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Developmental Neurorehabilitation

Katie S Williams, David K Young, G A Amos Burke, Daniel M Fountain
INTRODUCTION: We sought to compare the suitability of the Functional Independence Measure for Children (WeeFIM) and the Pediatric Evaluation of Disability Inventory (PEDI) as outcome measures in rehabilitation of children with acquired brain injury (ABI). METHODS: We performed a systematic review of the evidence base using five databases. PRISMA guidelines were adhered to and the review was registered with the PROSPERO international prospective register of systematic reviews (registration number CRD42015025370)...
March 9, 2017: Developmental Neurorehabilitation
Pieter Meyns, Tine Roman de Mettelinge, Judith van der Spank, Marieke Coussens, Hilde Van Waelvelde
OBJECTIVE: Motivation is suggested as an important factor in pediatric motor rehabilitation. Therefore, we reviewed the existing evidence of (motivational) motor rehabilitation paradigms, and how motivation influences rehabilitation outcome using self-determination theory as conceptual framework. METHODS: PubMed and Web-of-Science databases were systematically searched until June 2015. Data were independently extracted and critiqued for quality by three authors...
March 9, 2017: Developmental Neurorehabilitation
Lauren A Kryzak, Emily A Jones
The present study taught typically developing (TD) siblings of children with autism spectrum disorders (ASD) social-communicative and self-management skills. The authors' hypothesized that the acquisition of self-management skills would support generalization of targeted social-communicative responses. A multiple baseline probe design across sibling dyads was used to decrease exposure to unnecessary sessions in the absence of intervention. Four TD siblings were taught self-management of a social skills curriculum using behavioral skills training, which consisted of instructions, modeling, practice, and subsequent feedback...
March 9, 2017: Developmental Neurorehabilitation
Anastasia Kyvelidou, Regina T Harbourne, Joshua Haworth, Kendra K Schmid, Nick Stergiou
PURPOSE: Determine sitting postural control changes for children with cerebral palsy (CP), using a perceptual-motor intervention and the same intervention plus stochastic vibration through the sitting surface. METHODS: Two groups of children with moderate or severe CP participated in the 12 week interventions. The primary outcome measure was center of pressure data from which linear and nonlinear variables were extracted and the gross motor function measure (GMFM)...
March 9, 2017: Developmental Neurorehabilitation
Amy C McPherson, Laura McAdam, Sarah Keenan, Heidi Schwellnus, Elaine Biddiss, Andrea DeFinney, Kirsten English
PURPOSE: To evaluate the feasibility and acceptability of a coaching intervention (Solution-Focused Coaching in pediatric rehabilitation [SFC-Peds]) related to physical activity and diet in males with Duchenne muscular dystrophy. METHODS: A pre-post design was employed. Participants had five coaching sessions over 8 weeks. The first session was face-to-face, followed by four virtual sessions. Feasibility criteria included recruitment rates, attrition, and intervention fidelity...
March 8, 2017: Developmental Neurorehabilitation
Michelle Bickell, Courtney Barton, Kim Dow, Sandra Fucile
PURPOSE: To describe the clinical properties and psychometric soundness of infant oral motor feeding assessments available for practice. METHODS: A systematic review was conducted using six databases (PubMed, Ovid [Medline], CINHAL, EMBASE, psycINFO, and COCHRANE) to retrieve articles. Assessments were analyzed for their clinical characteristics and psychometric robustness. RESULTS: Ten assessment tools were identified to meet the inclusion/exclusion criteria...
March 8, 2017: Developmental Neurorehabilitation
Jans S van Ool, Petra P M Hurks, Francesca M Snoeijen-Schouwenaars, In Y Tan, Helenius J Schelhaas, Sylvia Klinkenberg, Albert P Aldenkamp, Jos G M Hendriksen
The assessment of intellectual abilities is intensive, time-consuming, and might be considered burdensome for patients. We examined psychometric qualities of short forms (SFs) of the Wechsler Intelligence Scales for Children (WISC-third edition) and for adults (WAIS-fourth edition), in children (n = 986; Mage = 10.9) and adults (n = 324; Mage = 40.9) with neurological disorders. SF estimates were compared with Full Scale IQ (FSIQ), obtained by a complete administration, for the entire sample and for the subgroups FSIQ < 80 and FSIQ ≥ 80...
February 2, 2017: Developmental Neurorehabilitation
Brooke R Ingersoll, Allison L Wainer, Natalie I Berger, Katherine M Walton
Project ImPACT is a Naturalistic Developmental Behavioral Intervention (NDBI) for young children with ASD. Preliminary research supports its feasibility and efficacy as a parent-mediated intervention; however, its efficacy as a low-intensity, therapist-implemented intervention is unclear. A single-case, multiple-baseline design evaluated the effect of 2 h per week of therapist-implemented Project ImPACT on social engagement, language, and play in nine children with ASD. Language and play skills were targeted separately for five children and together for four children...
February 2, 2017: Developmental Neurorehabilitation
Stacey L Cleary, Nicholas F Taylor, Karen J Dodd, Nora Shields
PURPOSE: To explore the perceived effects of an aerobic exercise program delivered in specialist schools for young people with cerebral palsy with high support needs. METHODS: In-depth interviews were completed with 8 students with cerebral palsy, 10 parents, 8 teachers and 7 physiotherapists. Interviews were audio-recorded, transcribed verbatim and independently coded by two researchers. Data were analyzed using thematic analysis. RESULTS: Two themes emerged: one about program impact and the second about influential design features...
February 2, 2017: Developmental Neurorehabilitation
Stacey L Cleary, Nicholas F Taylor, Karen J Dodd, Nora Shields
PURPOSE: To evaluate the safety, adherence, and estimates of effect of an aerobic exercise program in specialist schools for young people with cerebral palsy. METHODS: Nineteen students with cerebral palsy were randomly allocated to an intervention group who completed an aerobic exercise program (27 sessions over nine weeks) or a control group who completed social/art activities over the same time. RESULTS: There were no serious adverse events and the exercise program was completed with high rates of attendance (77%) and adherence to target heart rate zones (79%)...
January 3, 2017: Developmental Neurorehabilitation
Derek John Curtis, Marjorie Woollacott, Jesper Bencke, Hanne Bloch Lauridsen, Sandy Saavedra, Thomas Bandholm, Stig Sonne-Holm
PURPOSE: To determine whether segmental training is more effective in improving gross motor function in children and young people with moderate-to-severe cerebral palsy than conventional physiotherapy. METHODS: Twenty-eight participants were randomized to a segmental training or control group. Outcomes were Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), Segmental Assessment of Trunk Control (SATCo), and postural sway at baseline, at primary endpoint (6 months), and at follow-up (12 months)...
January 3, 2017: Developmental Neurorehabilitation
Juul Vera Alewijnse, Ellen M van Rooijen, Mick Kreulen, Mark Jc Smeulders, Siok Swan Tan
OBJECTIVE: Determine healthcare costs of upper-extremity surgical correction in children with spastic cerebral palsy (CP). METHOD: This cohort study included 39 children with spastic CP who had surgery for their upper extremity at a Dutch hospital. A retrospective cost analysis was performed including both hospital and rehabilitation costs. Hospital costs were determined using microcosting methodology. Rehabilitation costs were estimated using reference prices. RESULTS: Hospital costs averaged €6813 per child...
April 2017: Developmental Neurorehabilitation
Silvia L Pavão, Fernanda P S Silva, Stacey C Dusing, Nelci Adriana C F Rocha
OBJECTIVE: This systematic review aimed to list the tools used by rehabilitation professionals to test motor abilities in children with cerebral palsy (CP), to determine if these tools have psychometric properties specifically measured for CP, and to identify the main characteristics of these tools. METHOD: Web of Science, PEDro, PubMed/MEDLINE, Science Direct, and SciELO databases were searched to identify the tools. PubMed/MEDLINE was then searched to identify the studies assessing those tools' psychometric properties...
April 2017: Developmental Neurorehabilitation
Luanda André Collange Grecco, Claudia Santos Oliveira, Natália de Almeida Carvalho Duarte, Vânia L C Carvalho Lima, Nelci Zanon, Felipe Fregni
OBJECTIVE: The aim of the present study was to analyze the use of anodal tDCS of the cerebellar region combined with treadmill training to improve balance and functional performance in children with ataxic cerebral palsy. DESIGN: Single-blind, sham-controlled, crossover, pilot study. SETTING: Rehabilitation center and research motion analysis laboratory. PARTICIPANTS: Children (N = 6) with ataxic cerebral palsy and balance deficit...
April 2017: Developmental Neurorehabilitation
Catherine M Capio, Jamie M Poolton, Kathlynne F Eguia, Cynthia S Y Choi, Rich S W Masters
OBJECTIVES: This paper reports the effects of error-reduced learning on movement components and mastery of overhand throwing in children with and without intellectual disability. METHODS: Secondary data analysis was performed on two samples of children (typically developing, TD; intellectual disability, ID) who practiced overhand throwing in either an error-reduced (ER) or error-strewn (ES) condition. Movement pattern components were assessed using a sub-skill of Test of Gross Motor Development-2...
April 2017: Developmental Neurorehabilitation
Tonya Rich, Jessica Cassidy, Jeremiah Menk, Ann Van Heest, Linda Krach, James Carey, Bernadette T Gillick
OBJECTIVE: Poor sensibility affecting stereognosis, the ability to discriminate objects without visual input, can potentiate disuse of the paretic limb following stroke. The purpose of this study was to examine potential change in stereognosis after intervention. METHODS: Stereognosis testing in a secondary subgroup of 10 children with hemiparesis and baseline stereognosis deficits (ages 11-16) after a 13-day clinical trial of real or sham repetitive transcranial magnetic stimulation (rTMS) and constraint-induced movement therapy (CIMT) is reported...
April 2017: Developmental Neurorehabilitation
Maria Borgestig, Jan Sandqvist, Gunnar Ahlsten, Torbjörn Falkmer, Helena Hemmingsson
OBJECTIVE: To establish the impact of a gaze-based assistive technology (AT) intervention on activity repertoire, autonomous use, and goal attainment in children with severe physical impairments, and to examine parents' satisfaction with the gaze-based AT and with services related to the gaze-based AT intervention. METHODS: Non-experimental multiple case study with before, after, and follow-up design. Ten children with severe physical impairments without speaking ability (aged 1-15 years) participated in gaze-based AT intervention for 9-10 months, during which period the gaze-based AT was implemented in daily activities...
April 2017: Developmental Neurorehabilitation
Alessandro Picelli, Elisabetta La Marchina, Francesca Gajofatto, Angelo Pontillo, Antonella Vangelista, Roberto Filippini, Alessio Baricich, Carlo Cisari, Nicola Smania
OBJECTIVE: The aim of this study was to compare the combined sonographic and clinical effects of botulinum toxin type A (BoNT-A) and extracorporeal shock wave therapy (ESWT) versus BoNT-A alone in children with cerebral palsy. METHODS: Ten children with spastic cerebral palsy were randomly assigned to one of two groups. Group 1 received BoNT-A injection into the spastic muscles of the affected limbs plus three ESWT sessions. Group 2 received BoNT-A alone. Assessment was performed before and 1 month after injection...
April 2017: Developmental Neurorehabilitation
Anne Gallagher, Lynn Dagenais, Amélie Doussau, Jean-Claude Décarie, Manuela Materassi, Karine Gagnon, Joelle Prud'homme, Suzanne Vobecky, Nancy Poirier, Lionel Carmant
OBJECTIVE: To report the impact of early motor intervention in an infant with congenital heart disease (CHD) and a stroke. METHODS AND RESULTS: A 35-week newborn with a complex CHD and a normal MRI presented with early motor developmental delay at 2 months. She began an intervention program, which included biweekly motor developmental therapy with a physiotherapist, parental education, and daily home exercises. At 4 months, she underwent cardiac surgery. Following surgery, she was diagnosed with a stroke involving the right sylvian artery territory...
April 2017: Developmental Neurorehabilitation
Shikha Saxena, Bhamini K Rao, Kumaran D Senthil
OBJECTIVE: To assess the feasibility of using short-term balance training with computer-based visual feedback (BTVF) and its effect on standing balance in children with bilateral spastic cerebral palsy (BSCP). METHODS: Out of the fourteen children with BSCP (mean age = 10.31 years), seven children received four sessions of BTVF (two such sessions/day, each session = 15 min) in comparison to the control group that received standard care. Feasibility was measured as percentages of recruitment, retention and safety and balance was measured using a posturography machine as sway velocity (m/s) and velocity moment (m/s(2)) during quiet standing...
April 2017: Developmental Neurorehabilitation
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