Activities of Daily Living in Children with Hemiparesis: Influence of Cognitive Abilities and Motor Competence

Adler, Caroline; Rauchenzauner, Markus; Staudt, Martin; Berweck, Steffen

doi:10.1055/s-0034-1382824

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…The responsivity of a child to a therapeutic or neuromodulation intervention resulting in changes in function such as stereognosis depends on cognition (awareness of the more-affected limb or developmental disregard, planning, organization), 25 neurological status (lesion location, tract integrity, cortical reorganization), 26 and the integration of sensory-motor feedback. 27 Therapeutically, CIMT includes directing the child’s attention toward the more-affected hand to improve performance.…”

Section: Methodsmentioning

confidence: 99%

Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Rich

Cassidy

Menk

et al. 2016

Developmental Neurorehabilitation

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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. All children received 10 h of CIMT while wearing a cast full-time. Results Post-trial, 80% of participants from both intervention groups demonstrated improvement in stereognosis (95% CI: 44.4%–97.5%). Pre-trial to long-term follow-up (range: 21–57 months), 60% retained gains or improved (95% CI: 26.2%–87.8%). Between-group differences were not detected. Discussion Children demonstrated stereognosis change following intervention. Research on this change and potential minimal clinically important differences are indicated.

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Section: Methodsmentioning

confidence: 99%

Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Rich

Cassidy

Menk

et al. 2016

Developmental Neurorehabilitation

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“…We hypothesize that children with impaired sensory function might also benefit more from the intensive use of their more impaired hand. Similarly, mirror movements have a negative impact on UL function [21–23], yet their value to influence treatment response remains unknown. Among potential neurological factors are the underlying lesion type (predominantly white matter vs. grey matter damage) and the corticospinal tract (CST) wiring pattern, due to their value in explaining variability in UL function [24–26].…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial combining constraint-induced movement therapy and action-observation training in unilateral cerebral palsy: clinical effects and influencing factors of treatment response

Simón-Martínez

Mailleux

Hoskens

et al. 2019

Preprint

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Introduction. Constraint-induced movement therapy (CIMT) improves upper limb (UL) motor execution in unilateral cerebral palsy (uCP). As these children also show motor planning deficits, action-observation training (AOT) might be of additional value. Here, we investigated the combined effect of AOT to CIMT and identified factors influencing treatment response. Methods. Forty-four children with uCP (mean 9y6m, SD 1y10m) participated in a 9-day camp wearing a splint for 6 hours/day and were allocated to the CIMT+AOT (n=22) and the CIMT+placebo group (n=22). The CIMT+AOT group received 15 hours of AOT (i.e. video-observation) and executed the observed tasks, whilst the CIMT+AOT group watched videos free of biological motion and executed the same tasks. The primary outcome measure was bimanual performance. Secondary outcomes included measures at body function and activity level assessed before (T1), after (T2) the intervention, and at 6 months follow-up (T3). Influencing factors included behavioural and neurological characteristics. Results. Although no between-groups differences were found (p>0.05), the addition of AOT led to higher gains in children with initially poorer bimanual performance (p=0.02). Both groups improved in all outcome measures after the intervention and retained the gains at follow up (p<0.01). Poor sensory function resulted in larger improvements in the total group (p=0.03) and high amount of mirror movements tended to result in better response to the additional AOT training (p=0.06). Improvements were similar irrespective of the type of brain lesion or corticospinal tract wiring pattern. Conclusions. Adding AOT to CIMT, resulted in better outcome for children with poor motor function and high amount of mirror movements. CIMT with or without AOT seems to be more beneficial for children with poor sensory function. Trial registration: Registered at ClinicalTrials.gov on 22nd August 2017 (Identifier: NCT03256357).

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Patient- and caregiver-identified preferences: Dimensions of change in developmental therapy treatment goals

Angeli

Harpster

Hanson

et al. 2018

Developmental Neurorehabilitation

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Activities of Daily Living in Children with Hemiparesis: Influence of Cognitive Abilities and Motor Competence

Abstract: The quality of ADL performance is influenced not only by motor competence but also by the cognitive abilities of a hemiparetic child. This suggests that, in addition to motor-oriented training programs, an optimal therapy for hemiparetic children should also consider cognitive approaches.

Cited by 7 publications

References 13 publications

Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Stability of stereognosis after pediatric repetitive transcranial magnetic stimulation and constraint-induced movement therapy clinical trial

Randomized controlled trial combining constraint-induced movement therapy and action-observation training in unilateral cerebral palsy: clinical effects and influencing factors of treatment response

Patient- and caregiver-identified preferences: Dimensions of change in developmental therapy treatment goals

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