Random perturbation: A potential aid in treatment of children with cerebral palsy

Bar-Haim, Simona; Harries, Netta; Belokopytov, Mark; Lahat, Eli; Kaplanski, Jacob

doi:10.1080/09638280701562885

Cited by 12 publications

(15 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The aim of RAC CP Fun, and the main contribution of this paper, is to implement rehabilitation and treatment approaches for children with CP, which have been extensively explored in the last two decades (see, for example, Bar-Haim et al, 84 Shadmehr et al 85 ) and that are based on repetition of training, appropriate feedback, stages of learning, random practice to enhance problem solving, and enriched environment. Motor learning coaching treatment results in significantly greater retention of gross motor function and transfer of mobility rehabilitation approaches.…”

Section: Discussionmentioning

confidence: 99%

Robotics Agent Coacher for CP motor Function (RAC CP Fun)

Fridin

Belokopytov

2014

Robotica

View full text Add to dashboard Cite

SUMMARYRobotics Agent Coacher for Cerebral Palsy motor Function (RAC CP Fun) is an attempt to implement socially assistive robotics, and a motor learning approach in rehabilitating movement disorders with a central origin. The concept and architecture of RAC CP Fun implements the motor learning theory and behavioral approach, i.e. principles of repetition, stages of learning, appropriate feedback, random practice, and enriched environments. Eleven children with cerebral palsy (CP) and fourteen typically developed (TD) children participated in two procedures while interacting with a robot and performing motor exercises. The interaction level and motor performance of children were measured and compared. Children with CP exhibited a higher interaction level; however, their motor performance was lower than that of TD children. RAC CP Fun was found to be feasible to interact with children of pre-school age, to augment the motivation of the children with CP, and to involve the children in motor exercises.

show abstract

Section: Discussionmentioning

confidence: 99%

Robotics Agent Coacher for CP motor Function (RAC CP Fun)

Fridin

Belokopytov

2014

Robotica

View full text Add to dashboard Cite

show abstract

“…Downs and Black scores are presented in Supplemental Table S1. Study quality ranged from low (14 of 32) 24 to moderate (⩾16–23) 22,23,25–27 to high (⩾24) 18,19 according to Downs and Black scores. Participants could not be blinded due to the nature of cycling interventions; however, only three RCTs ensured adequate blinding of the assessors.…”

Section: Resultsmentioning

confidence: 99%

“…Participants could not be blinded due to the nature of cycling interventions; however, only three RCTs ensured adequate blinding of the assessors. 18,19,23 Randomization was violated in one study as some participants were too small to use an elliptical device and were subsequently re-allocated to the cycling group. 26 Greater than 70% adherence to the intervention was reported in five studies, 18,19,22,26,28 while the remaining four did not report compliance.…”

Section: Resultsmentioning

confidence: 99%

“…26 One RCT compared two modes of cycling (dynamic and stationary) to a control condition; 24 another included upper limb stationary cycling 25 and one investigated simultaneous upper- and lower limb passive cycling. 23 Three articles on adapted dynamic cycling were identified; however, only qualitative data were reported. 6,9…”

Section: Resultsmentioning

confidence: 99%

“…Comparison conditions included usual physiotherapy sessions, 19 general physical activity, 18 structured intensive training, 23 conventional exercises, 24 gait training 25 and a specified level of physical activity. 21,22 One study included a second intervention arm of treadmill training 19 and another had two control groups, including one group of children with cerebral palsy and another group of typically developed children.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Efficacy of cycling interventions to improve function in children and adolescents with cerebral palsy: a systematic review and meta-analysis

et al. 2019

View full text Add to dashboard Cite

Objectives: The aim of this study was to determine the efficacy of cycling to improve function and reduce activity limitations in children with cerebral palsy; the optimal training parameters for improved function; and whether improvements in function can be retained. Method: Six databases were searched (until February 2019) and articles were screened in duplicate. Randomized or quasi-randomized controlled trials and pre–post studies were included. Methodological quality was assessed using the Downs and Black scale. Outcomes were reported under the International Classification of Functioning, Disability and Health domains of body functions and activity limitations. Quantitative analyses were completed using RevMan V5.3. Results: A total of 533 articles were identified and 9 studies containing data on 282 participants met full inclusion criteria. Methodological quality ranged from low (14 of 32) to high (28 of 32). Significant improvements were reported for hamstring strength (effect size = 0.77–0.93), cardiorespiratory fitness (effect size = 1.13–1.77), balance (effect size = 1.03–1.29), 3-minute walk test distance (effect size = 1.14) and gross motor function (effect size = 0.91). Meta-analysis suggested that cycling can improve gross motor function (standardized mean difference = 0.35; 95% confidence interval = (−0.01, 0.70); P = 0.05); however, the effect was insignificant when a poor-quality study was omitted. Conclusion: Cycling can improve muscle strength, balance and gross motor function in children with cerebral palsy; however, optimal training doses are yet to be determined. There was insufficient data to determine whether functional improvements can be retained. Conclusions were limited by small sample sizes, inconsistent outcome measures and a lack of follow-up testing.

show abstract

Exercise interventions for cerebral palsy

Ryan

Cassidy²,

Noorduyn

et al. 2017

Cochrane Database of Systematic Reviews

130

166

View full text Add to dashboard Cite

The quality of evidence for all conclusions is low to very low. As included trials have small sample sizes, heterogeneity may be underestimated, resulting in considerable uncertainty relating to effect estimates. For children with CP, there is evidence that aerobic exercise may result in a small improvement in gross motor function, though it does not improve gait speed. There is evidence that resistance training does not improve gait speed, gross motor function, participation or quality of life among children with CP.Based on the evidence available, exercise appears to be safe for people with CP; only 55% of trials, however, reported adverse events or stated that they monitored adverse events. There is a need for large, high-quality, well-reported RCTs that assess the effectiveness of exercise in terms of activity and participation, before drawing any firm conclusions on the effectiveness of exercise for people with CP. Research is also required to determine if current exercise guidelines for the general population are effective and feasible for people with CP.

show abstract

Random perturbation: A potential aid in treatment of children with cerebral palsy

Abstract: The addition of RP in treatment of children with CP may have weakened previously established stereotypical motor patterns and introduced flexibility, thereby improving mechanical efficiency of a complex motor task. RP may enhance the effects of intensive treatment.

Cited by 12 publications

References 42 publications

Robotics Agent Coacher for CP motor Function (RAC CP Fun)

Robotics Agent Coacher for CP motor Function (RAC CP Fun)

Efficacy of cycling interventions to improve function in children and adolescents with cerebral palsy: a systematic review and meta-analysis

Exercise interventions for cerebral palsy

Contact Info

Product

Resources

About