Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2-Year-Old with Cerebral Palsy

Autor/inn/en	Stuyvenberg, Corri L.; Brown, Shaaron E.; Inamdar, Ketaki; Evans, Megan; Hsu, Lin-ya; Rolin, Olivier; Harbourne, Regina T.; Westcott McCoy, Sarah; Lobo, Michele A.; Koziol, Natalie A.; Dusing, Stacey C.
Titel	Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2-Year-Old with Cerebral Palsy
Quelle	11 (2021), Artikel 163 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext (1); PDF als Volltext kostenfreie Datei (2) Verfügbarkeit
Zusatzinformation	ORCID (Inamdar, Ketaki) ORCID (Hsu, Lin-ya) ORCID (Harbourne, Regina T.) ORCID (Lobo, Michele A.) ORCID (Dusing, Stacey C.) Weitere Informationen
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
Schlagwörter	Cerebral Palsy; Physical Disabilities; Preschool Children; Intervention; Physical Therapy; Family Involvement; Drug Therapy; Psychomotor Skills; Early Intervention; Program Effectiveness; Child Development; Problem Solving; Play; Bayley Scales of Infant Development + Suchen Sie Ihr Suchwort? Hirnlähmung; Physical handicap; Körperbehinderung; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Physiotherapie; Psychomotorische Aktivität; Kindesentwicklung; Problemlösen; Spiel
Abstract	Therapies for children with cerebral palsy (CP) often fail to address essential components of early rehabilitation: intensity, child initiation, and an embodied approach. Sitting Together And Reaching To Play (START-Play) addresses these issues while incorporating intensive family involvement to maximize therapeutic dosage. While START-Play was developed and tested on children aged 7-16 months with motor delays, the theoretical construct can be applied to intervention in children of broader ages and skills levels. This study quantifies the impact of a broader STARTPlay intervention combined with Botulinum toxin-A (BoNT-A) and phenol on the developmental trajectory of a 24 month-old child with bilateral spastic CP. In this AB +1 study, A consisted of multiple baseline assessments with the Gross Motor Function Measure-66 and the Assessment of Problem Solving in Play. The research participant demonstrated a stable baseline during A and changes in response to the combination of BoNT-A/phenol and 12 START-Play sessions during B, surpassing the minimal clinically important difference on the Gross Motor Function Measure-66. The follow-up data point (+1) was completed after a second round of BoNT-A/phenol injections. While the findings suggest the participant improved his gross motor skills with BoNT-A/phenol and START-Play, further research is needed to generalize these findings. (As Provided).
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01