Do Infants at Risk of Developing Cerebral Palsy or Other Neurodevelopmental Disorders Learn What They Practice?

Löwing, Kristina; Holmström, Linda; Almeida, Rita; Eliasson, Ann‐Christin

doi:10.3390/jcm9072041

Cited by 3 publications

(1 citation statement)

References 40 publications

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“… 10 These differences between hands in recruitment patterns in cerebral palsy may also result from atypical development of the corticospinal tracts, 33 with pruned ipsilateral projections from the less-affected hemisphere leading to worse motor performance in the nonpreferred hand. 34 , 35 …”

Section: Discussionmentioning

confidence: 99%

Children With Cerebral Palsy Show Higher Static—But Not Higher Dynamic—Motor Fatigability in Grip and Pinch Tasks Than Children With Typical Development Do

et al. 2022

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Objective The purpose of this study was to investigate differences in static and dynamic motor fatigability during grip and pinch tasks between children with unilateral spastic cerebral palsy (USCP) and children with typical development (TD) and between preferred and nonpreferred hands. Methods Fifty-three children with USCP and 53 age-matched children with TD (mean = 11 years 1 month; SD = 3 years 8 months) participated in 30-second maximum exertion sustained and repeated grip and pinch tasks. For sustained tasks, the Static Fatigue Index and the ratio of mean force between the first and last thirds of the curve were calculated. For repeated tasks, the ratio of mean force and the ratio of numbers of peaks between the first and last thirds of the curve were calculated. Results Higher Static Fatigue Index scores for grip and pinch were found with USCP in both hands and between hands in both groups. Dynamic motor fatigability showed inconsistent results, with higher levels of fatigability in children with TD than in children with USCP for grip in the ratio of mean force between the first and last thirds of the curve in nonpreferred hands and in the ratio of number of peaks between the first and last thirds of the curve in preferred hands. Conclusion Higher motor fatigability in children with USCP than in children with TD was found for static but not dynamic grip and pinch. Underlying mechanisms may play different roles in static and dynamic motor fatigability.

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Section: Discussionmentioning

confidence: 99%

Children With Cerebral Palsy Show Higher Static—But Not Higher Dynamic—Motor Fatigability in Grip and Pinch Tasks Than Children With Typical Development Do

et al. 2022

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Parents’ experiences of participating in the Small Step early intervention program for infants at high risk of cerebral palsy: essential components and potential dilemmas

Elvrum,

Eliasson,

Berg Kårstad

et al. 2024

Disability and Rehabilitation

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Early Intensive Bimanual Stimulation Program (BB-Bim) for Infants at Risk of Unilateral Cerebral Palsy: A Randomized, Multiple-Baseline, Single-Case Study

Bard-Pondarré,

Vuillerot,

Al-Abiad

et al. 2023

The American Journal of Occupational Therapy

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Importance: Clinical practice guidelines for infants at high risk of cerebral palsy (CP) emphasize the importance of very early and intensive intervention. Objective: To determine the feasibility of a new, home-based, early intensive bimanual stimulation program (BB–Bim) and its impact on hand function in infants at risk of unilateral CP. Design: Single case experimental design, multiple baseline across subjects, lasting from 12 to 15 wk, including a 4- to 7-wk randomized baseline, followed by 8 wk of BB–Bim. Setting: Home. Participants: Infants (ages 3–12 mo) with suspected unilateral CP, whose parents agreed to participate in the stimulation program. Intervention: Parent-provided bimanual stimulation 20 min/day, 6×/wk, with weekly occupational therapist coaching visits. Measures: Weekly repeated measures were the Hand Assessment in Infants (HAI) and Goal Attainment Scaling (GAS). Feasibility and relevance were assessed with a logbook and a parental report, including 10 continuous 0–10 scaled questions. Results: Six infants were included (2 with left and 4 with right brain lesions). Parents provided a mean 3.4 to 6.2 stimulation sessions/wk. Feasibility and relevance were highly rated (Ms = 8.2–9.6, SDs = 0.2–1.3). Stimulation significantly improved HAI bimanual and total scores for all infants, with no impact on HAI unilateral scores. GAS scores improved with stimulation (significant for 3 infants). Conclusions and Relevance: BB–Bim was feasible and tended to improve bimanual function in infants at risk of unilateral CP. What This Article Adds: Parent-provided daily bimanual stimulation at home is feasible when parents are coached weekly by an occupational therapist. Bimanual stimulation seems to improve functional interactions between the hands among infants at high risk of unilateral CP.

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Do Infants at Risk of Developing Cerebral Palsy or Other Neurodevelopmental Disorders Learn What They Practice?

Cited by 3 publications

References 40 publications

Children With Cerebral Palsy Show Higher Static—But Not Higher Dynamic—Motor Fatigability in Grip and Pinch Tasks Than Children With Typical Development Do

Children With Cerebral Palsy Show Higher Static—But Not Higher Dynamic—Motor Fatigability in Grip and Pinch Tasks Than Children With Typical Development Do

Parents’ experiences of participating in the Small Step early intervention program for infants at high risk of cerebral palsy: essential components and potential dilemmas

Early Intensive Bimanual Stimulation Program (BB-Bim) for Infants at Risk of Unilateral Cerebral Palsy: A Randomized, Multiple-Baseline, Single-Case Study

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