Download or read book Rehabilitation Dose and Motor Outcomes for Infants and Children with Cerebral Palsy written by Rachel L. Bican and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral palsy (CP) is the most common motor disability in childhood occurring due to an injury to the developing brain. Risk factors for CP include both medical history of the child and family-level characteristics, including income and location of habitancy. However, predicting severity of CP at birth can be challenging, as it is dependent on the interaction between non-modifiable factors, such as medical and family history, and modifiable factors, such as dose and timing of rehabilitation interventions. Many children with CP demonstrate delays in critical developmental skills, including gross motor, fine motor, cognitive, and language skills. As such, children with CP often receive rehabilitation services, such as physical therapy (PT), occupational therapy (OT), and speech and language pathology (SL/P) throughout childhood. The purposes of these research studies were to describe current, clinical dose of rehabilitation services, evaluate the relationship between gross motor function and non-modifiable and modifiable factors, and examine motor outcomes of children with CP from different county-level habitancies (non-Appalachian and Appalachian counties in Ohio). Aim 1 described the current, clinical dose of rehabilitation services for children with CP. Specifically, we described the frequency, time, and type of rehabilitation delivered through clinical care services for PT, OT, and SL/P. Dose of rehabilitation services were collected via parent report and all participants were recruited a single, large pediatric hospital system. The results of this aim suggest that children with CP receive low doses of therapy and are often seen at the same frequency, regardless of severity of CP. Aim 2 investigated the relationship between gross motor function, as measured by the Gross Motor Function Measure, 88 item test and (1) non-modifiable factors (medical history and family-level characteristics); and (2) modifiable characteristics (dose of rehabilitation services). Our study found that there were no relationships between gross motor function, medical history, family-level characteristics, or dose of rehabilitation services. These results suggest that although medical history and family-level characteristics influence risk of CP, they may not be good predictors of severity of CP in childhood. Although dose of rehabilitation services was not found to be related to gross motor function, most children in the sample did not receive enough hours of rehabilitation to make a change in motor skills1 in the time frame examined. Aim 3 evaluated gross motor and developmental skills between children with CP from non-Appalachian and Appalachian counties. Health outcomes for people living in Appalachia have been found to be lower than non-Appalachian counties in the United States. Surprisingly, we found that children with CP from Appalachia demonstrated significantly better motor outcomes, as measured by the Gross Motor Function Measure, 66 item test, when compared to children from non-Appalachian counties. When we examined motor and developmental outcomes, as measured by the Bayley Scales of Infant and Toddler Development in infants and toddlers, there were no significant differences between children from non-Appalachian and Appalachian counties. There are several conclusions that can be drawn from this research. First, findings from these studies suggest that children with CP receive an overall low dose of clinical rehabilitation services (PT, OT, and SL/P). Based on best available evidence, it would take a minimum of 5 months for a child to meet a single goal and 10 months for a child to demonstrate motor change at the doses of clinical rehabilitation reported. Second, we found no relationship between gross motor outcomes, non-modifiable factors, and modifiable factors. This suggests that non-modifiable and modifiable factors may not be good predictors for severity of CP. Third, we found that current clinical dose of rehabilitation services is not related to gross motor function, which may be due to the low clinical dose of therapies reported by parents. Finally, children from Appalachian counties demonstrated equal to, or higher, motor skills when compared to children from non-Appalachian counties, which may be due to access to care, family income, or other socioeconomic factors not accounted for within our study.

Download or read book Measuring Intervention Fidelity Across Multiple Dimensions in Neurorehabilitation for Infants with Cerebral Palsy written by Kimberley Sue Scott and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral palsy (CP) is the most prevalent cause of motor impairment in children, and unilateral CP (UCP) is the most common subtype. Diagnostic guidelines allow infants as young as 3 months of age to be diagnosed with CP. Dosing of effective interventions to optimize upper extremity (UE) function for infants with UCP is not known and is a research priority. The validity of research investigating intervention efficacy is compromised when intervention fidelity is not measured. Rehabilitation EArly for Congenital Hemiplegia (REACH) is a randomized clinical trial studying comparative efficacy of infant-friendly constraint-induced movement therapy (Baby-CIMT) and bimanual therapy (Baby-BIM) for infants with UCP. The focus of this series of studies is measurement of intervention fidelity across multiple dimension for the REACH trial using the National Institutes of Health Behavior Change Consortium Fidelity Framework. The primary objective is to better understand dose-response relationships for Baby-CIMT and Baby-BIM which would inform future intervention studies. Aim 1 investigated fidelity of delivery for REACH using an intervention-specific checklist and observational methodology. The secondary purpose was to determine factors impacting fidelity of delivery for REACH. Results indicated that fidelity of delivery was high. This may have been a result of clearly defined key intervention components and standardized training of providers for REACH. Results also indicated that some interventions may be more challenging to deliver with high fidelity over time. Aim 2 quantified parent engagement for families participating in REACH using a parent-report measure (Pediatric Rehabilitation Intervention Measure of Engagement – General). Factors that may impact engagement during intervention were also studied. Results indicated that parent engagement was high throughout the REACH intervention period. There were small decreases in scores that may not have had clinical relevance based on Total Scores over time. Parents may have found the intervention appropriate for their child’s needs (UCP-specific) and had positive outcome expectancies. Lower item scores may have related to perceived challenges of implementing an intervention. Aim 3 described parent-reported enactment for REACH; explored methodologies to quantify parent enactment as a means of approximating dose for REACH interventions; and identified facilitators and barriers to parent enactment of a home-based, parent-delivered intervention for infants with UCP. Parent-reported enactment using diaries may be difficult to interpret and may present challenges for parents to complete. Observational methods, such as time sampling or checklists, using video-recorded home intervention between parents and their infants may be options for measuring enactment in future studies. Facilitators and barriers within the family system and the health care team may inform the design of future intervention trials for infants and their families. Findings from this series of studies suggest that objective measures of multiple dimensions of intervention fidelity may be used to enhance reporting of fidelity, better understand the dose of key intervention components performed by participants, and allow for fidelity-based analysis of intervention outcomes. These studies may inform future research focused on optimal dosing of neurorehabilitation for infants with UCP.

Download or read book Erhardt Developmental Prehension Assessment written by Rhoda Priest Erhardt and published by . This book was released on 1994-01-01 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Infant Motor Profile written by Mijna Hadders-Algra and published by Taylor & Francis. This book was released on 2021-03-03 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Infant Motor Profile is a practical manual on a new, evidence-based method to assess infant motor behaviour. Not only looking at what milestones the infant has reached, but also paying attention to the quality of motor behaviour – how the infant moves – this text provides professionals involved in the care of infants at risk of developmental disorders with information on five domains of motor behaviour: variation, adaptability, symmetry, fluency, and performance. Backed up by extensive, up-to-date research, it includes percentile curves so that professionals can easily interpret the infants’ scores. The profile created from the assessment informs about the infant’s current condition and their risk of developmental disorders, as well as providing suggestions for early intervention, tailored to the strengths and limitations of the infant. Used over time, it can be an excellent instrument to monitor the infant’s developmental progress. Illustrated with numerous figures and accompanied by a website hosting over 100 video clips, this text is an essential read for professionals in developmental paediatrics, including paediatric physiotherapists, occupational therapists, developmental paediatricians, neuropaediatricians, and paediatric physiatrists.

Download or read book Gross Motor Function Measure GMFM 66 GMFM 88 User s Manual written by Dianne J. Russell and published by Mac Keith Press. This book was released on 2021-07-19 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of the Gross Motor Function Measure (GMFM-66 & GMFM-88) User’s Manual has retained the information contained in the original 2002 and 2013 publications which included the conceptual background to the development of the GMFM, and the administration and scoring guidelines for people to be able to administer this clinical and research assessment tool appropriately. This includes information on the development and validation of two abbreviated methods of estimating GMFM-66 scores using the GMFM-66- Item sets (GMFM-66- IS) and the GMFM-66- B&C (Basal & Ceiling) and a chapter providing a longitudinal case illustration of how the measure and the short forms of the GMFM can be applied and interpreted in clinical practice. The new edition includes information and an Appendix on the updated version of the Gross Motor Ability Estimator scoring program (GMAE-3), which is available through the GMFM App+ (see the CanChild website at (https://www.canchild.ca/en/shop/38-the-gross-motor-function-measure-app).

Download or read book Movement Sciences written by Robert J Palisano and published by Routledge. This book was released on 2012-12-06 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discover new perspectives and recent research findings to apply to the children and families on your caseload With Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice, you will explore the motor control, learning, and development of children with movement disorders, allowing you to increase the effectiveness of intervention. This book provides cutting-edge information on motor disabilities in children—such as cerebral palsy, Down syndrome, or Erb's palsy—and how prehension, balance, and mobility are affected. Expert researchers and practitioners offer their findings and techniques for improving motor processes, using figures, tables, and extensive resources to help you create more effective pediatric rehabilitation programs. With this book, you will gain a better understanding of: motor control for posture and prehension the motor learning challenges of children with movement dysfunction predictors of standing balance in children with cerebral palsy the effect of environment setting on mobility methods of children with cerebral palsy the reliability of a clinical measure of muscle extensibility in preterm and full-term newborn infants Movement Sciences: Transfer of Knowledge into Pediatric Therapy Practice will help physical therapists, occupational therapists, and other health care professionals implement motor learning concepts safely and effectively. This book also delivers practical advice for achieving the best results with a younger population by utilizing interventions that address the needs of their clients. With this guide, you will be able to determine which approaches are acceptable to the children and families in your practice, and ensure the therapy is meaningful to their daily lives.

Download or read book An Ecological Approach to Perceptual Learning and Development written by Eleanor J. Gibson and published by Oxford University Press. This book was released on 2003-05-15 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: The essential nature of learning is primarily thought of as a verbal process or function, but this notion conveys that pre-linguistic infants do not learn. Far from being "blank slates" that passively absorb environmental stimuli, infants are active learners who perceptually engage their environments and extract information from them before language is available. The ecological approach to perceiving-defined as "a theory about perceiving by active creatures who look and listen and move around"-was spearheaded by Eleanor and James Gibson in the 1950s and culminated in James Gibson's last book in 1979. Until now, no comprehensive theoretical statement of ecological development has been published since Eleanor Gibson's Principles of Perceptual Learning and Development (1969). In An Ecological Approach to Perceptual Learning and Development, distinguished experimental psychologists Eleanor J. Gibson and Anne D. Pick provide a unique theoretical framework for the ecological approach to understanding perceptual learning and development. Perception, in accordance with James Gibson's views, entails a reciprocal relationship between a person and his or her environment: The environment provides resources and opportunities for the person, and the person gets information from and acts on the environment. The concept of affordance is central to this idea; the person acts on what the environment affords, as it is appropriate. This extraordinary volume covers the development of perception in detail from birth through toddlerhood, beginning with the development of communication, going on to perceiving and acting on objects, and then to locomotion. It is more than a presentation of facts about perception as it develops. It outlines the ecological approach and shows how it underlies "higher" cognitive processes, such as concept formation, as well as discovery of the basic affordances of the environment. This impressive work should serve as the capstone for Eleanor J. Gibson's distinguished career as a developmental and experimental psychologist.

Download or read book Cerebral Palsy written by Psiche Giannoni and published by Springer Nature. This book was released on 2022-02-27 with total page 520 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book helps rehabilitators and caregivers understand the multifaceted needs of children with cerebral palsy or other neuromotor impairments in order to plan and implement an effective treatment regimen. Drawing on the authors’ extensive experience spanning several decades, it addresses the sensitive challenge of rehabilitation, which cannot and must not be confined by the rigid schemes of established schools. In particular, the book provides numerous practical suggestions, intended to guide the reader through correct clinical reasoning, setting goals and subsequent treatment. Furthermore, it includes chapters on evaluating and treating the upper limbs, feeding and communication problems, as well as on the care of soft tissues and the management of the visual difficulties in these children. The book is a valuable resource for physiotherapists, occupational therapists, speech therapists and other caregivers.

Download or read book Cerebral Palsy in Infancy written by Roberta B. Shepherd and published by Elsevier Health Sciences. This book was released on 2013-09-20 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral Palsy in Infancy is a thought-provoking book which introduces a new way of thinking on the development and use of interventions. Relevant to current practice, it advocates early, targeted activity that is focused on increasing muscle activation, training basic actions and minimizing (or preventing) mal-adaptive changes to muscle morphology and function. The authors present recent scientific findings in brain science, movement sciences (developmental biomechanics, motor control mechanisms, motor learning, exercise science) and muscle biology. This knowledge provides the rationale for active intervention, underpinning the need for an early referral to appropriate services. The book features methods for promoting relatively intensive physical activity in young infants without placing a burden on parents which include assistive technologies such as robotics, electronic bilateral limb trainers and baby treadmills. Cerebral Palsy in Infancy begins by specifying the guidelines for training and exercise, outlining the rationale for such intervention. It goes on to cover the fundamentals of neuromotor plasticity and the development and negative effects of limited motor activity on brain organization and corticospinal tract development. Neuromuscular adaptations to impairments and inactivity are discussed along with the General Movement assessment that can provide early diagnosis and prognosis, facilitating very early referral from paediatric specialists to training programs. The book ends with a section featuring various methods of training with the emphasis on preventing/minimizing muscle contracture, stimulating biomechanically critical muscle activity and joint movement. An ideal clinical reference for those working to improve the lives of infants suffering from cerebral palsy. CONTRIBUTORS: Adel Abdullah Alhusaini (Saudi Arabia); David I. Anderson (USA); Nicolas Bayle (France); Roslyn Boyd (Australia); Giovanni Cioni (Italy); Diane L. Damiano (USA); Janet Eyre (UK); Linda Fetters (USA); Mary Galea (Australia); Andrew M Gordon (USA); Martin Gough (UK); Richard L Lieber (USA); Jens Bo Nielsen (Denmark); Micah Perez (Australia); Caroline Teulier (France). "This book provides a comprehensive overview of the challenges of motor development and the consequent impact of poor motor function in later childhood for infants with cerebral palsy (CP)."Reviewed by: Oxford Brookes University on behalf of the British Journal of Occupational Therapy, Dec 2014 conceived and edited by Roberta Shepherd with contributions from internationally renowned expert clinicians and researchers discusses new research and new evidence-based treatment interventions shows how to organize very early and intensive physical activity in young infants to stimulate motor development and growth therapies include the specificity of training and exercise, with emphasis on promoting muscle activity and preventing contracture by active instead of passive stretching methods include new interactive technologies in enhancing home-based training sessions carried out by the infant's family extensive referencing in each chapter for further study chapters feature "Annotations" which illustrate scientific findings

Download or read book Cerebral Palsy written by Freeman Miller and published by Springer. This book was released on 2020-11-05 with total page 3145 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Miller’s valuable resource helps members of the medical team navigate the complexity of cerebral palsy care by explaining unfamiliar treatments that fall outside of their own disciplines. Readers also benefit from a review of current practices in their own fields. Includes recommended treatment algorithms and is designed to help improve decision making. Written in a very conversational style and illustrated with lots of color the volume provides rehabilitational (part 1) and surgical aspects (part 2). Accomplished by a CD-ROM which provides lots of case studies - including walking analysis. The most comprehensive title on this topic written by a leading expert.

Download or read book Cerebral Palsy written by Mintaze Kerem Gunel and published by BoD – Books on Demand. This book was released on 2016-09-21 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nowadays, cerebral palsy (CP) rehabilitation, along with medical and surgical interventions in children with CP, leads to better motor and postural control and can ensure ambulation and functional independence. In achieving these improvements, many modern practices may be used, such as comprehensive multidisciplinary assessment, clinical decision making, multilevel surgery, botulinum toxin applications, robotic ambulation applications, treadmill, and other walking aids to increase the quality and endurance of walking. Trainings are based on neurodevelopmental therapy, muscle training and strength applications, adaptive equipment and orthotics, communication, technological solves, and many others beyond the scope of this book. In the years of clinical and academic experiences, children with cerebral palsy have shown us that the world needs a book to give clinical knowledge to health professionals regarding these important issue. This book is an attempt to fulfill and to give ''current steps'' about CP. The book is intended for use by physicians, therapists, and allied health professionals who treat/rehabilitate children with CP. We focus on the recent concepts in the treatment of body and structure problems and describe the associated disability, providing suggestions for further reading. All authors presented the most frequently used and accepted treatment methods with scientifically proven efficacy and included references at the end of each chapter.

Download or read book Rehabilitation in Movement Disorders written by Robert Iansek and published by Cambridge University Press. This book was released on 2013-05-23 with total page 263 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides a broad overview of current rehabilitation approaches, emphasizing the need for interdisciplinary management and focussing on deliverable outcomes.

Download or read book Cerebral Palsy An Issue of Physical Medicine and Rehabilitation Clinics of North America E Book written by Aloysia Schwabe and published by Elsevier Health Sciences. This book was released on 2019-12-03 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Physical Medicine and Rehabilitation Clinics, guest edited by Dr. Aloysia L. Schwabe, will cover a number of important topics related to Cerebral Palsy. This issue is one of four each year selected by our series Consulting Editor, Dr. Santos Martinez. Articles in this issue include but are not limited to: Comprehensive Care in CP, The Expanding Role of Genetics in CP, Musculoskeletal Imaging in CP, Updates in Medical Management of Hypertonia, Biomechanics and Lower Limb Bracing, Surgical tone Reduction In CP, Motion Analysis in Pre-operative Surgical Planning, Technological Advances in CP Rehabilitation, Adaptive Sports and Recreation, Transition, Adult Orthopedic Issues in CP, and CPRN.

Download or read book Peabody Developmental Motor Scales written by M. Rhonda Folio and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Innovative Game Aided Rehabilitation Platform for Rehabilitation of Balance in Children with Cerebral Palsy written by Kavisha Mehta and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Cerebral Palsy (CP) is one of the leading causes of disability globally. Children with CP often develop imbalance and gait abnormality resulting in mobility limitations. Early intervention with intensive, repetitive, task-oriented practice is the key to functional independence. However, often these intensive programs lack motivation and engagement that results in low adherence and discontinuation of physiotherapy. To address this gap, an innovative, computerized game-aided rehabilitation (CGR) platform is designed for dual-task balance training. This platform provides an integrated approach to assess and treat the balance and executive cognitive functions in young children with CP. Methodology: For the known-group validity, 50 participants (25 TD and 25 CP affected children) were recruited. Comparisons were made between the two groups for DTI and task performances to evaluate the group differences. For the pilot intervention study, 16 children with CP were recruited who were randomized into two groups viz. Conventional balance training group (CBG) and Experimental group (XG). Both group received their respective therapy thrice a week for 12 weeks. The primary outcome measures were (Peabody Developmental Motor Scale-2, Gross Motor Function Classification-88, and Pediatric Balance Scale) and CGR assessment measures [COP Analysis, Visuo-Motor (VM) tracking, and Cognitive Game (CG)]. Semi-structured interview were conducted for XG participant's parents to explore their views regarding the use of CGR. Results: The TD group was engaged in DT whereas the CP group was struggling with balance control. For the intervention study, participants in the XG demonstrated greater improvements in all clinical and CGR outcome measures whereas the CBG demonstrated a decline in VM tracking a CG performance post-intervention. The XG parents conveyed their children's problems, their expectations, their challenges, and the positive effects of CGR balance training. Conclusion: The CGR assessment was able to differentiate between the TD and CP children's DT functional performance. The CGR balance training was found to be feasible and engaging for balance training in children with CP. The substantial improvement of balance and gross motor functions in the XG more than the CBG illustrates the effectiveness of the CGR balance training and provides baseline evidence for commencing a full-scale RCT.

Download or read book Pediatric Rehabilitation written by Gabriella E. Molnar and published by . This book was released on 1992 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Physical Therapy for Children E Book written by Robert J. Palisano and published by Elsevier Health Sciences. This book was released on 2014-04-25 with total page 1105 pages. Available in PDF, EPUB and Kindle. Book excerpt: Used as both a core textbook in PT programs and as a clinical reference, Physical Therapy for Children, 4th Edition, provides the essential information needed by PTs, both student and professional, when working with children. Like the previous bestselling editions, the 4th edition follows the practice pattern categories of the Guide to Physical Therapist Practice and uses the IFC model of the disabling process as it presents up-to-date evidence-based coverage of treatment. In this latest edition, Suzann Campbell DeLapp, Robert J. Palisano, and Margo N. Orlin have added more case studies and video clips, additional chapters and Medline-linked references online, and Evidence to Practice boxes to make it easy to find and remember important information. Provides comprehensive foundational knowledge in decision making, screening, development, motor control, and motor learning, the impairments of body function and structure, and the PT management of pediatric disorders. Reflects a family-centered care model throughout to help you understand how to involve children and their caregivers in developing and implementing intervention plans. Emphasizes an evidence-based approach that incorporates the latest research for the best outcomes. Follows the practice pattern guidelines of the Guide to Physical Therapist Practice, 2nd Edition which sets the standard for physical therapy practice. Features the International Classification of Function, Disability, and Health (ICF) of the World Health Organization (WHO) as the model for the disabling process, emphasizing activity rather than functional limitations and participation rather than disability in keeping with the book’s focus on prevention of disability. Provides extensive case studies that show the practical application of material covered in the text and are often accompanied by online video clips illustrating the condition and its management. Makes it easy to access key information with plenty of tables and boxes that organize and summarize important points. Clearly demonstrates important concepts and clinical conditions you’ll encounter in practice with over 800 illustrations. Takes learning to a deeper level with additional resources on the Evolve website featuring: Over 40 video clips that correspond to case studies and demonstrate conditions found in each chapter Helpful resources, including web links Questions and exercises you’ll find helpful when preparing for the pediatric specialist certification exam