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Journal articles on the topic 'Occupational therapy Cerebral palsy'

Author: Grafiati

Published: 4 June 2021

Last updated: 7 February 2022

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1

Sousa, Larissa K., Marina Brito Brandão, Clare M. Curtin, and Livia C. Magalhães. "A Collaborative and Cognitive-based Intervention for Young People with Cerebral Palsy." Canadian Journal of Occupational Therapy 87, no. 4 (August 17, 2020): 319–30. http://dx.doi.org/10.1177/0008417420946608.

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Background. Evidence-based approaches to improve function in individuals with cerebral palsy are needed. Purpose. To investigate the effectiveness of the Cognitive Orientation to daily Occupational Performance approach™ (CO-OP) to improve performance on self-chosen, functional goals as compared to traditional occupational therapy for cerebral palsy. Method. Crossover design with 12 participants, aged 6–15 years, randomly assigned to CO-OP and traditional intervention groups, followed by crossover and a 3-month follow-up. The participants identified three occupation-based goals for CO-OP and each group received ten 45-minutes intervention twice weekly in clinical context. Occupational performance, manual dexterity and Gross Motor Function Measures were analysed using generalized estimating equations. Findings. There were clinical and statistically significant improvements in functional goals following CO-OP and not traditional therapy. There were gains in dexterity but not in gross motor skills. Implications. CO-OP was effective to improve functional performance in young people with cerebral palsy and should be more utilized.

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Raji, Parvin, Afsoon Hassani Mehraban, Maryam Ahmadi, and Veronica Schiariti. "Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists." Canadian Journal of Occupational Therapy 86, no. 4 (May 2, 2019): 289–98. http://dx.doi.org/10.1177/0008417419833400.

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Background. International Classification of Functioning, Disability and Health (ICF) core set for cerebral palsy allows for the description of the levels of functioning in cerebral palsy. It is not exactly clear which of these levels is more important for evaluation from the perspective of occupational therapists in Iran. By identifying these priorities, we can establish a better plan for intervention. Purpose. This study defines assessment priorities in children with cerebral palsy (<6 years). Method. Sixty-two Iranian occupational therapists studied the priorities of assessment based on the Iranian ICF core set. The therapists were asked to rate the code categories from 1 to 3. The results are presented as mean values. Findings. Occupational therapists first focus on body functions assessment, then activities/participation, and ultimately, environmental factors. Implications. Occupational therapists in Iran have a bottom-up approach toward clients with cerebral palsy. It may be necessary to revise the educational curriculum, prepare a training course, and provide more supervision for practising occupational therapists.

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Ahmadi Kahjoogh, Mina, Dorothy Kessler, Seyed Ali Hosseini, Mehdi Rassafiani, Nazila Akbarfahimi, Hamid Reza Khankeh, and Akbar Biglarian. "Randomized controlled trial of occupational performance coaching for mothers of children with cerebral palsy." British Journal of Occupational Therapy 82, no. 4 (October 15, 2018): 213–19. http://dx.doi.org/10.1177/0308022618799944.

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Introduction The purpose of this study was to assess the efficacy of occupational performance coaching in mothers of children with cerebral palsy. Method A randomized controlled trial was used. Thirty mothers of children with cerebral palsy were randomly assigned to an occupational performance coaching group or control group. The Canadian Occupational Performance Measure and Sherer General Self-efficacy Scale were measured before and after the study. Results Occupational performance coaching had significant effects on participants’ occupational performance and self-efficacy. In child-related goals, there was also a statistically significant difference between two groups ( p = 0.05). Conclusion The results indicated that occupational performance coaching could be an effective intervention to increase the self-efficacy of mothers and improve the occupational performance of children and mothers of children with cerebral palsy. This trial is registered at NCT02915926 at clinicaltrials.gov

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Milton, Yvonne, and Sarah Roe. "Occupational therapy home programmes for children with unilateral cerebral palsy using bimanual and modified constraint induced movement therapies: A critical review." British Journal of Occupational Therapy 80, no. 6 (September 27, 2016): 337–49. http://dx.doi.org/10.1177/0308022616664738.

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Introduction The home context is considered a good location for children with cerebral palsy to practise meaningful occupations. The aim of this critical review was to gain a deeper understanding of how bimanual therapy and modified constraint induced movement therapy or constraint induced movement therapy methods are used within occupational therapy home programmes from an occupational perspective. Method A literature search was conducted using electronic databases for health research; five studies met the inclusion criteria. These were critically appraised and were analysed according to the relevant supports and barriers of the person–environment–occupation conceptual model of practice. Findings Family collaboration, strategic use of outcome measures, construction of the programme within the home environment and occupation-focused goals and activities emerged as commonly used methods. Enhanced descriptions of intervention context, the child’s voice in defining goals and challenges in optimising occupational balance surfaced as gaps in the programmes. Conclusion The methods used in implementing these approaches within occupational therapy home programmes requires combining motor and non-motor approaches, core occupational therapy skills, working within individual contexts and valuing family preferences. Using child-specific goal-setting instruments would strengthen the child’s voice and promote participation within a wider range of occupations.

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CARDALE, JOYCE W., and J. GUEST. "Some Thoughts on Cerebral Palsy." Australian Occupational Therapy Journal 13, no. 2 (August 27, 2010): 21–24. http://dx.doi.org/10.1111/j.1440-1630.1966.tb00171.x.

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Berry, Jane, and Susan Ryan. "Frames of Reference: Their Use in Paediatric Occupational Therapy." British Journal of Occupational Therapy 65, no. 9 (September 2002): 420–27. http://dx.doi.org/10.1177/030802260206500905.

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The aim of this study was to explore how paediatric occupational therapists provide intervention for children with cerebral palsy in the United Kingdom. A survey design was used with a sample of 120 paediatric occupational therapists. The results of this study were representational of practice among members of the National Association of Paediatric Occupational Therapists. It was found that 91.7% of occupational therapists in this study used an eclectic treatment approach. Treatment was usually provided on a case-by-case basis, taking into consideration the individual needs of the child, and family-centred functional therapy was valued. Postgraduate training in the areas of neurodevelopmental treatment and sensory integration is recommended in a continuing capacity if therapists choose to use these frames of reference to guide treatment for children with cerebral palsy.

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Riyahi, Azade, Mehdi Rassafiani, Zahra Nobakht, Hosseinali Abdolrazaghi, and Rahmatollah Moradzadeh. "Validity and reliability of the Persian version of the Eating and Drinking Ability Classification System." International Journal of Therapy and Rehabilitation 26, no. 9 (September 2, 2019): 1–11. http://dx.doi.org/10.12968/ijtr.2017.0176.

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Background/Aims The ability to eat and drink is the most important factor in health, survival and longevity. Children with cerebral palsy can suffer from severe dysphagia, which can lead to a high risk of aspiration and choking. As classifying eating and drinking ability in children with cerebral palsy is important in research and treatment, the aim of this study was to determine the cross-cultural validation and reliability of the Persian version of the Eating and Drinking Ability Classification System. Methods After translation procedures, the face validity, content validity, test–retest reliability and interrater reliability of the Eating and Drinking Ability Classification System were evaluated. In total, 130 parents of children with cerebral palsy and 34 therapists participated in the evaluation of the scale's reliability. The 73 boys and 57 girls with cerebral palsy were aged 3–20 years (mean age 4.4 years) and had various types of cerebral palsy. They were classified according to the Eating and Drinking Ability Classification System by both their parents and the therapists. Results The overall results indicated that the words and sentences used were simple, clear, understandable, relevant and necessary. The intraclass correlation coefficients for test–retest reliability for parents, occupational therapists and speech therapists were 0.98, 0.98 and 0.995, respectively. The interrater reliability between parents and occupational therapists was 0.96, between parents and speech therapists was 0.95, and between occupational therapists and speech therapists was 0.985. Conclusions The Persian version of the Eating and Drinking Ability Classification System seems to be valid and reliable. This system may be used to evaluate children with cerebral palsy.

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Angelin, Anaisa C., Amanda MP Sposito, and Luzia I. Pfeifer. "Influence of functional mobility and manual function on play in preschool children with cerebral palsy." Hong Kong Journal of Occupational Therapy 31, no. 1 (June 2018): 46–53. http://dx.doi.org/10.1177/1569186118783889.

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Introduction This study analysed the differences in play performance between preschool children with cerebral palsy and those with typical development and investigated the factors influencing functional mobility and manual dexterity on play in children with cerebral palsy. Method Sixty preschool children (30 with cerebral palsy; 30 with typical development), were assessed by the revised Knox Preschool Play Scale, being that children with cerebral palsy were also classified according to their functional mobility and manual dexterity. Results On average, all measures were significantly smaller in the cerebral palsy group than the typical development group (p≤ .002). Manual function and functional mobility were negatively correlated with material ( r = −.456, p = .011; r = −.487, p = .006) and space ( r = −.494, p = .006; r = −.784, p = .000). Also the results pointed out a significant correlation with topography and manual function ( r = .404, p = .027) and functional mobility ( r = .718, p = .000). Pretend play and participation showed no correlation with topography (r = −.051, p = .788; r = −.312, p = .093), manual function (r = −.019, p = .921; r = −.322, p = .083) and functional mobility (r = −.085, p = .657; r = −.308, p = .097). Conclusion Play performance of children with typical development was superior to those with cerebral palsy. The degree of impairment of functional mobility and manual function negatively was negatively associated with play exploration but did not relate to pretend play or social interaction in play.

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Milton, Yvonne M., Sarah A. Roe, and Katie V. Newby. "Home programmes based on evidence of best practice for children with unilateral cerebral palsy: Occupational therapists’ perceptions." British Journal of Occupational Therapy 83, no. 7 (February 5, 2020): 447–57. http://dx.doi.org/10.1177/0308022619898073.

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Introduction Evidence-based occupational therapy home programmes for children with unilateral cerebral palsy have demonstrated efficacy; however, uptake into routine practice is varied. The aim of this study was to gain a deeper understanding of the therapist-perceived supports and barriers to using occupational therapy home programmes for children with unilateral cerebral palsy, based on evidence of best practice in the United Kingdom. Method Fourteen occupational therapists completed semi-structured telephone interviews. Using a qualitative framework analysis approach, support and barrier factors were indexed against the Theoretical Domains Framework, before being categorised more broadly using the Capability, Opportunity, Motivation and Behaviour Model. Findings Common supports included: (a) strong leadership within the team to facilitate the translation of occupational therapy home programmes and evidence-based interventions into service-specific protocols; (b) knowledge exchange within professional networks and (c) mentorship. Common barriers included: (a) lack of resources; (b) restricted opportunities to review occupational therapy home programmes and (c) difficulties keeping up-to-date with the evidence in this area. Conclusion To be effective, occupational therapy home programmes need to be based on evidence of best practice; analysis indicated an urgent need to capture outcomes, record parental practice, further integrate ‘occupation’ within goal-setting, and develop use of conceptual models of practice to both enhance family-centred care and articulate the profession’s unique contribution.

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BOBATH, BERTA, and NANCIE R. FINNIE. "The Western Cerebral Palsy Centre London." Australian Occupational Therapy Journal 17, no. 2 (August 27, 2010): 8–11. http://dx.doi.org/10.1111/j.1440-1630.1970.tb00390.x.

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Lafrance, Marie-Elaine, Dana Benoit, Noémi Dahan-Oliel, and Isabelle Gélinas. "Development of a driving readiness program for adolescents and young adults with cerebral palsy and spina bifida." British Journal of Occupational Therapy 80, no. 3 (November 22, 2016): 173–82. http://dx.doi.org/10.1177/0308022616672480.

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Introduction Occupational therapists are amongst the certified driving rehabilitation specialists providing driving rehabilitation and training. This study aimed at gathering information on driving readiness in adolescents and young adults with physical and/or cognitive impairments related to cerebral palsy and spina bifida to guide the development of a driving readiness program for this clientele. Method A review of the scientific literature was performed. Seventy-four driving rehabilitation specialists across North America were surveyed, of whom eight were subsequently interviewed. Results Learner drivers with cerebral palsy and spina bifida lack the basic skills (such as information processing, visual memory, attention span) for and familiarity with community mobility and self-efficacy, often resulting in a lengthy and difficult learning process for automobile driving. The literature findings were corroborated by a survey and interview of specialized driving rehabilitation therapists. There is a therapist-driven desire to improve pre-requisite skills for driving through a driving readiness program tailored to this population’s specific needs. An outline of such a program was developed based on the person–environment–occupation model. Conclusion A driving readiness program may act as an important clinical tool intended to optimize pre-driving skills in adolescents with cerebral palsy or spina bifida in order to facilitate the driving training process and ensure greater community independence in this population.

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Gowda, Vykuntaraju K. "Recent advances in cerebral palsy." Karnataka Pediatric Journal 35 (September 9, 2020): 4–18. http://dx.doi.org/10.25259/kpj_1_2020.

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The words unpreventable, incurable, and untreatable are still synonymous with cerebral palsy (CP). However, research and evidence coming from the fields of neuroplasticity, neuroregeneration, and neuroprotection provide considerable cause for optimism for children with CP. There are now at least 64 different interventions for CP seeking 131 outcomes. A search of the Cochrane Library, PubMed, and Google Scholar was made using the keywords: CP, static encephalopathy, birth asphyxia, perinatal insult, hypoxic-ischemic encephalopathy, and neonatal encephalopathy. We found evidence to suggest that following interventions: Anticonvulsant drugs, ankle casting, botulinum toxin for focal spasticity, bisphosphonates, diazepam, hip surveillance, and dorsal rhizotomy are effective. The following interventions improve function: Bimanual training, constraint-induced movement therapy, context focused therapy, goal-directed/functional training, home programs, and occupational therapy. These interventions are effective if started early in life. Therapies such as hyperbaric oxygen, hip bracing, and neurodevelopmental therapy when child contractures are already developed are ineffective. In the last decade, the evidence on CP has rapidly expanded, providing clinicians and families with the possibility of newer, safer, and more effective interventions. In this update, the author reviews the current evidence of the management of CP and provides a comprehensive evaluation and multidisciplinary management.

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Švraka, Emira, Naim Salkić, and Berka Klinić. "OCCUPATIONAL THERAPY AND LEISURE TIME OF PERSONS WITH DEVELOPMENTAL DIFFICULTIES." Journal Human Research in Rehabilitation 8, no. 2 (September 2018): 26–39. http://dx.doi.org/10.21554/hrr.091803.

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Occupations can be divided into three subcategories: activities that are socially expected, activities that affirm health and support maintenance of health and leisure activities. Leisure time activities are an individual choice from personal interests and values, not because of the expectations of the environment. Leisure time activities can be divided into three basic groups: activities for rest, recreation and personal development. Goals: Occupational therapy and leisure time of persons with developmental difficulties are determining the duration of activities that are carried out due to rest, various forms of recreation and personal development and their mutual relationship. Results: In total 121 persons with cerebral palsy participated in the workshops of the Cerebral palsy associations of Federation of Bosnia and Herzegovina, 52 (42.98%) from Sarajevo, 14 (11.58%) from Gorazde, 29 (23.97%) from Zenica, 9 (7.43%) from Sapna and 17 (14.05%) from the Center „Koraci nade“ (Steps of hope) from Tuzla. Of the total sample (121 respondents) one hour per day listened to the music 29 (23.97%) participants, 2 hours 26 (21.49%), 3 and more hours 59 (48.76%) and not listen to the music at all 7 participants (5.78%). Of the total sample per day 1-hour watches TV and uses internet 20 (16.53%) participants, 2 hours 35 (28.92%), 3 and more hours 60 (49.59%) and no TV viewing or internet use 6 (4.96%) participants. For all four Associations, members of the Cerebral palsy associations of Federation of FBiH and the Center "Koraci nade", Tuzla, for leisure activities directed to rest, there is a statistically significant difference in the time spent in the activities: χ2 = 55.071; df = 6; p < .0001. For all four Associations, members of the Cerebral palsy associations of FBiH and Center "Koraci nade", Tuzla, there is a statistically significant difference in the frequency of participation in cultural and sports activities: χ2 = 162.758; df = 12; p < .0001. For all four Associations, members of the Cerebral palsy associations of Federation of FBiH and Center "Koraci nade", Tuzla, there is a statistically significant difference in time spent with companions, friends: χ 2= 34.137; df = 2; p < .0001. Discussion: In the study by Mlinarević The Styles of Leisure Time of High School Pupils in Slavonija and Baranja, 2004, outlined 43 leisure activities. The author combines the four leisure time styles: elite, hedonistic, sport-recreational and traditional-(non) conventional.

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BOWER, E., and D. L. McLELLAN. "Evaluating therapy in cerebral palsy." Child: Care, Health and Development 20, no. 6 (November 1994): 409–19. http://dx.doi.org/10.1111/j.1365-2214.1994.tb00402.x.

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Steultjens, Esther MJ, Joost Dekker, Lex M. Bouter, Jos CM van de Nes, Brigitte LM Lambregts, and Cornelia HM van den Ende. "Occupational therapy for children with cerebral palsy: a systematic review." Clinical Rehabilitation 18, no. 1 (February 2004): 1–14. http://dx.doi.org/10.1191/0269215504cr697oa.

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Farren, Judy. "Book Review: Cerebral Palsy: Problems and Practice." British Journal of Occupational Therapy 52, no. 7 (July 1989): 278. http://dx.doi.org/10.1177/030802268905200712.

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Hong, Eun-Kyoung. "Systematic Review on Occupational Therapy for Children with Cerebral Palsy." Journal of the Korea Contents Association 13, no. 6 (June 28, 2013): 318–30. http://dx.doi.org/10.5392/jkca.2013.13.06.318.

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McCoy, Sarah Westcott, Robert Palisano, Lisa Avery, Lynn Jeffries, Alyssa Laforme Fiss, Lisa Chiarello, and Steve Hanna. "Physical, occupational, and speech therapy for children with cerebral palsy." Developmental Medicine & Child Neurology 62, no. 1 (July 28, 2019): 140–46. http://dx.doi.org/10.1111/dmcn.14325.

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Hinojosa, Jim, Jill Anderson, and Gary W. Ranum. "Relationships between Therapists and Parents of Preschool Children with Cerebral Palsy: A Survey." Occupational Therapy Journal of Research 8, no. 5 (September 1988): 285–97. http://dx.doi.org/10.1177/153944928800800504.

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This survey investigated the roles of occupational therapists working with parents of preschool children with cerebral palsy. It examined and identified (a) attitudes of occupational therapists working with parents, (b) roles occupational therapists assume when working with parents, and (c) issues that arise in the working relationship with parents. Data were collected from 257 registered occupational therapists currently working with preschool children with cerebral palsy. The instrument used to collect the data was developed by the authors and other experienced clinicians. Results suggest that occupational therapists are more likely to concentrate on therapeutic objectives and techniques than deal with parental feelings Data are presented and summarized with implications for occupational therapy clinical practice.

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Chu, Sidney K. H. "The Application of Contemporary Treatment Approaches in Occupational Therapy for Children with Cerebral Palsy." British Journal of Occupational Therapy 52, no. 9 (September 1989): 343–48. http://dx.doi.org/10.1177/030802268905200907.

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The focus of this article is the application of three commonly used approaches — neurodevelopmental treatment, sensory integrative therapy and conductive education — in occupational therapy for children with cerebral palsy. The three approaches are compared to give an overview of the differences and similarities.

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Shahinyan, Ashot, and Marianna Harutyunyan. "Role of Occupational Therapy While Working with Cerebral Palsy Children Using Orthopedic Assistive Devices." Armenian Journal of Special Education 4, no. 2 (August 23, 2021): 39–59. http://dx.doi.org/10.24234/se.2021.4.2.272.

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The main aim of the following research paper is to identify and interpret the preconditions and instructions for the implementation of effective Occupational Therapy intervention during the use of orthopedic assistive devices. In trying to highlight the role, professional skills, and perspectives of the occupational therapist, it will be possible to identify the key provisions that, if applied, will encourage the maximum participation of a child with Cerebral Palsy in several activities that are meaningful to him/her, thereby improving his/her quality of life and well-being. The methodology of data collection, processing, and analysis of the research is based on a combined method approach, which allows combining quantitative data collection and use of quantitative methods to later conclude the data obtained through certain numerical patterns. Structural interviews and designed questionnaires were used with 50 children having Cerebral Palsy and their parents or caregivers. The results showed that today in Armenia, due to the problems of obtaining and using orthopedic assistive devices, as well as the lack of professional supervision and monitoring, it is limited or does not ensure the maximum independent participation of children with Cerebral Palsy in community life, self-care, and professional activities.

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Mulcahey, Mary Jane, Mary D. Slavin, Ni Pengsheng, Anna Kratz, Pamela A. Kisala, David S. Tulsky, and Alan M. Jette. "Examination of psychometric properties of PROMIS®: Pediatric upper limb measures in youth with cerebral palsy." British Journal of Occupational Therapy 81, no. 7 (April 9, 2018): 393–401. http://dx.doi.org/10.1177/0308022618757961.

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Introduction This study examines the validity and distribution characteristics of the PROMIS® pediatric upper limb measures in a sample of young people with cerebral palsy. Method Data are a cross-sectional subset of a larger prospective study of the responsiveness to change of PROMIS® pediatric measures following surgery to improve functioning in young people with cerebral palsy. Ninety-three participants between the ages of eight and 21 years completed the PROMIS® pediatric mobility and upper limb computer adaptive tests and short forms in conjunction with a set of static “legacy” measures of physical functioning, including a parent-report of upper limb function. Results The PROMIS® Pediatric upper limb short form demonstrated acceptable internal consistency (Cronbach’s alpha = 0.85). PROMIS® pediatric upper limb computer adaptive tests and short form mean values (42.1(11) and 43(10.4), respectively) were nearly 1 SD below normal, which is appropriate when a generic measure is used in a sample of young persons with cerebral palsy. The PROMIS® pediatric upper limb computer adaptive tests had a higher frequency of ceiling effects (29.50%) compared to the short form (18.30%). Conclusion Results of this study suggest that the PROMIS® pediatric upper limb computer adaptive tests and the short form are valid indicators of upper limb function in young people with cerebral palsy. The item bank can be replenished to address ceiling effects.

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Seeger, Barry R., Pam Falkner, and David J. Caudrey. "Seating Position and Hand Function in Cerebral Palsy." Australian Occupational Therapy Journal 29, no. 4 (August 27, 2010): 147–52. http://dx.doi.org/10.1111/j.1440-1630.1982.tb01403.x.

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Farr, William, Dido Green, Ian Male, Christopher Morris, Sarah Bailey, Heather Gage, Sandra Speller, et al. "Therapeutic potential and ownership of commercially available consoles in children with cerebral palsy." British Journal of Occupational Therapy 80, no. 2 (February 2017): 108–16. http://dx.doi.org/10.1177/0308022616678635.

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Introduction We conducted a survey amongst families of children with cerebral palsy to ascertain the ownership and therapeutic use and potential of commercial games consoles to improve motor function. Method Three hundred families in South East England were identified through clinical records, and were requested to complete an anonymised questionnaire. Results A total of 61 families (20% response) returned a completed questionnaire with 41 (68%) identified males and 19 (32%) identified females with cerebral palsy, with a mean age of 11 years 5 months (SD 3Y 7M). The large majority of families, 59 (97%), owned a commercial console and the child used this for 50–300 minutes a week. Returns by severity of motor impairment were: Gross Motor Function Classification System I (22%), II (32%), III (13%), IV (15%), V (18%). Consoles were used regularly for play across all Gross Motor Function Classification System categories. Conclusion The potential of games consoles, as home-based virtual reality therapy, in improving the motor function of children with cerebral palsy should be appropriately tested in a randomised controlled trial. Wide ownership, and the relative ease with which children engage in the use of commercially-based virtual reality therapy systems, suggests potential as a means of augmenting therapy protocols, taking advantage of interest and participation patterns of families.

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Dimitropoulou, Katherine. "Adaptive Motor Decisions in Children with Hemiplegic Cerebral Palsy." American Journal of Occupational Therapy 72, no. 4_Supplement_1 (November 1, 2018): 7211505103p1. http://dx.doi.org/10.5014/ajot.2018.72s1-rp204c.

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Wang, Tien-Ni, Kai-Jie Liang, Tsu-Hsin Howe, Hao-Ling Chen, Chen-Wei Huang, and Chien-Te Wu. "Spatial Attention Disregard in Children With Hemiplegic Cerebral Palsy." American Journal of Occupational Therapy 74, no. 2 (February 26, 2020): 7402205090p1. http://dx.doi.org/10.5014/ajot.2020.038851.

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Carter, Mark. "Reflex Development and the Prehensile Deficit in Cerebral Palsy." Australian Occupational Therapy Journal 30, no. 1 (August 27, 2010): 3–13. http://dx.doi.org/10.1111/j.1440-1630.1983.tb01412.x.

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Chu, Sidney. "Book Review: Treatment of Cerebral Palsy and Motor Delay." British Journal of Occupational Therapy 59, no. 11 (November 1996): 542. http://dx.doi.org/10.1177/030802269605901121.

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Wiart, Lesley, Lynne Ray, Johanna Darrah, and Joyce Magill-Evans. "Parents' perspectives on occupational therapy and physical therapy goals for children with cerebral palsy." Disability and Rehabilitation 32, no. 3 (December 15, 2009): 248–58. http://dx.doi.org/10.3109/09638280903095890.

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Diego, Anna Patricia Nicole, and Ada WS Leung. "Transcranial direct current stimulation for improving gross motor function in children with cerebral palsy: A systematic review." British Journal of Occupational Therapy 83, no. 7 (February 4, 2020): 418–31. http://dx.doi.org/10.1177/0308022619897885.

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Introduction The functional abilities of children with cerebral palsy are often compromised because of limited motor function. Transcranial direct current stimulation is a neuromodulation tool used as an adjunct to other therapeutic modalities to improve gross motor function. This review aimed to examine the quality of evidence and the effectiveness of transcranial direct current stimulation for improving gross motor function in children with cerebral palsy. Method A systematic review was conducted, and eligible studies were critically appraised for methodological quality. Randomised controlled trials were selected to undergo meta-analysis for assessing the effectiveness of transcranial direct current stimulation on clinical outcomes. Results Eight studies, including seven randomised controlled trials, fitted the inclusion criteria. All the randomised controlled trials were rated ‘moderate’ quality based on the grading of recommendations assessment, development and evaluation (GRADE) system. Using meta-analysis, only cadence, an outcome measure of gait variables, demonstrated efficacy of intervention, mean difference 16.57 (10.88, 22.25); I2 = 0%, P = 0.83. Other gross motor and functional outcomes had either inconsistent mean difference or high heterogeneity. Conclusion Overall, the effectiveness of transcranial direct current stimulation as a treatment in children with cerebral palsy remains unclear, and the findings should be interpreted with caution. The quality of evidence was mostly moderate, and more vigorous research incorporating functional outcomes should be conducted to guide clinical practice.

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Silva, Rafael Luiz Morais da, Thiago da Silva Dias, Ana Irene Alves de Oliveira, and Luciana Maria Malosá Sampaio. "Effects of suit therapy programs in children with cerebral palsy." Revista de Terapia Ocupacional da Universidade de São Paulo 30, no. 1 (August 12, 2020): 70–76. http://dx.doi.org/10.11606/issn.2238-6149.v30i1p70-76.

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Objetivo: verificar na literatura os efeitos de programas com suit therapy (ST) no desempenho motor e funcional de crianças com paralisia cerebral. Método: esta é uma pesquisa de revisão sistemática com meta-análise, cuja busca de artigos foi realizada em três bases de dados utilizando a combinação alternada da palavra-chave “cerebral palsy” com “occupational therapy”, “physical therapy” e “physical therapy modalities”. Os artigos foram submetidos à avaliação de qualidade metodológica por meio das seguintes escalas: PEDro Scale, Jadad Scale e Study of Quality. Resultados: a busca resultou em 4.060 artigos, dos quais 1.425 foram excluídos por terem sido publicados antes de janeiro de 2006, 3.005 por não serem ensaios clínicos e 818 por não abordarem programas de ST. Assim, somente cinco artigos foram incluídos neste estudo, dos quais apenas dois apresentaram homogeneidade metodológica. Os estudos apresentaram resultados adversos e não mostram evidência a favor da ST. Conclusão: este estudo evidencia a necessidade de mais pesquisas sobre vestimentas com elementos dinâmicos, visto que não foram identificados estudos que indiquem melhora significativa nas habilidades motoras de crianças com paralisia cerebral.

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Engel, Joyce, Tami Petrina, Brian Dudgeon, and Kimberly McKearnan. "Cerebral Palsy and Chronic Pain." Physical & Occupational Therapy In Pediatrics 25, no. 4 (January 10, 2006): 73–84. http://dx.doi.org/10.1300/j006v25n04_06.

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Engel, Joyce M., Tami J. Petrina, Brian J. Dudgeon, and Kimberly A. McKearnan. "Cerebral Palsy and Chronic Pain." Physical & Occupational Therapy In Pediatrics 25, no. 4 (January 2006): 73–84. http://dx.doi.org/10.1080/j006v25n04_06.

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Palisano, Robert J., Laurie M. Snider, and Margo N. Orlin. "Recent advances in physical and occupational therapy for children with cerebral palsy." Seminars in Pediatric Neurology 11, no. 1 (March 2004): 66–77. http://dx.doi.org/10.1016/j.spen.2004.01.010.

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Novak, I., A. Cusick, and N. Lannin. "Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Controlled Trial." PEDIATRICS 124, no. 4 (September 21, 2009): e606-e614. http://dx.doi.org/10.1542/peds.2009-0288.

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Espín-Tello, Sandra Martina, Heather Olivia Dickinson, Manuel Bueno-Lozano, María Teresa Jiménez-Bernadó, and Ana Luisa Caballero-Navarro. "Functional Capacity and Self-Esteem of People With Cerebral Palsy." American Journal of Occupational Therapy 72, no. 3 (March 12, 2018): 7203205120p1. http://dx.doi.org/10.5014/ajot.2018.025940.

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VerMaas-Hannan, Jacy, James Gehringer, Tony Wilson, and Max Kurz. "Visual Motion Perception Is Aberrant in Children With Cerebral Palsy." American Journal of Occupational Therapy 73, no. 4_Supplement_1 (August 1, 2019): 7311505202P1. http://dx.doi.org/10.5014/ajot.2019.73s1-rp302b.

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Inglis, Sally, and Kerry Gibbett. "Custom-Designed Stroller Inserts for Young Children with Cerebral Palsy." Australian Occupational Therapy Journal 38, no. 3 (August 27, 2010): 147–53. http://dx.doi.org/10.1111/j.1440-1630.1991.tb01711.x.

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Brown, Cynthia. "Book Review: Vocational Education for Multihandicapped Youth with Cerebral Palsy." Canadian Journal of Occupational Therapy 58, no. 2 (June 1991): 92. http://dx.doi.org/10.1177/000841749105800212.

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Healy, Helen, and Patricia Rigby. "Promoting Independence for Teens and Young Adults with Physical Disabilities." Canadian Journal of Occupational Therapy 66, no. 5 (December 1999): 240–49. http://dx.doi.org/10.1177/000841749906600508.

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The transition to adult roles and responsibilities poses unique challenges for young people with physical disabilities. The Independence Programme (TIP) assists youths to meet these challenges. TIP is client-centred and addresses each participant's occupational performance problems. Participants live in a student residence located near shops, restaurants and other businesses for 20 consecutive days during TIP. This paper describes TIP and results from the evaluation of one summer's programme. Ten youths with physical disabilities, such as cerebral palsy, participated. The programme was evaluated using interviews with each participant at the beginning and end of the programme, and at a four month follow-up with the Canadian Occupational Performance Measure (COPM) (Law et al., 1994a). Participants made clinically important changes in performance and satisfaction of their identified occupations. They rated this programme as the best experience of the summer. Participants valued the opportunities to learn about and access environmental supports, to assume greater independence, and to develop connectedness with peers.

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Engel, Joyce M., Mark P. Jensen, and Lauren Schwartz. "Coping with chronic pain associated with cerebral palsy." Occupational Therapy International 13, no. 4 (December 2006): 224–33. http://dx.doi.org/10.1002/oti.219.

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Hosseini, Seyed Mehdi, Saeid Fatorehchy, Seyed Ali Hosseini, Hojjat Allah Haghgoo, and Samaneh Hosseinzadeh. "Designing a Gait Enhancer and Determining its Effect on Standing Ability and Gait Speed of Children With Cerebral Palsy Spastic Diplegia." Journal of Rehabilitation 21, no. 4 (January 1, 2021): 436–53. http://dx.doi.org/10.32598/rj.21.4.542.1.

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Objective: This study aimed to design a “gait enhancer” and investigate its effect on standing ability and gait speed of children with cerebral palsy spastic diplegia. Materials & Methods: A new gate trainer was designed based on Theo Johnson mechanism. Johnson's two separate movement chains were placed on either side of the gate trainer body and attached to the lower limbs by a foot plate. To investigate the effect of the designed device, a single-item experimental study with baseline design, treatment and maintenance (ABA) was performed on four children with available spastic diplegia cerebral palsy. These children received routine occupational therapy sessions. Results: The designed “gait enhancer” increased standing ability and gait speed scores in all subjects. Non-overlapping measures also indicated the improvement in both variables. Measured by Cohen’s d, the effect size for standing ability were 1.95, 2.29, 1.83, and 2.3 for the child No. 1, 2, 3, and 4, respectively. Regarding walking speed, the effect size for these children, No. 1 to 4, were 1.13, 3.37, 2.15, and 2.21, respectively. Cohen’s d values were greater than 0.8, indicating the considerable effect of the intervention. Hedges’ g was also calculated due to the small sample size, which was greater than 0.8 for all subjects in standing ability and gait speed. Conclusion: Following the use of Gait Enhancer along with conventional occupational therapy, we observed an increase in the ability to stand and walk at children with cerebral palsy. Findings showed that the change in standing ability and walking speed occurred more during the period of using the designed device than other stages, which could be a consequence of using Gait Enhancer along with routine occupational therapy sessions at this stage of the study. However, it should be noted that this study was only a single case study and to prove the effectiveness of this tool in children with cerebral palsy, it is necessary to conduct clinical trial studies.

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de Oliveira, Juliana M., Rafael Carneiro G. Fernandes, Cristtiano S. Pinto, Plácido R. Pinheiro, Sidarta Ribeiro, and Victor Hugo C. de Albuquerque. "Novel Virtual Environment for Alternative Treatment of Children with Cerebral Palsy." Computational Intelligence and Neuroscience 2016 (2016): 1–10. http://dx.doi.org/10.1155/2016/8984379.

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Cerebral palsy is a severe condition usually caused by decreased brain oxygenation during pregnancy, at birth or soon after birth. Conventional treatments for cerebral palsy are often tiresome and expensive, leading patients to quit treatment. In this paper, we describe a virtual environment for patients to engage in a playful therapeutic game for neuropsychomotor rehabilitation, based on the experience of the occupational therapy program of the Nucleus for Integrated Medical Assistance (NAMI) at the University of Fortaleza, Brazil. Integration between patient and virtual environment occurs through the hand motion sensor “Leap Motion,” plus the electroencephalographic sensor “MindWave,” responsible for measuring attention levels during task execution. To evaluate the virtual environment, eight clinical experts on cerebral palsy were subjected to a questionnaire regarding the potential of the experimental virtual environment to promote cognitive and motor rehabilitation, as well as the potential of the treatment to enhance risks and/or negatively influence the patient’s development. Based on the very positive appraisal of the experts, we propose that the experimental virtual environment is a promising alternative tool for the rehabilitation of children with cerebral palsy.

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Palisano, Robert J., Denise M. Begnoche, Lisa A. Chiarello, Doreen J. Bartlett, Sarah Westcott McCoy, and Hui-Ju Chang. "Amount and Focus of Physical Therapy and Occupational Therapy for Young Children with Cerebral Palsy." Physical & Occupational Therapy In Pediatrics 32, no. 4 (September 7, 2012): 368–82. http://dx.doi.org/10.3109/01942638.2012.715620.

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Harris, Kristan, and Denise Reid. "The Influence of Virtual Reality Play on Children'S Motivation." Canadian Journal of Occupational Therapy 72, no. 1 (February 2005): 21–29. http://dx.doi.org/10.1177/000841740507200107.

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Purpose. This study explored the degree of motivation children exhibit during virtual reality (VR) play sessions. Method. Sixteen children with cerebral palsy aged 8 to 12 years participated. They were observed during a variety of VR environments that were video recorded. The Pediatric Volitional Questionnaire (PVQ) was used to measure children's motivation. The PVQ provides insights into children's inner motives as well as how the virtual environment enhances or attenuates children's motives. Nine VR environments were randomly selected to score with the PVQ. Results. Data were analyzed and descriptive statistics were calculated for modes and medians of total volition scores for each VR environment. Different environments produced varying levels of volitional behaviour. The features of environments that produced higher levels of volition included challenge, variability and competition. Practice Implications. The overall volitional scores of children with cerebral palsy in the current study indicate that VR play is a motivating activity and thus has potential as a successful intervention tool.

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Pimm, Paul L. "Some of the Implications of Caring for a Child or Adult with Cerebral Palsy." British Journal of Occupational Therapy 59, no. 7 (July 1996): 335–41. http://dx.doi.org/10.1177/030802269605900714.

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Many studies have suggested that the presence of a child or adult with a disability in a family can, and does, have a significant impact upon family members, in particular the primary caregiver. Research findings have indicated that there may be social isolation, lack of awareness of services, poor service delivery and psychiatric disorders among parents. However, there have been fewer psychosocial studies on specific conditions such as cerebral palsy and fewer still that consider objectively the impact of caring upon both mothers and fathers caring for their son or daughter throughout a life span. This article, part of a larger research undertaking, presents some key survey findings from a study of 235 mothers and fathers of children and adults with cerebral palsy. The parents evaluated the caring process and their satisfaction with the professionals involved in service delivery. The prevalence of psychiatric morbidity among the parents is also reported. The findings indicate that the mental well-being of many fathers and even more mothers was severely affected by the caring process. High levels of parental dissatisfaction with some professionals are reported.

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HING, RICHARD, and CHRISTOPHER DALY. "Case Report: Magnetically-Retained Overdenture for a Patient with Cerebral Palsy." Australian Occupational Therapy Journal 32, no. 1 (August 27, 2010): 17–22. http://dx.doi.org/10.1111/j.1440-1630.1985.tb01483.x.

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Chiarello, Lisa A., Robert J. Palisano, Jill M. Maggs, Margo N. Orlin, Nihad Almasri, Lin-Ju Kang, and Hui-Ju Chang. "Family Priorities for Activity and Participation of Children and Youth With Cerebral Palsy." Physical Therapy 90, no. 9 (September 1, 2010): 1254–64. http://dx.doi.org/10.2522/ptj.20090388.

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Background Understanding family priorities for children and youth with cerebral palsy is essential for family-centered service. Objective The purposes of this study were: (1) to identify family priorities for activity and participation in children and youth with cerebral palsy and (2) to determine differences based on age and Gross Motor Functional Classification System (GMFCS) level. Design Five hundred eighty-five children and youth with cerebral palsy and their caregivers participated at regional children's hospitals. The children and youth were 2 to 21 years of age; 56% were male, and 44% were female. Their caregivers, predominantly mothers (80%), had a mean age of 40.3 years (SD=9.3). The Canadian Occupational Performance Measure was administered to caregivers to identify their priorities for their children. The priorities were coded into 3 categories (daily activities, productivity, and leisure) and 13 subcategories. The GMFCS levels were determined by assessors who met the criterion for reliability. Friedman and Kruskal-Wallis one-way analyses of variance were used to examine differences in priorities. Results Parents of children in all age groups and GMFCS levels II to V identified more priorities for daily activities. Parents of school-aged children and youth had more priorities for productivity than parents of younger children. For parents of children in all age groups and motor function levels, self-care was the most frequent priority subcategory. Sixty-one percent of parents identified at least one priority related to mobility. Limitations The study did not include qualitative analysis of priorities of parents. Conclusions Parents' priorities for their children and youth with cerebral palsy differed depending on age and gross motor function level; however, the most frequent priority for all age groups was daily activities. Interviews with families are recommended for identifying outcomes for activity and participation and developing an intervention plan.

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Harbst, Kimberly B. "Indicators of Cerebral Palsy 1985-1988." Physical & Occupational Therapy In Pediatrics 10, no. 3 (January 1990): 85–107. http://dx.doi.org/10.1080/j006v10n03_06.

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Philp &, Ian, and Mary Law. "Web Sites Related to Cerebral Palsy." Physical & Occupational Therapy In Pediatrics 20, no. 4 (January 2001): 79–88. http://dx.doi.org/10.1080/j006v20n04_06.

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