under the International Classification of Function, Disability and Health.

Methods: Twenty-four children with CP aged 2-6 years were recruited. Fine motor ability was evaluated using the Fine Motor Scale of the Peabody Developmental Motor Scales-Second Edition (PDMS-2-FM). Hand-skill performance was evaluated using the Assessment of Children's Hand Skills (ACHS). The parents completed two questionnaires capturing perceived hand-skill performance and hand-use participation. Spearman's ρ correlation coefficients were performed.

Results: The PDMS-2-FM grasping and visual-motor integration scores moderately correlated with the hand-skill performance scores. Its grasping scores had a small correlation with the parent-perceived performance scores in play. The PDMS-2-FM visual-motor integration and overall fine motor scores exhibited small-to-moderate correlations with the recreational participation scores. The self-care and educational participation scores had moderate correlations with the hand-skill performance scores. The parent-perceived performance scores in activity of daily living correlated moderately with the self-care, recreational, and domestic life and community participation scores.

Conclusions: Moderate and varied correlations among the four assessments indicate the representation of different aspects of hand functions at the activity and participation levels, suggesting a need for combination use.

Background: Outpatient university-based clinics serving families of children with challenging behavior often rely on time-intensive functional analyses to inform treatment. The Interview-Informed Synthesized Contingency Analysis (IISCA) has been proposed as a more efficient, yet effective, alternative.

Objective: This study aimed to evaluate the potential impact of implementing a single-session IISCA on service efficiency within a university-based outpatient clinic.

Method: A retrospective program evaluation was conducted to examine the theoretical time savings associated with using a single-session IISCA approach in place of traditional multi-session assessments.

Results: Findings suggested that meaningful amounts of time could theoretically be saved by utilizing a single-session IISCA. These potential efficiencies may support more rapid decision-making and service delivery.

Conclusion: While preliminary results are promising, additional research is needed to evaluate the real-time impact of integrating single-session IISCA into clinical practice, particularly regarding data-informed decision-making and overall service outcomes.

The objective was to compare handgrip pressure, fatigability, and muscle activation between typically developing children and those with spina bifida (SB). Sixty-eight typically developing children and 20 children with SB, aged 8 to 14 years old, performed a maximal handgrip test (three 5-sec repetitions, 20-sec intervals) and a handgrip fatigue test (with repetitions until reaching the maximum perceived effort score), using a bulb dynamometer. Simultaneously, surface electromyography of the finger flexor and extensor muscles was recorded. The values from both tests were compared within and between groups using multiple linear regression models. Children with SB presented lower handgrip pressure and similar fatigability compared to typically developing children, without differences between groups for muscle activation, time-to-fatigue and perceived effort. Children with SB were weaker, but they did not show increased fatigability during repeated handgrip contractions compared to controls. There is a mechanism that preserves handgrip force during fatigue testing in SB.

Aim: Children with cerebral palsy (CP) are at risk of cognitive impairments. Cognitive assessments identify support needs. However, not all children with CP are assessed. This study investigates if there are systematic differences between children with CP cognitively assessed and not assessed.

Method: Children registered in the Norwegian Quality and Surveillance Registry for Cerebral Palsy born 2002-2014 were included.

Results: Of the 1532 children included, 972 (63.4%) had a cognitive assessment. Children with Motor Ability Classification System levels IVV and/or Viking Speech Scale level IV were less likely to be assessed.

Discussion: It is disconcerting that children with CP and the most severe impairments are less likely to be offered assessments, given their needs for individually tailored interventions.

Purpose: Emotional and activity difficulties may affect adolescents' daily lives with cerebral palsy (CP). Therefore, it is important to evaluate factors associated with emotion regulation in adolescents with CP. This study aims to determine how adolescents with CP use emotion regulation strategies during their interactions and to examine the relationship between emotion regulation, activity performance, and quality of life.

Methods: The data was obtained using the Regulation of Emotions Questionnaire (REQ), The Pediatric Quality of Life Inventory (PedsQL), and the Canadian Occupational Performance Measure (COPM). The relationship between the scale scores was tested using the Spearman correlation coefficient.

Results: A significant relationship was found between internal functional emotion regulation and activity performance (p < .05), as well as between emotion regulation and quality of life (p < .05).

Conclusions: These results indicated that adolescents' activity performance and quality of life with CP were associated with emotion regulation skills. It is very beneficial for occupational therapists to consider emotion regulation skills to improve activity performance and adolescents' quality of life with CP.

Objective: The primary aim of this study was to evaluate the effect of robot-assisted gait training (RAGT) in addition to conventional therapy (ConT) on gross motor function in children with cerebral palsy (CP) compared to ConT alone.

Methods: A total of 57 children (5-18 years) were randomly assigned to one of two groups, and then evaluated four times: before and immediately after treatment, then at 6 and 12 weeks using the Gross Motor Function Measure-88 (GMFM-88).

Results: Only the ConT+RAGT group showed improvement in GMFM-D and total score and GAS between T1-T2 and T1-T4, whereas both groups showed improvement in GMFM-E at all time points.

Conclusions: It was concluded that RAGT in addition to ConT improves gross motor function in CP.