Correlates of Therapeutic Progress by Infants with Cerebral Palsy and Motor Delay

Parette, Howard P.; Holder, Loreta F.; Sears, James D.

doi:10.2466/pms.1984.58.1.159

Cited by 8 publications

(2 citation statements)

References 3 publications

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“…Although most literature emphasizes the treatment of spasticity if it adversely impacts daily functioning [57], yet major improvement in functionality is rare in children with severe SCP due to the frequent existence of comorbidities such as severe intellectual, cognitive and sensory impairments [58], our results showed that it would be more beneficial to manage spasticity directly as a rehabilitation goal, with the purposes of improving comfort, reducing pain, and easing the burdens of their caregivers. However, current available spasticity treatment options invariably have undesirable side effects, and management of spasticity in this sub-category of SCP children is challenging.…”

Section: Discussionmentioning

confidence: 75%

The effect of combined transcranial pulsed current stimulation and transcutaneous electrical nerve stimulation on lower limb spasticity in children with spastic cerebral palsy classified on Gross Motor Function Classification System (GMFCS) levels III–V: a randomized and controlled clinical study

Liu

Dong

Zhang

et al. 2020

Preprint

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BackgroundIn the current study, we applied a combination of non-invasive neuromodulation modalities concurrently with multiple stimulating electrodes. Specifically, we used transcranial pulsed current stimulation (tPCS) and transcutaneous electrical nerve stimulation (TENS) as a novel strategy for improving lower limb spasticity in children with spastic cerebral palsy (SCP) categorized on levels III–V of the Gross Motor Function Classification System (GMFCS) with minimal side effects.Methods63 SCP children aged 2–12 years who were classified on levels III–V of the GMFCS were randomly assigned to one of two groups, resulting in 32 children in the experimental group and 31 children in the control group. The experimental group underwent a combination therapy of tPCS (400 Hz, 1 mA cerebello-cerebral stimulation) and TENS (400 Hz TENS, max 10 mA) for 30 min, followed by 30 min of physiotherapy daily for 12 weeks. The control group underwent physiotherapy only 30 mins per day for 12 weeks. In total, all groups underwent 60 treatment sessions. The primary outcome measures were the Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS). Evaluations were performed three days before and after treatment.ResultsWe found a significant improvement in MAS and MTS scores of the lower limbs in the experimental group compared to the control group in the hip adductors (Left: p = 0.002; Right: p = 0.002), hamstrings (Left: p = 0.001; Right: p < 0.001, and gastrocnemius (Left: p = 0.001; Right: p = 0.000). Moreover, MTS scores of R1, R2 and R2-R1 in left and right hip adduction, knee joint, and ankle joint all showed significant improvements (p £ 0.05). Analysis of MAS and MTS scores compared to baseline scores showed significant improvements in the experimental group but declines in the control group.ConclusionThese results are among the first to demonstrate that a combination of tPCS and TENS can significantly improve lower limb spasticity in SCP children classified on GMFCS levels III–V with minimal side effects, presenting a novel strategy for addressing spasticity challenges in children with severe SCP.Trial registration: ChiCTR.org, ChiCTR1800020283, Registration22 December 2018, (URL: http://www.chictr.org.cn/edit.aspx?pid=33953&htm=4).

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Section: Discussionmentioning

confidence: 75%

The effect of combined transcranial pulsed current stimulation and transcutaneous electrical nerve stimulation on lower limb spasticity in children with spastic cerebral palsy classified on Gross Motor Function Classification System (GMFCS) levels III–V: a randomized and controlled clinical study

Liu

Dong

Zhang

et al. 2020

Preprint

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“…Mayo (1981) also suggested that a higher degree of parental compliance might have a positive effect on the child's development. Parette, Holder, and Sears (1984) found that motor gains of the child, as assessed with the Bayley Scales of Infant Development, were correlated with parental hours of participation and their degree of involvement, as reported in a questionnaire. Muir and Milan (1982) rewarded mothers (with lottery tickets) for their children's progress in language skills.…”

Section: Other Studiesmentioning

confidence: 91%

Parental Participation in Intervention Programs for Children with Cerebral Palsy

Ketelaar

Vermeer²,

Helders

et al. 1998

Topics in Early Childhood Special Education

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Parental participation in intervention programs for children with physical disabilities has become an important issue in recent years, often emphasized by both professionals and parents. In this article, recent studies examining parental involvement in intervention programs for children with cerebral palsy are reviewed. Only a few studies were found that were explicitly designed to study the effects of parental involvement. Most of these studies reported positive results, especially regarding child-related outcomes. The effects on the parents were less clear, with positive and negative results reported. One important variable distinguishing programs with positive effects was the degree to which parents were involved in setting goals for their children's programs. Recommendations for practice and future research are given.

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Evaluation of developmental therapies in Cerebral Palsy

Palmer

1997

Ment. Retard. Dev. Disabil. Res. Rev.

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Correlates of Therapeutic Progress by Infants with Cerebral Palsy and Motor Delay

Cited by 8 publications

References 3 publications

The effect of combined transcranial pulsed current stimulation and transcutaneous electrical nerve stimulation on lower limb spasticity in children with spastic cerebral palsy classified on Gross Motor Function Classification System (GMFCS) levels III–V: a randomized and controlled clinical study

The effect of combined transcranial pulsed current stimulation and transcutaneous electrical nerve stimulation on lower limb spasticity in children with spastic cerebral palsy classified on Gross Motor Function Classification System (GMFCS) levels III–V: a randomized and controlled clinical study

Parental Participation in Intervention Programs for Children with Cerebral Palsy

Evaluation of developmental therapies in Cerebral Palsy

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