Enriched environment or enriched therapy? Time for clarification

Natali, Fabrizio; Difranco, Carla; Gatti, Roberto

doi:10.1080/09593985.2020.1827706

Cited by 2 publications

(4 citation statements)

References 8 publications

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“…In contrast, the enriched intervention involves the enhancement of a unique dimension, not necessarily fulfilling the simultaneity among the four dimensions proposed by the neuroscientific model. In the enriched intervention, the participant can be an active or passive agent, and the activity is not necessarily designed in a situational context attentive to the user's reality 22 .…”

Section: Discussionmentioning

confidence: 99%

“…The eligibility stage involved the downloading and complete reading of the research and the application of the previously established exclusion criteria. Quantitative empirical research that explicitly stated the use of environmental enrichment protocols 22 in children and adolescents 23 9) no diagnosis associated with intellectual disability. The bias assessment stage consisted of the review of the entire process by two independent reviewers, considering the exclusion criteria presented.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Environmental enrichment and intellectual disability: Systematic review of neurocognitive effects in children and adolescents

Villouta-Gutiérrez¹,

Pérez-Villalobos²,

Rojas-Ponce³

et al. 2022

RMN

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Environmental enrichment is a contextual combination of stimuli that facilitate sensory, motor, cognitive, and socioemotional skills. This neuroscientific paradigm enhances experience-dependent neural plasticity, validating it as an intervention model applicable to the educational and neuropsychiatric area in users with intellectual disabilities. The aim is to characterize the neurocognitive effects of environmental enrichment interventions in children and adolescents with intellectual disabilities. A systematic review was conducted according to the guidelines of the PRISMA statement. The search was conducted in Web of Science, Scopus, EBSCOhost, and PubMed databases between 2000 and Seven studies were selected. Improvements in self-determination, intellectual capacity, social cognition, speech coherence, motor skills, and behavioral regulation were evidenced. The design and execution of the selected protocols are heterogeneous. The application of environmental enrichment protocols in children and adolescents with intellectual disabilities leads to a positive impact on neurocognitive variables.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Environmental enrichment and intellectual disability: Systematic review of neurocognitive effects in children and adolescents

Villouta-Gutiérrez¹,

Pérez-Villalobos²,

Rojas-Ponce³

et al. 2022

RMN

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…ET involves therapist-provided stimuli for a specified period of time (usually daily) under certain conditions, whereas, EE involves sensory/environmental adaptations that offer continuous opportunities in social, sensory, motor and cognitive areas through spontaneous exploration. 32 In light of these considerations, the Homeostasis-Enrichment-Plasticity (HEP) intervention approach was developed based on principles of EE and ecological theories of development. The HEP approach applies the core principles of enriched environment paradigms and neural plasticity used in experimental animal studies, in the context of ecological theories of human development, and emphasizes the fundamental importance of homeostasis in the client.…”

Section: Introductionmentioning

confidence: 99%

Exploring Effects of the HEP (Homeostasis-Enrichment-Plasticity) Approach as a Comprehensive Therapy Intervention for an Infant with Cerebral Palsy: A Case Report

Balikci

2022

Journal of Child Science

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Cerebral palsy (CP) is a common non-progressive neurodevelopmental disorder which causes developmental disabilities in children. Varied interventions for CP exist to address medical and physical needs but with limited effectiveness evidence. Environmental enrichment (EE) is an animal model intervention for many neurodevelopmental disorders, including CP, with considerable positive effects. This case report defines the Homeostasis-Enrichment-Plasticity (HEP) approach, which is based upon principles of EE and ecological theories of development and describes its use to promote the developmental and functional skills of an infant with CP. Parent interviews and assessment data were completed before and after intervention. For the interested parameters data was gathered by developmental history, systematic observation of behaviors in the clinical setting and at home, Beck Anxiety Inventory (BAI), Infant-Toddler Symptom Checklist, the Sensory Proﬁle Infant/Toddler, Peabody Developmental Motor Scales-2, Gross Motor Function Measurement-88 (GMFM-88), the Gross Motor Function Classification System (GMFCS), and Pediatric Evaluation of Disability Inventory (PEDI). The HEP approach intervention was implemented one time per week for 12 months. Following the HEP approach intervention, self-regulation and sensory processing scores improved. GMFM-88 total score improved from 45/264 to 123/264. The Peabody found all gross motor (54–110), fine motor (65–117), and total motor quotient (119–227) scores improved after intervention. Post-intervention observations showed obvious gross motor progress with movement from GMFCS Level IV to Level I. Performance on the Functional Skills Scales and Caregiver Assistance Scales of PEDI also demonstrated notable improvements. BAI scores revealed low anxiety scores for both the mother (13/63 points) and father (14/63) before intervention. These scores did not change after intervention. A definition and detailed description of the HEP approach intervention is presented here for the first time. The case report demonstrated preliminary evidence for the effectiveness of the HEP approach on self-regulation, sensory processing, motor development, functional skills, and caregiver assistance with an infant with CP. Additional studies are needed to validate the findings.

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Enriched environment or enriched therapy? Time for clarification

Cited by 2 publications

References 8 publications

Environmental enrichment and intellectual disability: Systematic review of neurocognitive effects in children and adolescents

Environmental enrichment and intellectual disability: Systematic review of neurocognitive effects in children and adolescents

Exploring Effects of the HEP (Homeostasis-Enrichment-Plasticity) Approach as a Comprehensive Therapy Intervention for an Infant with Cerebral Palsy: A Case Report

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