The Use of Dynamic Weight Support with Principles of Infant Learning in a Child with Cerebral Palsy: A Case Report

Pierce, Samuel R.; Skorup, Julie; Alcott, M; Bochnak, M. Ryan; Paremski, Athylia C.; Prosser, Laura A.

doi:10.1080/01942638.2020.1766638

Cited by 11 publications

(15 citation statements)

References 20 publications

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“…Given the reduced motor repertoire of this population, increased physical activity may be promoted by adapting activities to the child's level of ability so that child‐initiated movement is possible 69 . This can be done by facilitating self‐initiated movements using assistive devices, such as supported stepping devices, 70 and dynamic body weight support 31 . These principles may be incorporated into early intervention programmes such as CareToy, START‐Play, Goals‐Activity‐Motor Enrichment, and Coping with and Caring for Infants with Special Needs, 21,24,25,28,43 so they are applicable for young children who are likely to be non‐ambulant.…”

Section: Discussionmentioning

confidence: 99%

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

Campos

Hidalgo‐Robles

Longo

et al. 2023

Develop Med Child Neuro

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AimTo explore the ingredients of early interventions provided to young children with cerebral palsy (CP) who are classified in Gross Motor Function Classification System (GMFCS) levels IV and V, and to identify the ‘F‐words’ addressed by the interventions.MethodSearches were completed in four electronic databases. Inclusion criteria were the original experimental studies that fitted the following PCC components: population, young children (aged 0–5 years, at least 30% of the sample) with CP and significant motor impairment (GMFCS levels IV or V, at least 30% of the sample); concept, non‐surgical and non‐pharmacological early intervention services measuring outcomes from any of the International Classification of Functioning, Disability and Health domains; and context, studies published from 2001 to 2021, from all settings and not limited to any specific geographical location.ResultsEighty‐seven papers were included for review, with qualitative (n = 3), mixed‐methods (n = 4), quantitative descriptive (n = 22), quantitative non‐randomized (n = 39), and quantitative randomized (n = 19) designs. Fitness (n = 59), family (n = 46), and functioning (n = 33) ingredients were addressed by most experimental studies, whereas studies on fun (n = 6), friends (n = 5), and future (n = 14) were scarce. Several other factors (n = 55) related to the environment, for example, service provision, professional training, therapy dose, and environmental modifications, were also relevant.InterpretationMany studies positively supported formal parent training and use of assistive technology to promote several F‐words. A menu of intervention ingredients was provided, with suggestions for future research, to incorporate them into a real context within the family and clinical practice.

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Section: Discussionmentioning

confidence: 99%

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

Campos

Hidalgo‐Robles

Longo

et al. 2023

Develop Med Child Neuro

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“…Debido al reducido repertorio motor de esta población, se puede promover el aumento de la actividad física adaptando las actividades al nivel de capacidad del niño, de modo que sea posible el movimiento autoniciado 69 . Esto puede lograrse realizado facilitando movimientos autoiniciados mediante la utilización de productos de apoyo, como dispositivos de apoyo para dar pasos, 70 y de soporte dinámico del peso corporal 31 . Estos principios pueden incorporarse a programas de intervención temprana como CareToy , START‐Play , Goals‐Activity‐Motor Enrichment y Coping with and Caring for Infants with Special Needs , 21,24,25,28,43 por lo que son aplicables en niños pequeños que probablemente no sean ambulantes.…”

Section: Discussionunclassified

“…69 Esto puede lograrse realizado facilitando movimientos autoiniciados mediante la utilización de productos de apoyo, como dispositivos de apoyo para dar pasos, 70 y de soporte dinámico del peso corporal. 31 Estos principios pueden incorporarse a programas de intervención temprana como CareToy, START-Play, Goals-Activity-Motor Enrichment y Coping with and Caring for Infants with Special Needs, 21,24,25,28,43 por lo que son aplicables en niños pequeños que probablemente no sean ambulantes. En países de ingresos bajos y medios o en familias en cualquier lugar con recursos más limitados, la implementación de estas estrategias solo puede ser posible con el uso de materiales de bajo coste.…”

Section: Estado Físicounclassified

F‐words e ingredientes de las intervenciones tempranas dirigidas a niños no ambulantes con parálisis cerebral: Una revisión exploratoria

Campos

Hidalgo‐Robles

Longo

et al. 2023

Develop Med Child Neuro

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ObjetivosExplorar los ingredientes de las intervenciones tempranas realizadas a niños pequeños con parálisis cerebral (PC) clasificados en el Sistema de Clasificación de la Función Motora Gruesa (GMFCS) niveles IV y V, e identificar las ‘F‐words’ abordadas por las intervenciones.MétodoSe realizaron búsquedas en cuatro bases de datos electrónicas. Los criterios de inclusión fueron estudios experimentales originales que cumplieran los siguientes componentes PCC: población: niños pequeños (edades 0–5 años, al menos el 30% de la muestra) con PC y alteraciones motoras significativas (niveles GMFCS IV o V, al menos 30% de la muestra); concepto: servicios de intervención temprana no quirúrgicos y no farmacológicos que midieran resultados de cualquier dominio de la Clasificación Internacional del Funcionamiento, Discapacidad y Salud; y contexto: estudios publicados de 2001 a 2021, en todos los entornos y sin limitaciones geográficas específicas.ResultadosOchenta y siete artículos fueron incluidos en la revisión, con diseños cualitativos (n = 3), de métodos mixtos (n = 4), cuantitativos descriptivos (n = 22), cuantitativos no aleatorizados (n = 39), y cuantitativos aleatorizados (n = 19). Los ingredientes de estado físico (n = 59), familia (n = 46) y funcionamiento (n = 33) fueron abordados por la mayoría de los estudios experimentales, mientras que los estudios sobre diversión (n = 6), amigos (n = 5) y futuro (n = 14) fueron escasos. Otros factores (n = 55) relacionados con el entorno, por ejemplo, la prestación de servicios, formación profesional, dosis de terapia y modificaciones del entorno, fueron también relevantes.InterpretaciónMuchos estudios respaldaron positivamente el entrenamiento formal de los padres y el uso de tecnología de apoyo para promover varias F‐words. Se proporcionó un menú de ingredientes de intervención, con sugerencias para investigaciones futuras, para incorporarlo en un contexto real dentro de la familia y la práctica clínica.

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“…In limiting the inclusion criteria to only RCTs in which over 50% of infants and toddlers developed CP by follow-up, the applicability of the results of this systematic review to children with CP is strengthened, but many motor interventions were not included. Other promising motor interventions for infants and toddlers with or at high risk of CP include the CareToy, 33 iMOVE with dynamic weight support, 34,35 Self-Initiated Prone Progression Crawler (SIPPC), 36 Sitting Together And Reaching to Play (START-Play), 37 Small Step Program, 38 and whole body vibration. 39 In addition, large efficacy trials of many interventions included in this review or noted earlier are ongoing and likely to provide more information within the next 5 years on the efficacy of motor intervention on motor outcomes of infants and toddlers with or at high risk of CP.…”

Section: Discussionmentioning

confidence: 99%

Effect of Motor Intervention for Infants and Toddlers With Cerebral Palsy: A Systematic Review and Meta-analysis

Baker

Niles

Kysh

et al. 2022

Pediatric Physical Therapy

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Purpose: To conduct a systematic review and meta-analysis on the effect of motor intervention on motor function of infants and toddlers with cerebral palsy (CP). Methods: Four databases were searched for randomized controlled trials (RCTs) of motor interventions for children with or at high risk of CP younger than 36 months. Studies were excluded if less than 50% of children developed CP. Results: Eleven RCTs included 363 children; 85% diagnosed with CP. Very low-quality evidence supports that: (1) task-specific motor training was more effective than standard care for improving motor function (small effect), (2) constraint-induced movement therapy (CIMT) may be more effective than bimanual play or massage for improving function of the more affected hand (moderate effect), and high-intensity treadmill training is no more effective than low-intensity for improving walking. Conclusions: Very low-quality evidence supports that task-specific motor training and CIMT may improve motor function of infants and toddlers with CP.

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The Use of Dynamic Weight Support with Principles of Infant Learning in a Child with Cerebral Palsy: A Case Report

Cited by 11 publications

References 20 publications

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

F‐words e ingredientes de las intervenciones tempranas dirigidas a niños no ambulantes con parálisis cerebral: Una revisión exploratoria

Effect of Motor Intervention for Infants and Toddlers With Cerebral Palsy: A Systematic Review and Meta-analysis

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