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

Angeli, Jennifer M.; Harpster, Karen; Hanson, Elizabeth K.; Sheehan, Amber; Schwab, Sarah M.

doi:10.1080/17518423.2018.1425754

Cited by 13 publications

(13 citation statements)

References 39 publications

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“…Efforts to improve collaborative goal-setting practices in the pediatric therapy setting have most recently focused on the construction of therapy goals that reflect valued activity 18,20 or meaningful therapy outcomes. 21 This study presents the results of an initiative intended to understand goal concordance between therapists and caregivers better. Such an understanding may assist in identifying ways to improve collaborative goal setting between patients/caregivers and therapists.…”

Section: Introductionmentioning

confidence: 99%

Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals

Angeli

Harpster

Huijs

et al. 2019

Pediatric Quality &Amp; Safety

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Section: Introductionmentioning

confidence: 99%

Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals

Angeli

Harpster

Huijs

et al. 2019

Pediatric Quality &Amp; Safety

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“…All rehabilitation goals are individual, yet participation [ 48 ] and independence in daily life are often mentioned as the most important aims for the rehabilitation of children [ 49 ]. The importance of generalisability of motor improvements (i.e.…”

Section: Discussionmentioning

confidence: 99%

Contextual interference in children with brain lesions: protocol of a pilot study investigating blocked vs. random practice order of an upper limb robotic exergame

Graser

Bastiaenen

Keller

et al. 2020

Pilot Feasibility Stud

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Background If adults practice several motor tasks together, random practice leads to better transfer and retention compared to blocked practice. Knowledge about this contextual interference (CI) effect could be valuable to improve neurorehabilitation of children. We present the protocol of a randomised controlled pilot study investigating the feasibility of blocked practice vs. random practice of robot-assisted upper limb reaching in children with brain lesions undergoing neurorehabilitation. Methods Children with affected upper limb function due to congenital or acquired brain lesions undergoing neurorehabilitation will be recruited for a randomised controlled pilot study with a 3-week procedure. In the control week (1), two assessment blocks (robot-assisted reaching tasks, Melbourne assessment 2, subscale fluency), 2 days apart, take place. In the practice week (2), participants are randomly allocated to blocked practice or random practice and perform 480 reaching and backward movements in the horizontal and vertical plane using exergaming with an exoskeleton robot per day during three consecutive days. Assessments are performed before, directly after and 1 day after the practice sessions. In the follow-up week (3), participants perform the assessments 1 week after the final practice session. The primary outcome is the immediate transfer of the Melbourne Assessment 2, subscale fluency. Secondary outcomes are the immediate retention, 1-day and 1-week delayed transfer and retention and acquisition during the practice sessions. We will evaluate the feasibility of the inclusion criteria, the recruitment rate, the scheduling procedure, the randomisation procedure, the procedure for the participants, the handling of the robot, the handling of the amount of data, the choice of the outcome measures and the influence of other therapies. Furthermore, we will perform a power calculation using the data to estimate the sample size for the main trial. Discussion The protocol of the pilot study is a first step towards a future main randomised controlled trial. This low risk pilot study might induce some benefits for the participants. However, we need to place its results into perspective, especially concerning the generalisability, as it remains questionable whether improving reaching constrained within a robotic device will ameliorate daily life reaching tasks. Trial registration ClinicalTrials.gov Identifier: NCT02443857

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“…PNF, which is based on the philosophy that all human beings have the undeveloped potential that could be used for treatment can be used comprehensively at the physical and mental level on patients with musculoskeletal impairments, such as TMD. The philosophy of PNF is to address not only the physical issues of the patients with impairments in body structures and body functions causing pain or activity limitation but also use the total body approach and the positive approach to focus on improving the activity level and the body structures and body functions (Angeli et al, 2018; Hruby, 1985). In this case, too, the philosophy of PNF and ICF were used as the basis in addressing the activity limitation of the patient, who could not open her mouth wide enough to eat larger foods.…”

Section: Discussionmentioning

confidence: 99%

Influence of proprioceptive neuromuscular facilitation therapeutic exercise on woman with temporomandibular joint disorder: a case study

Lee¹

2018

J Exerc Rehabil

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The purpose of this study was to determine the effect of therapeutic exercise for a woman with temporomandibular joint disorder. She was 31 year old and had limitation in the opening of mouth. When opening the mouth, she complained pain in the temporomandibular joint and noise. The health status of the patient was classified based on International Classification Functioning, Disability, and Health regarding the activity of the patient. The activity limitation was determined by the ability of opening the mouth, while the impairments in the body structure and body function were determined by the forward-headed posture due to the hypertension and shortening of upper cervical extensors. The proprioceptive neuromuscular facilitation (PNF) program consists of eight types of therapeutic exercises considering the alignment of the cervical spine and the pain in the temporomandibular joint. The application of the PNF program was composed of 12 sessions over 4 weeks and each session continued 30 min. Before and after the application of the PNF program, the up-down length and the left-right width of the bite mark on the apple were measured (activity limitation test). The length of the apple that was bitten was measured using a tape measure (activity limitation test). The test on the abnormal alignment of the cervical spine was conducted using a plastic goniometer to measure the angle to the cervical spine (impairment test). After a 4-week PNF program, patient could open mouth wide without pain. The present results suggest that PNF program can be used to enhance the stability and mobility of the temporomandibular joint. With this, the impairment in the body structure and body function and activity of patient were improved.

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

Abstract: Independence is highly valued by parents and individuals with developmental disability. This finding should help guide therapy plans or program development addressing task performance.

Cited by 13 publications

References 39 publications

Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals

Patient-Centered Goal Setting in Developmental Therapy: Discordance between Documented Goals and Caregiver-Perceived Goals

Contextual interference in children with brain lesions: protocol of a pilot study investigating blocked vs. random practice order of an upper limb robotic exergame

Influence of proprioceptive neuromuscular facilitation therapeutic exercise on woman with temporomandibular joint disorder: a case study

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