Differences in autonomic functions as related to induced stress between children with and without cerebral palsy while performing a virtual meal-making task

Kirshner, Sharon; Weiss, Patrice L.; Tirosh, Emanuel

doi:10.1016/j.ridd.2015.11.025

Cited by 8 publications

(22 citation statements)

References 64 publications

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“…It is worth noting that, even during rest, children with dyskinetic CP manifested significantly higher sympathetic activity compared with typically developing children. This may be due to the disruption in neural pathways, aligning with previous research 24,25,27 . In typically developing children and children with dyskinetic CP with previous eye‐tracking experience, the overall sympathetic dominance increased from rest to performance as seen in Baevsky's Stress Index, as would be expected when a stimulus such as a task demand is added 27 .…”

Section: Discussionsupporting

confidence: 79%

“…environmental stimuli may impact engagement, performance, and participation of children with CP. 27 In addition, increased stress and non-specific stimuli exacerbate the involuntary movements of dystonia and choreoathetosis in dyskinetic CP, 1 negatively influencing performance. 28 A recent Swedish population-survey explored the usability of eye-gaze controlled computers in 171 users, 45.6% of whom were diagnosed with CP.…”

Section: What This Paper Addsmentioning

confidence: 99%

“…HRV consists of fluctuations in the time intervals between consecutive heartbeats 23 . Compared with typically developing children, children with CP show lower HRV, an indication of sympathovagal imbalance and difficulties adjusting to changes due to stressors 24–27 . Changes in task demand and environmental stimuli may impact engagement, performance, and participation of children with CP 27 .…”

mentioning

confidence: 99%

“…23 Compared with typically developing children, children with CP show lower HRV, an indication of sympathovagal imbalance and difficulties adjusting to changes due to stressors. [24][25][26][27] Changes in task demand and…”

mentioning

confidence: 99%

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Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

Bekteshi

Karlsson

Reyck

et al. 2022

Develop Med Child Neuro

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Aim This study aimed to explore eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy (CP) compared with typically developing children, and associations between eye‐tracking performance, eye movements, stress, and participants' characteristics. Method This cohort study included 12 children with dyskinetic CP aged 5 to 12 years (mean age 8 years 7 months, standard deviation [SD] 2 years 3 months) and 23 typically developing children aged 5 to 13 years (mean age 9 years 0 months, SD 2 years 7 months). Participants played 10 eye‐tracking games. Tobii X3‐120 and Tobii Pro Lab were used to record and analyse eye movements. Stress was assessed through heart rate variability (HRV), recorded during rest, and eye‐tracking performance using the Bittium Faros360° ECG Holter device. Eye‐tracking performance was measured using gaming completion time. Fixation and saccade variables were used to quantify eye movements, and time‐ and frequency‐domain variables to quantify HRV. Non‐parametric statistics were used. Results Gaming completion time was significantly different (p < 0.001) between groups, and it was negatively correlated with experience (rs = −0.63, p = 0.029). No significant differences were found between groups in fixation and saccade variables. HRV significantly changed from rest to eye‐tracking performance only in typically developing children and not in children with dyskinetic CP. Interpretation Children with dyskinetic CP took longer to perform the 10 games, especially the inexperienced users, indicating the importance of the early provision of eye‐tracking training opportunities. It seems that eye‐tracking tasks are not a source of increased stress and effort in children with dyskinetic CP. What this paper adds Participants with dyskinetic cerebral palsy (CP) took twice as long to perform 10 eye‐tracking games than typically developing peers. Participants with dyskinetic CP with previous eye‐tracking experience performed the games faster. Fixation and saccade variables were not significantly different between children with and without dyskinetic CP. Heart rate variability showed no differences between rest and performance in participants with dyskinetic CP. Gross Motor Function Classification System, Manual Ability Classification System, and Viking Speech Scale levels were not correlated to the eye movements or stress variables.

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Section: Discussionsupporting

confidence: 79%

Section: What This Paper Addsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

Bekteshi

Karlsson

Reyck

et al. 2022

Develop Med Child Neuro

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“…Sweating gland activity increases with increased sympathetic nervous system activity, which in turn raises skin conductance. So far, EDA was employed to assess CP children’s autonomic activity during virtual reality tasks [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Psychophysiological Assessment of Children with Cerebral Palsy during Robotic-Assisted Gait Training through Infrared Imaging

Perpetuini

Russo²,

Cardone

et al. 2022

IJERPH

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Cerebral palsy (CP) is a non-progressive neurologic pathology representing a leading cause of spasticity and concerning gait impairments in children. Robotic-assisted gait training (RAGT) is widely employed to treat this pathology to improve children’s gait pattern. Importantly, the effectiveness of the therapy is strictly related to the engagement of the patient in the rehabilitation process, which depends on his/her psychophysiological state. The aim of the study is to evaluate the psychophysiological condition of children with CP during RAGT through infrared thermography (IRT), which was acquired during three sessions in one month. A repeated measure ANOVA was performed (i.e., mean value, standard deviation, and sample entropy) extracted from the temperature time course collected over the nose and corrugator, which are known to be indicative of the psychophysiological state of the individual. Concerning the corrugator, significant differences were found for the sample entropy (F (1.477, 5.907) = 6.888; p = 0.033) and for the mean value (F (1.425, 5.7) = 5.88; p = 0.047). Regarding the nose tip, the sample entropy showed significant differences (F (1.134, 4.536) = 11.5; p = 0.041). The findings from this study suggests that this approach can be used to evaluate in a contactless manner the psychophysiological condition of the children with CP during RAGT, allowing to monitor their engagement to the therapy, increasing the benefits of the treatment.

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Reduced brain processing of affective pictures in children with cerebral palsy

Belmonte

Montoya

González‐Roldán

et al. 2019

Research in Developmental Disabilities

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Differences in autonomic functions as related to induced stress between children with and without cerebral palsy while performing a virtual meal-making task

Cited by 8 publications

References 64 publications

Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

Psychophysiological Assessment of Children with Cerebral Palsy during Robotic-Assisted Gait Training through Infrared Imaging

Reduced brain processing of affective pictures in children with cerebral palsy

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