Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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A Computer Game- Assisted Repetitive Task Practice based Upper Extremity Therapy Program for Children with Spastic Unilateral Cerebral Palsy:A Single Case Study


Affiliations
1 Shri Dharmasthala Manjunatheshwara University, SDM College of Physiotherapy, Dharwad, India
2 Department of Applied Health Sciences, University of Manitoba, Canada
3 College of Rehabilitation Sciences, University of Manitoba, Canada
4 Keshav Seva Sadhana School for Special Children – Valpoi, India
5 Dandeli, India
     

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A case study is to provide evidence of the feasibility, acceptance, and benefits of a computer game-assisted repetitive task practice platform (G-RTP) in Upper extremity (UE) motor function of a child with Cerebral Palsy (CP).

Method: 4 year old left spastic CP was provided an individualized game-assisted therapy of 16 weeks. Outcome measures included PDMS-2, QUEST, computerized assessment of a broad range of object manipulation tasks.

Results: Findings demonstrated the feasibility and acceptability of the G-RTP program for use by children with UE motor impairment

Conclusion: The findings are positive and support a future definitive RCT needed to prove the efficacy and applicability.


Keywords

Repetitive Task Practice, Cerebral Palsy, Game Based Exercises.
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  • Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: Incidence, impairments and risk factors. Disabil Rehabil [Internet]. 2006 Jan 7 [cited 2019 Mar 15];28(4):183–91.

  • Mâsse LC, Miller AR, Shen J, Schiariti V, Roxborough L. Patterns of participation across a range of activities among Canadian children with neurodevelopmental disorders and disabilities. Dev Med Child Neurol [Internet]. 2013 May [cited 2019 Mar 15];55(8).

  • Arner M, Eliasson AC, Nicklasson S, Sommerstein K, Hägglund G. Hand Function in Cerebral Palsy. Report of 367 Children in a Population-Based Longitudinal Health Care Program. J Hand Surg Am. 2008;33(8):1337–47.

  • Morris C, Baxter P, Rosenbaum P, Paneth N, Leviton A, Goldstein M, et al. The definition and classification of cerebral palsy contents foreword historical perspective definition and classification document. Dev Med Child Neurol. 2007;49(109):1– 44.

  • Arner M, Eliasson A-C, Nicklasson S, Sommerstein K, Hägglund G. Hand Function in Cerebral Palsy. Report of 367 Children in a Population-Based Longitudinal Health Care Program. J Hand Surg Am [Internet]. 2008 Oct 1 [cited 2018 Feb 28];33(8):1337–47. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0363502308002529

  • Wolf SL, Winstein CJ, Miller JP, Taub E, Uswatte G, Morris D, et al. Effect of Constraint-Induced Movement Therapy on Upper Extremity Function 3 to 9 Months After Stroke. JAMA [Internet]. 2006 Nov 1 [cited 2019 Mar 15];296(17):2095.

  • Eliasson A-C, Ot P, Krumlinde-Sundholm L, Wang C. Effects of constraint- induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Dev Med Child Neurol. 2005;47:266–75.

  • Gordon AM, Schneider JA, Chinnan A, Charles JR. Efficacy of a hand-arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol [Internet]. 2007 Nov [cited 2019 Mar 15];49(11):830–8.

  • Eliasson A-C, Krumlinde-Sundholm L, Shaw K, Wang C. Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Dev Med Child Neurol [Internet]. 2005 Apr [cited 2019 Mar 15];47(4):266– 75.

  • AM G, JA S, Chinnan A, JR C. Efficacy of a hand-arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol [Internet]. 2007;49(11):830–8.

  • Taub E, Ramey SL, DeLuca S, Echols K. Efficacy of Constraint-Induced Movement Therapy for Children With Cerebral Palsy With Asymmetric Motor Impairment. Pediatrics. 2004;

  • Hubbard IJ, Carey LM, Budd TW, Levi C, McElduff P, Hudson S, et al. A Randomized Controlled Trial of the Effect of Early Upper-Limb Training on Stroke Recovery and Brain Activation. Neurorehabil Neural Repair [Internet]. 2015 Sep 19 [cited 2018 Jun 18];29(8):703–13.

  • Sontheimer H, Sontheimer H. Neurodevelopmental Disorders. In: Diseases of the Nervous System [Internet]. Elsevier; 2015 [cited 2018 Jan 30]. p. 319–47.

  • Eugster-Buesch F, de Bruin ED, Boltshauser E, Steinlin M, Küenzle C, Müller E, et al. Forceduse therapy for children with cerebral palsy in the community setting: a single-blinded randomized controlled pilot trial. J Pediatr Rehabil Med [Internet]. 2012 [cited 2019 Mar 15];5(2):65–74.

  • Wille D, Eng K, Holper L, Chevrier E, Hauser Y, Kiper D, et al. Virtual reality-based paediatric interactive therapy system (PITS) for improvement of arm and hand function in children with motor impairmenta pilot study. Dev Neurorehabil. 2009;12(1):44–52.

  • Sajan JE, John JA, Grace P, Sabu SS, Tharion G. Wii-based interactive video games as a supplement to conventional therapy for rehabilitation of children with cerebral palsy: A pilot, randomized controlled trial. Dev Neurorehabil [Internet]. 2017 Aug 18 [cited 2019 Mar 15];20(6):361–7.

  • Szturm T, Polyzoi E, Marotta J, Srikesavan CS. An In-School-Based Program of Combined Fine Motor Exercise and Educational Activities for Children with Neurodevelopmental Disorders. Games Health J [Internet]. 2014;3(6):326–32.

  • Lockery D, Peters JF, Ramanna S, Shay BL, Szturm T. Store-and-feedforward adaptive gaming system for hand-finger motion tracking in telerehabilitation. IEEE Trans Inf Technol Biomed. 2011;15(3):467–73.

  • Kanitkar A, Szturm T, Parmar S, Gandhi DB, Rempel GR, Restall G, et al. The Effectiveness of a Computer Game-Based Rehabilitation Platform for Children With Cerebral Palsy: Protocol for a Randomized Clinical Trial. JMIR Res Protoc [Internet]. 2017;6(5):e93.

  • Mutlu A, Livanelioglu A, Gunel MK. Reliability of Ashworth and Modified Ashworth Scales in Children with Spastic Cerebral Palsy. BMC Musculoskelet Disord [Internet]. 2008 Dec 10 [cited 2018 Jun 18];9(1):44.

  • Bodkin AW, Robinson C, Perales FP. Reliability and Validity of the Gross Motor Function Classification System for Cerebral Palsy. Pediatr Phys Ther. 2003;15(4):247–52.

  • Eliasson A-C, Krumlinde-Sundholm L, Rösblad B, Beckung E, Arner M, Öhrvall A-M, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006 Jul;48(07):549.

  • Jain M, Passi GR. Assessment of a modified Mini-Mental Scale for cognitive functions in children. Indian Pediatr [Internet]. 2005 Sep [cited 2018 Jun 18];42(9):907–12.

  • Nijmegen C, Nether- T. Reliability and validity of the fine motor scale of the Peabody Developmental Motor Scales – 2. 2005;12(1):1–13.

  • van Hartingsveldt MJ, Cup EHC, Oostendorp RAB. Reliability and validity of the fine motor scale of the Peabody Developmental Motor Scales-2. Occup Ther Int. 2005;

  • Thorley M, Lannin N, Cusick A, Novak I, Boyd R. Construct validity of the Quality of Upper Extremity Skills Test for children with cerebral palsy. Dev Med Child Neurol. 2012;


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  • A Computer Game- Assisted Repetitive Task Practice based Upper Extremity Therapy Program for Children with Spastic Unilateral Cerebral Palsy:A Single Case Study

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Authors

Parmar Sanjay
Shri Dharmasthala Manjunatheshwara University, SDM College of Physiotherapy, Dharwad, India
Anuprita Kanitkar
Department of Applied Health Sciences, University of Manitoba, Canada
Tony Szturm
College of Rehabilitation Sciences, University of Manitoba, Canada
Neha Gaonkar
Keshav Seva Sadhana School for Special Children – Valpoi, India
Bhavana Ankolekar
Dandeli, India

Abstract


A case study is to provide evidence of the feasibility, acceptance, and benefits of a computer game-assisted repetitive task practice platform (G-RTP) in Upper extremity (UE) motor function of a child with Cerebral Palsy (CP).

Method: 4 year old left spastic CP was provided an individualized game-assisted therapy of 16 weeks. Outcome measures included PDMS-2, QUEST, computerized assessment of a broad range of object manipulation tasks.

Results: Findings demonstrated the feasibility and acceptability of the G-RTP program for use by children with UE motor impairment

Conclusion: The findings are positive and support a future definitive RCT needed to prove the efficacy and applicability.


Keywords


Repetitive Task Practice, Cerebral Palsy, Game Based Exercises.

References