Document Detail


Home based computer-assisted upper limb exercise for young children with cerebral palsy: a feasibility study investigating impact on motor control and functional outcome.
MedLine Citation:
PMID:  21347508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We developed a home-based rehabilitation exercise system incorporating a powered joystick linked to a computer game, to enable children with arm paresis to participate in independent home exercise. We investigated the feasibility and impact of using the system in the home setting.
METHODS: Eighteen children with cerebral palsy (median age 7.5 years, age range 5-16 years) were recruited from local National Health Service and the exercise system was installed in their home for approximately 4 weeks. Baseline and post-intervention assessments were taken: Canadian Occupational Performance Measure (COPM); kinematic measurement of movement quality (indexed by duration and smoothness) measured using a motion tracking system when performing a standardized computer task.
RESULTS: The system was used for a median time of 75 min (interquartile range (IQR) 17-271), equating to 606 outward and 734 inward movements. Pre-COPM, (median 4.2); post-COPM (median 6.0); obs=34; z=3.62, p<0.01). Kinematic analysis of pre- and post-intervention movements on the standardized task showed decreased duration and increased smoothness.
CONCLUSION: Some improvements in self-reported function and quality of movement are observed. This pilot study suggests that the system could be used to augment home-based arm exercise in an engaging way for children with cerebral palsy, although a controlled clinical trial is required to establish clinical efficacy. The feasibility of this technology has been demonstrated.
Authors:
Andrew Weightman; Nick Preston; Martin Levesley; Raymond Holt; Mark Mon-Williams; Mike Clarke; Alastair J Cozens; Bipin Bhakta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  43     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-24     Completed Date:  2011-03-31     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  359-63     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Adolescent
Cerebral Palsy / physiopathology,  rehabilitation*
Child
Child, Preschool
Exercise Therapy / instrumentation,  methods*
Feasibility Studies
Female
Humans
Male
Motor Skills / physiology
Outcome Assessment (Health Care)
Pilot Projects
Program Evaluation
Robotics
Self Care
Software
Therapy, Computer-Assisted / instrumentation,  methods*
Treatment Outcome
Upper Extremity / physiopathology*
User-Computer Interface

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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