The Application of a Family-Based Multi-Tiered System of Support

McCart, Amy; Wolf, Nikki; Sweeney, Holly Morsbach; Choi, Jeong Hoon

doi:10.1080/15240750902774692

Cited by 5 publications

(2 citation statements)

References 22 publications

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“…Introduction of the MEWHO at a younger age is also recommended to minimize effects of developmental intellectual disability and disregard 15 . A family-centered approach such as the use of a contract or diary involving the patient and family members could increase compliance with home exercise programs and outside MEWHO use 16,17 . Lastly, future studies are suggested to further understand MEWHO use and the considerations for successful orthotic management in this group of patients.…”

Section: Discussionmentioning

confidence: 99%

Myoelectric Elbow-Wrist-Hand Orthosis for an Adolescent with Hemiparesis: A Case Report

et al. 2020

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Introduction: Robot-assisted therapy is an innovative approach to upper-limb rehabilitation that uses intensive, repetitive, interactive, and individualized practice as an optimal strategy to enhance motor learning. An example of upper-limb robot-assisted therapy is the myoelectric orthosis MyoPro (Myomo Inc, Cambridge, USA). It is a custom-fabricated myoelectric elbow-wristhand orthosis (MEWHO) with built-in surface sensors that detect the user's electromyographic (EMG) signals during muscle contraction. Studies on the MEWHO have focused mostly on elderly chronic stroke patients. None have discussed its use on the adolescent population and the considerations they face in wearing the orthosis. Case Presentation: A 15-year-old male 10th grade student with a diagnosis of right spastic hemiplegia secondary to cerebral palsy was prescribed a MEWHO because of muscle weakness of his right upper extremity, decreased functional status, and fine motor skills deficits. Results: After two occupational therapy cycles, the patient demonstrated improvements in functional strength and performance of physical activities. Despite these improvements, the patient only used the MEWHO during therapy and was less engaged with its use at home and school. Discussion: This case report presents insights on why the patient was not as proficient and interested in using the orthosis at home and school. Recommendations to address these issues include peer modeling, community outings, early intervention, and the use of family-centered approaches. Future studies are also suggested to further understand MEWHO use and the considerations for successful orthotic management in this group of patients. (J Prosthet Orthot. 2020;34:e99-e102) KEY INDEXING TERMS: myoelectric elbow-wrist-hand orthosis, cerebral palsy, spastic hemiplegia, adolescent R obot-assisted therapy (RT) is an innovative approach to upper-limb (UL) rehabilitation that uses intensive, repetitive, interactive, and individualized practice as an optimal strategy to enhance motor learning. 1,2 A recent meta-analysis done by Zhang et al. 3 evaluated the effectiveness of robotic training and conventional training in improving the motor recovery of paretic ULs. The study looked at 13 randomized control trials and concluded that RT showed positive outcomes in enhancing motor recovery of the paralyzed limb. Currently, there is a shift toward exoskeleton robots taking place because they offer better guidance of the human arm, especially for movements with large ranges of motion. 4 An example of a UL exoskeleton is the myoelectric orthosis MyoPro (

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Section: Discussionmentioning

confidence: 99%

Myoelectric Elbow-Wrist-Hand Orthosis for an Adolescent with Hemiparesis: A Case Report

et al. 2020

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“…[ 12 ] It enhanced the parents’ perception of satisfaction and efficacy. [ 7 , 33 , 34 ] Parents’ perception of satisfaction is crucial, because it typically determines the health care utilization of children. [ 35 ] The purpose of the workshop was not only to increase family functioning but also to improve parental satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Short-term family-centered workshop for children with developmental delays enhances family functioning and satisfaction

Hsieh

Lee

2016

Medicine

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We investigated the clinical efficacy on family functioning and parental satisfaction of a short-term family-centered workshop for children with developmental delays.A total of 32 children with developmental delays and their parents participated in 2-hour weekly group therapy sessions over 6 weeks. The workshop was conducted by rehabilitation professionals and teachers using a family-centered multidisciplinary approach. Both before and after the 6-week workshop, the parents were administered the Pediatric Quality of Life Inventory (PedsQL) Family Impact Module, the PedsQL Healthcare Satisfaction Module, the Hospital Anxiety and Depression Scale, and the World Health Organization Quality of Life brief assessment instrument. Overall satisfaction with the workshop was also evaluated.Significant improvements were noted in physical aspect (P = 0.03), communication (P = 0.002), and daily activities (P = 0.04) in the PedsQL Family Impact Module, and in communication (P = 0.03) and technical skills (P = 0.05) in the PedsQL Healthcare Satisfaction Module. Overall satisfaction with the workshop was rated as very high. There was no significant effect on psychological distress or quality of life.Short-term family-centered workshops for children with developmental delays improved family functioning and the parental perception of satisfaction, including health care satisfaction.

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Positive behaviour supports in disability and community services (PBS-DCS): a tiered model for foundational, targeted, and specialist supports

Fisher,

Kelly

2024

Disability and Rehabilitation

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The Application of a Family-Based Multi-Tiered System of Support

Cited by 5 publications

References 22 publications

Myoelectric Elbow-Wrist-Hand Orthosis for an Adolescent with Hemiparesis: A Case Report

Myoelectric Elbow-Wrist-Hand Orthosis for an Adolescent with Hemiparesis: A Case Report

Short-term family-centered workshop for children with developmental delays enhances family functioning and satisfaction

Positive behaviour supports in disability and community services (PBS-DCS): a tiered model for foundational, targeted, and specialist supports

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