Home based computer-assisted upper limb exercise for young children with cerebral palsy: A feasibility study investigating impact on motor control and functional outcome

Weightman, Andrew; Preston, Nick; Levesley, Martin; Holt, R. Glynn; Mon-Williams, Mark; Clarke, Mike; Cozens, Alastair; Bhakta, Bipin

doi:10.2340/16501977-0679

Cited by 52 publications

(19 citation statements)

References 18 publications

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“…We selected duration because it provides a single unambiguous global measure of performance that related directly to the explicitly stated goal of the task. Moreover, duration is typically used as a performance measure in a wide range of motor tasks [56]. We also examined two spatial kinematic performance measures both of which reflected positional error: frequency off path and path length.…”

Section: Methodsmentioning

confidence: 99%

Active Prospective Control Is Required for Effective Sensorimotor Learning

et al. 2013

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Passive modeling of movements is often used in movement therapy to overcome disabilities caused by stroke or other disorders (e.g. Developmental Coordination Disorder or Cerebral Palsy). Either a therapist or, recently, a specially designed robot moves or guides the limb passively through the movement to be trained. In contrast, action theory has long suggested that effective skill acquisition requires movements to be actively generated. Is this true? In view of the former, we explicitly tested the latter. Previously, a method was developed that allows children with Developmental Coordination Disorder to produce effective movements actively, so as to improve manual performance to match that of typically developing children. In the current study, we tested practice using such active movements as compared to practice using passive movement. The passive movement employed, namely haptic tracking, provided a strong test of the comparison, one that showed that the mere inaction of the muscles is not the problem. Instead, lack of prospective control was. The result was no effective learning with passive movement while active practice with prospective control yielded significant improvements in performance.

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Section: Methodsmentioning

confidence: 99%

Active Prospective Control Is Required for Effective Sensorimotor Learning

et al. 2013

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“…Five used the Canadian Occupational Performance Measures, which includes the collaborative creation of individualized goals, 18,59,70,95,96 one study used the Test of Playfulness 58 and two used the Assessment of Motor and Process Skills. 18,92 .…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training for individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework of the IV STEP conference to summarize the literature on VR and SG for children and adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity and Participation; and Plasticity. Overall the literature in this area offers support for use of VR and SGs to improve body functions and to some extent activity domain outcomes. Critical analysis of clients' goals and selective evaluation of VR and SGs are necessary to appropriately take advantage of these tools within intervention. Further research on prevention, participation, and plasticity is warranted. We offer suggestions for bridging the gap between research and practice integrating VR and SGs into physical therapist education and practice.

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“…We selected duration because it provides a single unambiguous global measure of performance that related directly to the explicitly stated goal of the task. Moreover, duration is typically used as a performance measure in a wide range of motor tasks (Weightman et al, 2011). We also examined two spatial kinematic performance measures both of which reflected positional error: frequency off path and normed path length.…”

Section: Methodsmentioning

confidence: 99%

Progressive reduction versus fixed level of support during training: When less is less

Snapp-Childs

Wang

Bingham

2016

Human Movement Science

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Previous empirical and theoretical work suggests that effective skill acquisition requires movements to be generated actively and that learning new skills supports the acquisition of prospective control. However, there are many ways in which practice can be structured, that may affect the acquisition and use of prospective control after training. Here, we tested whether the progressive modulation and reduction of support during training was required to yield good performance after training without support. The task was to use a stylus to push a bead over a complex 3D wire path. The support “magnetically” attracted and held the stylus onto the wire. Three groups of adult participants each experienced one of three training regimes: gradual reduction of magnetic attraction, only a medium level of attraction, or low magnetic attraction. The results showed that use of a single (medium) level of support was significantly less effective in yielding good performance with low support after training. Training with low support yielded post-training performance that was equally good as that yielded by training with progressive reduction of support; however, performance during training was significantly poorer in the former. Thus, less support during training yields effective learning but more difficult training sessions. The results are discussed in the context of application to training with special populations.

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Home based computer-assisted upper limb exercise for young children with cerebral palsy: A feasibility study investigating impact on motor control and functional outcome

Cited by 52 publications

References 18 publications

Active Prospective Control Is Required for Effective Sensorimotor Learning

Active Prospective Control Is Required for Effective Sensorimotor Learning

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Progressive reduction versus fixed level of support during training: When less is less

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