Family-Centred Functional Therapy for Children with Cerebral Palsy

Law, Mary; Darrah, Johanna; Pollock, Nancy J.; King, Gillian; Rosenbaum, Peter; Russell, David; Palisano, Robert J.; Harris, Susan R.; Armstrong, Robert C.; Watt, James

doi:10.1300/j006v18n01_06

Cited by 116 publications

(69 citation statements)

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“…rehab. 22 Moderate concurrence of problems Compared with gross and fine identified on COPM vs motor function and disability 49 spontaneously 50 Significantly correlated to SPSQ, RNLI, and PPL 50 Significant correlation between performance score and physical domain SIP 51 GAS 43 10 paediatric therapists rated goals Low correlation between for infants: supported validity, did not Peabody Gross Motor Scales and differ significantly between therapists 53 GAS T-scores 53,58,59 Supported when goals are appropriate, 12 studies correlate GAS with reasonable, relevant, and complete 28 consumer satisfaction. Significance Reliant on clinical skills of goal low to moderate positive correlationssetters; 28,31,53,54,55 non significant correlations 28 Goals for children with CP supported by expert panel of experienced PTs.…”

Section: Discussionmentioning

confidence: 99%

Clinimetric properties of participation measures for 5‐ to 13‐year‐old children with cerebral palsy: a systematic review

Sakzewski

Boyd

Ziviani

2007

Develop Med Child Neuro

186

143

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This study systematically reviewed the validity, reliability, sensitivity to change, and clinical utility of measurements of participation for children with cerebral palsy. Sixteen measures were identified and seven met the inclusion criteria of having 30% content measuring participation, for use with children aged 5 to 13 years with physical disability, and were condition specific. The Children's Assessment of Participation and Enjoyment (CAPE) assessed participation in leisure and recreation, while the School Function Assessment (SFA) and School Outcome Measure addressed participation in the school environment. The Assessment of Life Habits for Children (LIFE‐H) measured participation in home, school, and community life, and the Children Helping Out: Responsibilities and Expectations assessed children's participation in household duties. The Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling (GAS) were individualized tools used to evaluate goal achievement. Results showed most instruments had adequate reliability and validity. The COPM and GAS were the only measures that reported adequate responsiveness to detect clinically significant change. Limited data are currently available to determine the responsiveness of the CAPE, LIFE‐H, and SFA. A combination of assessments is required to capture participation of children in home, school, and community environments.

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Section: Discussionmentioning

confidence: 99%

Clinimetric properties of participation measures for 5‐ to 13‐year‐old children with cerebral palsy: a systematic review

Sakzewski

Boyd

Ziviani

2007

Develop Med Child Neuro

186

143

View full text Add to dashboard Cite

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“…Thus, HABIT is consistent with the recent emphasis on functional training and practicing predefined goals in therapeutic environments. [38][39][40][41] HABIT's emphasis on functional activity performance also directly addresses the recent modification of the definition of CP, whereby it is considered a 'disorder of movement and posture causing activity limitation'. 42,43 Although HABIT is potentially less invasive than CIMT because there is an absence of restraint, in our experience, administering it is often more difficult for the interventionists.…”

Section: Bimanual Treatment In Childrenmentioning

confidence: 99%

Efficacy of a hand–arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: a randomized control trial

Gordon

Schneider

Chinnan

et al. 2007

Develop Med Child Neuro

270

277

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Children with hemiplegic cerebral palsy (CP) have impairments in bimanual coordination above and beyond their unilateral impairments. Recently we developed hand‐arm bimanual intensive therapy (HABIT), using the principles of motor learning, and neuroplasticity, to address these bimanual impairments. A single‐blinded randomized control study of HABIT was performed to examine its efficacy in children with hemiplegic CP with mild to moderate hand involvement. Twenty children (age range 3y 6mo‐15y 6mo) were randomized to either an intervention (n=10: seven males, three females; mean age 8y 7mo, SD 4y) or a delayed treatment control group (n=10: seven males, three females; mean age 6y 10mo, SD 2y 4mo). Children were engaged in play and functional activities that provided structured bimanual practice 6 hours per day for 10 days. Each child was evaluated immediately before and after the intervention, and again at 1‐month post‐intervention. Children in the intervention group demonstrated improved scores on the Assisting Hand Assessment, increased involved extremity use measured using accelerometry and a caregiver survey, bimanual items of the Bruininks–Oseretsky Test of Motor Proficiency, and the simultaneity of completing a draw‐opening task with two hands (p<0.05 in all cases). The results suggest that for this carefully selected subgroup of children with hemiplegic CP, HABIT appears to be efficacious in improving bimanual hand use.

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“…Besides feasibility, other clinimetric properties of the COPM have been studied in different populations (for an overview, see Table 1) [17,[21][22][23][24][25][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46]. In this article, we prefer to use the term clinimetrics, which is similar to psychometrics but indicating measurement in clinical research [47].…”

Section: Introductionmentioning

confidence: 99%

Canadian Occupational Performance Measure performance scale: Validity and responsiveness in chronic pain

et al. 2014

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Abstract-The construct validity and construct responsiveness of the performance scale of the Canadian Occupational Performance Measure (COPM) was measured in 87 newly admitted patients with chronic pain attending an outpatient rehabilitation clinic. At admission and after 12 wk, patients completed a COPM interview, the Pain Disability Index (PDI), and the RAND 36-Item Health Survey (RAND-36). We determined the construct validity of the COPM by correlations between the COPM performance scale (COPM-P), the PDI, and the RAND-36 at admission. Construct responsiveness was assessed by calculating the correlations between the change scores (n = 57). The COPM-P did not significantly correlate with the PDI (r = 0.260) or with any subscale of the RAND-36 (r = 0.007 to 0.248). Only a moderate correlation was found between change scores of the COPM-P and PDI (r = 0.380) and weak to moderate correlations were found between change scores of the COPM-P and the RAND-36 (r = 0.031 to 0.388), with the higher correlations for the physical functioning, social functioning, and role limitations (physical) subscales. In patients with chronic pain attending our rehabilitation program, the COPM-P measures something different than the RAND-36 or PDI. Therefore, construct validity of the COPM-P was not confirmed by our data. We were not able to find support for the COPM-P to detect changes in occupational performance.

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Family-Centred Functional Therapy for Children with Cerebral Palsy

Cited by 116 publications

References 0 publications

Clinimetric properties of participation measures for 5‐ to 13‐year‐old children with cerebral palsy: a systematic review

Clinimetric properties of participation measures for 5‐ to 13‐year‐old children with cerebral palsy: a systematic review

Efficacy of a hand–arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: a randomized control trial

Canadian Occupational Performance Measure performance scale: Validity and responsiveness in chronic pain

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