Effect of Neurodevelopmental Treatment on fall risk and balance in children with spastic cerebral palsy: randomized controlled trial
Investigating the effect of Neurodevelopmental Treatment (NDT) on the risk of falling and balance in children diagnosed with Cerebral Palsy (CP).
The role of transcutaneous electrical nerve stimulation (TENS) in rehabilitation of cerebral palsy: a systematic review
Cerebral palsy (CP) is one of the most important causes of disability across the globe. Transcutaneous electrical nerve stimulation (TENS) has been proposed as a potential adjunct therapy.
Effects of vestibular sensory stimulation on movement repertoire, sleep-wakefulness state and pain through hammock positioning in late preterm infants: a pilot randomized clinical trial
This pilot clinical trial aimed to evaluate the effects of vestibular stimulation, through Hammock-positioning therapy (HPT) or by multidirectional balancing, administered during physical therapy, on movement repertoire, sleep-wakefulness state, and pain in late preterm infants. The newborns were randomly allocated into two groups: 1) vestibular sensory stimulation by HPT (HG) and 2) conventional vestibular stimulation (CG). Movement repertoire was evaluated using the General Movement Assessment (GMA), sleep-wakefulness state was evaluated using the Adapted Brazelton Scale, finally pain was evaluated by the Neonatal Facial Activity Coding System (NFCS). An increase in normal GMAs and a reduction in abnormal GMAs was observed in the HG group after intervention. An Improvement in the sleep-wakefulness state scores was observed in the HG group. In the CG group, same improvements were seen. In conclusion, HPT has a positive effect on the sleep-wakefulness state and movement repertoire in late preterm infants similar to the conventional group.
Association of walking and activities of daily living with muscle thickness of the trunk and lower extremity muscles in children with down syndrome
We examined the association of walking and activities of daily living(ADL) with trunk and lower extremity muscle thickness in children with Down syndrome (DS).
Factors Associated with Performance of Activities and Participation of Brazilian Children and Adolescents with Cerebral Palsy: A Cross-Sectional Study
The aim of this study was to investigate factors related to performance in daily activities, mobility, social/cognitive skills, and responsibility of Brazilian children/adolescents with cerebral palsy (CP). Multivariate binary logistic regression analyses were performed. A total of 190 children/adolescents participated. Most participants performed below expected in mobility, which could be explained by age, locomotion ability, and anatomical distribution of motor impairment (R = 0.50). Performance in daily activities (R = 0.44) and responsibility (R = 0.23) were explained by age and locomotion ability. This study contributes to understanding the factors that explain the functioning of children/adolescents with CP in Brazil, a low/middle-income country.
Using 3D immersive virtual reality interactive tasks for upper limb rehabilitation in children with cerebral palsy: A randomized controlled trial
The aim of this study was to investigate the effects of the virtual reality device on the evolution of motivation, and motor, functional and kinematic parameters of the upper limb in children with cerebral palsy. Twenty children were randomly assigned in VR and control groups. VR group scored higher than the control group in the Movement Assessment Battery for Children - Second Edition (MABC-2; standardized motor skills test), exhibited an increased range of motion, and showed improved results in various movement parameters in the interaction with the 3D virtual space. All participants presented high motivation scores in the iVR sessions. This new Immertrack tool may improve the motor, kinematic parameters, and motivation in children with CP.
Motivators and barriers to neurodevelopmental research enrolment
Participant recruitment for studies investigating neurodevelopmental conditions can be difficult, limited, and resource intensive. In this study, caregivers were surveyed to learn about the factors influencing their decision to enroll their neurodivergent child in research. Data were collected through an online survey from caregivers of neurodivergent children who were signing up for a research recruitment database (n = 46). Participants indicated the most important motives were to help achieve better outcomes for other children and to contribute to scientific understanding. Personal curiosities, such as the caregiver or child learning more about their condition, were identified as important for some parents. The most influential barrier to enrollment noted by participants was a heightened possibility of a significant negative side effect. These findings provide essential insight that can inform study design and associated research support that could overcome barriers and ensure families are aware of the benefits of participating in research.
Understanding barriers and facilitators impacting parental adherence to positional plagiocephaly or brachycephaly prevention strategies: A qualitative exploration
Positional plagiocephaly or brachycephaly (PPB), linked to developmental delays and asymmetrical features, often prompts parental concern and medical consultation.
Assessment and treatment of multiply maintained problem behavior dependent on the time of day
The current study evaluated treatments derived from two functional analyses (FA) for a 7-year-old student with autism.
An exploratory study of functional brain activity associated with gross motor function improvement in children with unilateral cerebral palsy
Identify relations of gross motor function and primary motor cortex (M1) functional activity pre and post gross motor interventions for children with unilateral cerebral palsy (UCP).
Reliability and Cross-Cultural Validation of the Turkish Version of the Visual Function Classification System (VFCS) for Children with Cerebral Palsy
This correlational study aimed to determine the reliability and validity of the Turkish version of the Visual Function Classification System (VFCS) for children with CP.
Feasibility of the Assessment, the and 'e'), a Group-Based Motor Skills Intervention for Independent School-Aged Children with Cerebral Palsy
This single group pre and posttest study evaluated the feasibility of a new 10-week group-based motor skills enhancement intervention: and associated use of the assessment and . Participant attendance/completion and satisfaction with the assessments and intervention were evaluated, and a first estimate of associated motor skill-related changes obtained. Ten ambulatory children with cerebral palsy (7-14 years) and their parents participated. Ninety percent of sessions were attended and 82.5% of questionnaires completed. Program attendance was 83% overall. Satisfaction with assessments was high for the and moderate for the , and intervention satisfaction was high. Mean change scores (95% CI) post-intervention for the and were 4.2 (-11.4 to 3.1) and 3.6 (-14.4 to 4.0) points (/100) respectively. and use was feasible and appropriate for " and associated with gains in motor skill performance and functional abilities.
Comparison of participation in out-of-school activities, activity preferences and quality of life of children with cerebral palsy and typical development
The aim of this correlational study was to compare the participation in out of school activities, activity preferences, and quality of life (QoL) of children between 8 and 12 years of age with cerebral palsy (CP) ( = 30) and typical development ( = 60) in Turkey. Outcome measures included the Children's Assessment of Participation and Enjoyment, Preferences for Activity of Children, and the Health-Related Quality of Life Questionnaire. Results suggest children with CP were at a disadvantage compared to their typically developing peers in participating in out-of-school activities, however they tended to report greater preference for these activities than their typically developing peers. Based on these findings, we recommended health professionals aim to increase the quality of life for clients with CP by including social participation as one component of rehabilitation.
Impact of World Cerebral Palsy Day on Public Interest in Brazil: Evidence from Internet Search Data
This study investigated the impact of the World Cerebral Palsy Day (WCPD) campaign on the public interest using Google Trends Analysis data in Brazil.
Participation 1.5 years after mild traumatic brain injury in children and adolescents
This longitudinal prospective cohort study examined participation between 6 months and 1.5 years after pediatric mild Traumatic Brain Injury (mTBI) in 68 children aged 6-18 years. Levels of participation in different settings remain mostly stable between 6 months and 1.5 years after mTBI, with a substantial proportion of children continuing to indicate less than full functioning. Future studies should examine risk factors and opportunities for early identification to prevent long-term negative consequences of pediatric mTBI regarding participation.
The Efficacy of Motor Imagery Additional to Task-Oriented Training for Children with Developmental Coordination Disorder: A Study Protocol for a Randomized Open-Label Controlled Trial
Developmental Coordination Disorder (DCD) affects school-age children and interferes with the practice of their daily activities. Task-oriented work and motor imagery have shown great efficacy in addressing this problem.
The oral behavior screener: a brief caregiver-completed measure of oral behaviors
To date, there are no caregiver-reported screening measures of oral behaviors related to feeding. The goal of this study was to develop such a measure.
Italian Version of QI-Disability for QoL Evaluation in Children and Adolescents with Intellectual Disability: Translation and Cross-Cultural Adaptation Process
Children and adolescents with Intellectual Disability (ID) experience a worse Quality-of-Life (QoL) relative to typically developing peers. Thus, QoL evaluation is important for identifying support needs and improving rehabilitation effectiveness. Nevertheless, currently in Italy there are not tools with this scope. This study aims to translate and cross-culturally adapt the Quality-of-Life Inventory-Disability (QI-Disability) into Italian. The process consisted in forward-backward translation, cross-cultural adaptation and cognitive debriefing. Eventually, QI-Disability was conceptually and semantically equivalent to the original one. A validation study is necessary to make the tool available in Italian clinical practice and educational contexts to improve these children's QoL.
Group-based progressive functional, high-intensity training in adolescents and young adults with unilateral cerebral palsy - a tool to improve gross motor function, endurance and gait? - a pilot study
This pilot study assessed the safety and effects of progressive functional high-intensity training in a group setting for adolescents with unilateral cerebral palsy (CP) on daily function indicators.
Functional classification systems in Brazilian children with cerebral palsy: Reliability and associations between functional levels
Children with Cerebral palsy (CP) present movement and posture disorders. The Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), Eating and Drinking Ability Classification System (EDACS), and Visual Function Classification System (VFCS) enhance the understanding of their performance. We verified inter-rater reliability and associations between the classification levels. Physical therapists classified 100 Brazilian children with CP (3-17 years) according to GMFCS, MACS, CFCS, EDACS, and VFCS. To evaluate inter-rater reliability (Intraclass Correlation Coefficient-ICC) two independent examiners concurrently assessed a subset of 60 participants. According to Spearman's correlation coefficients, there were associations between GMFCS/MACS ( = 0.81), GMFCS/CFCS ( = 0.70), MACS/CFCS ( = 0.73), GMFCS/VFCS ( = 0.61), MACS/VFCS ( = 0.61), CFCS/EDACS ( = 0.58), CFCS/VFCS ( = 0.50), and EDACS/VFCS ( = 0.45) ( < .05). The inter-rater reliability ranged from excellent (ICC = 0.93-0.99) to good (ICC = 0.89), < .05. The classification systems are reliable, and the levels associated with each other in Brazilian children, especially the GMFCS, MACS, and CFCS.
Move&Connect-Caregivers: A virtual group intervention for caregivers of youth experiencing persisting symptoms after concussion
Caregivers play a critical role in supporting youth experiencing persisting symptoms after concussion (PSAC). However, there are limited empirically validated interventions tailored to the specific needs of caregivers, such as improving concussion knowledge and supporting psychosocial wellbeing. This study aims to describe the development of a virtual group intervention for caregivers of youth experiencing PSAC, , and examine its feasibility. Nine mothers participated across two groups. Feasibility metrics and semi-structured interviews were collected and analyzed using descriptive and qualitative content analysis. Results suggest that is a feasible intervention. By merging social support, concussion psychoeducation, and active skill building, is meaningful for caregivers supporting their children experiencing PSAC.