Responsiveness of the <scp>ACTIVLIM</scp>‐<scp>CP</scp> questionnaire: measuring global activity performance in children with cerebral palsy

Paradis, Julie; Arnould, Carlyne; Thonnard, Jean-Louis; Houx, Laëtitia; Pons, Christelle; Renders, Anne; Brochard, Sylvain; Bleyenheuft, Yannick

doi:10.1111/dmcn.13927

Cited by 11 publications

(7 citation statements)

References 23 publications

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“…The Manual Form Perception Test (MFPT) as modified by Cooper et al [ 35 ] assessed stereognosis. Walking endurance was tested using the 6-Minutes-Walk Test [ 36 ] (6MWT), and we used parent-reported questionnaires to evaluate the child’s performance and transfer of learning to daily life activities requiring the use of upper extremities (ABILHAND-Kids [ 37 , 38 ]), locomotor abilities (ABILOCO-Kids [ 39 ]), and the coordination of both the upper and lower extremities (ACTIVLIM-CP [ 40 , 41 ]; Pediatric Evaluation of Disability Inventory [ 42 ] PEDI). For the PEDI questionnaire, we used only the self-care subscale functional ability domain.…”

Section: Methodsmentioning

confidence: 99%

Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial

Saussez

Bailly

Araneda

et al. 2023

J NeuroEngineering Rehabil

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Background The implementation of virtual devices can facilitate the role of therapists (e.g., patient motivation, intensity of practice) to improve the effectiveness of treatment for children with cerebral palsy. Among existing therapeutic devices, none has been specifically designed to promote the application of principles underlying evidence-based motor skill learning interventions. Consequently, evidence is lacking regarding the effectiveness of virtual-based sessions in motor function rehabilitation with respect to promoting the transfer of motor improvements into daily life activities. We tested the effectiveness of implementing a recently developed virtual device (REAtouch®), specifically designed to enable the application of therapeutic motor skill learning principles, during a Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention. Methods Forty children with unilateral cerebral palsy (5–18 years; MACS I-III; GMFCS I-II) were randomly assigned to a control group or a “REAtouch®” experimental group for a 90-h HABIT-ILE day-camp intervention (two weeks). Children in the REAtouch® group spent nearly half of their one-on-one therapeutic time using the REAtouch®. Participants underwent three testing sessions: the week before (T1), after intervention (T2), and at three months follow-up (T3). The primary outcome was the Assisting Hand Assessment (T3–T1; blinded). Secondary outcomes measured uni-bimanual hand function, stereognosis, gait endurance, daily life abilities, and functional goals. Accelerometers and a manual report of daily activities served to document therapeutic dosage and treatment characteristics. We used one-way RMANOVA to compare the efficacies of the two interventions, and non-inferiority analyses to contrast changes in the “REAtouch®” group versus the “HABIT-ILE” control group. Results We found significant improvements in both groups for most of the outcome measures (p < 0.05). There was significant non-inferiority of changes in the REAtouch® group for upper extremities motor function, functional goals attainment, and abilities in daily life activities (p < 0.05). Conclusions Use of the REAtouch® device during HABIT-ILE showed non-inferior efficacy compared to the conventional evidence-based HABIT-ILE intervention in children with unilateral cerebral palsy. This study demonstrates the feasibility of using this virtual device in a high dosage camp model, and establishes the possibility of applying the therapeutic principles of motor skill learning during specifically designed virtual-based sessions. Trial registration: Trial registration number: NCT03930836-Registration date on the International Clinical Trials Registry Platform (ICTRP): June 21th, 2018; Registration date on NIH Clinical Trials Registry: April 29th, 2019. First patient enrollment: July 3rd, 2018.

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Section: Methodsmentioning

confidence: 99%

Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial

Saussez

Bailly

Araneda

et al. 2023

J NeuroEngineering Rehabil

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“…In addition, 532 general movements are predictive of neural, motor and cognitive 533 outcomes in children with CP and DCD [12,22,24,26,69]. Thus, our 534 animal studies MIUH and postnatal SMR support the idea that 535 developmental maladaptive plasticity may lead to long-lasting 536 disturbances of motor outputs, as observed in CP and DCD, and 537 point out the pertinence of early rehabilitative programs, such as 538 the Care Toy System [71] or HABIT-ILE [72]. According to the self-539 perpetuating cycles and putative mechanisms described above, we 540 strongly believe that rehabilitation needs to focus on physical and 541 cognitive training leading to adaptive brain plasticity and improve 542 the physical body situation, because both appear to continuously 543…”

mentioning

confidence: 64%

From cerebral palsy to developmental coordination disorder: Development of preclinical rat models corresponding to recent epidemiological changes

Coq

Kochmann

Lacerda

et al. 2020

Annals of Physical and Rehabilitation Medicine

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“…This t-value indicates whether the pre-to post-intervention change for a given child reflects a true change or simply a measurement error [34]. After the calculation of the individual t-values, the children were divided into five classes of clinical significance according to the change in APS or AVS: significant decrease (t ≤ 1.96), decrease (1.96 < t < 0), no change (t = 0), increase (0 > t > 1.96), and significant increase (t ≥ 1.96) [35].…”

Section: Discussionmentioning

confidence: 99%

Detecting Movement Changes in Children with Hemiparesis after Upper Limb Therapies: A Responsiveness Analysis of a 3D Bimanual Protocol

Cacioppo

Lempereur

Houx

et al. 2023

Sensors

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The “Be an Airplane Pilot” (BE API) protocol was developed to evaluate upper limb (UL) kinematics in children with unilateral cerebral palsy (uCP) during bimanual tasks. The aim of this study was to investigate the responsiveness of this protocol to changes in kinematics and movement quality after UL therapies, using individual and group analyses, and to analyse the relationships between kinematic and functional changes in these children. Twenty children with uCP (5–15 years old) either participated in bimanual intensive therapy or received UL botulinum toxin injections. All the children performed the BE API protocol and functional assessments (Assisting Hand Assessment [AHA]) before and after the interventions. The individual analyses found kinematic changes in 100% of the children after therapy. The group analysis found significantly higher trunk and shoulder deviations after the intensive therapy. No significant changes were found for smoothness or trajectory straightness. The changes in the kinematic deviations were moderately correlated with the changes in the AHA scores. This study confirmed the responsiveness of the BE API protocol to change after therapy; therefore, the protocol is now fully validated and can be implemented in clinical practice. Its use should help in the accurate identification of impairments so that individualized treatments can be proposed.

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Responsiveness of the ACTIVLIM‐CP questionnaire: measuring global activity performance in children with cerebral palsy

Cited by 11 publications

References 23 publications

Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial

Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial

From cerebral palsy to developmental coordination disorder: Development of preclinical rat models corresponding to recent epidemiological changes

Detecting Movement Changes in Children with Hemiparesis after Upper Limb Therapies: A Responsiveness Analysis of a 3D Bimanual Protocol

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