Importance for CP Rehabilitation of Transfer of Motor Improvement to Everyday Life

Taub, Edward; Uswatte, Gitendra

doi:10.1542/peds.2013-3411

Cited by 7 publications

(4 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 Children need to demonstrate that they can routinely perform the activity in the face of challenges that exist in their environments for successful transfer of skills. 62 A home program can further enhance a child's participation in other structured activities that incorporate functional skills such as dance classes, karate, or school sports that are appropriately adapted for the child with disabilities. The time spent practicing activities with real-world carryover is part of the critical link between building capacity and performance.…”

Section: Therapeutic Benefitsmentioning

confidence: 99%

Prescribing Physical, Occupational, and Speech Therapy Services for Children With Disabilities

Houtrow

Murphy

2019

Pediatrics

View full text Add to dashboard Cite

Pediatric health care providers are frequently responsible for prescribing physical, occupational, and speech therapies and monitoring therapeutic progress for children with temporary or permanent disabilities in their practices. This clinical report will provide pediatricians and other pediatric health care providers with information about how best to manage the therapeutic needs of their patients in the medical home by reviewing the International Classification of Functioning, Disability and Health; describing the general goals of habilitative and rehabilitative therapies; delineating the types, locations, and benefits of therapy services; and detailing how to write a therapy prescription and include therapists in the medical home neighborhood. Pediatricians and other pediatric health care providers have a vitally important role of linking children and youth with disabilities in their family-centered primary care medical homes with appropriate community-based services. 1 Pediatric providers are often asked (frequently by families) or recognize the need to prescribe habilitative and rehabilitative therapies (physical, occupational, and speech and language) for infants, children, and youth with disabilities in their clinical practices. Many general pediatric providers describe inadequate training to appropriately prescribe therapy in the various settings in which they may be available to children with disabilities. 2-5 This clinical report will review (1) the framework of the International Classification of Functioning, Disability and Health (ICF) for understanding the interaction between health conditions and personal and environmental factors that result in disability, (2) children with disabilities and the goals of habilitation and rehabilitation services, (3) the types of therapy services available with their general indications, (4) the locations in which children may receive therapy services and potential facilitators and barriers to securing therapy services, (5) the existing literature regarding the benefits of therapy and

show abstract

Section: Therapeutic Benefitsmentioning

confidence: 99%

Prescribing Physical, Occupational, and Speech Therapy Services for Children With Disabilities

Houtrow

Murphy

2019

Pediatrics

View full text Add to dashboard Cite

show abstract

“…Of key importance is the transfer of motor function gains from therapy to everyday life, without which there is little point in undertaking the therapy ( 65 ). This has been overtly assessed in the adult population in the context of constraint-induced movement therapy (CIMT – see below) ( 66 ).…”

Section: Therapy Approachesmentioning

confidence: 99%

“…Incorporation of a “transfer package” with items such as a behavioral contract, home diary, task practice in the home setting, and ongoing telephone contact beyond the end of the therapy, greatly enhanced the improvements in the amount and quality of arm use compared with lab-based CIMT alone. There is indirect evidence from pediatric studies that similar principles apply ( 65 ).…”

Section: Therapy Approachesmentioning

confidence: 99%

Early Intervention to Improve Hand Function in Hemiplegic Cerebral Palsy

et al. 2015

View full text Add to dashboard Cite

Children with hemiplegic cerebral palsy often have marked hand involvement with excessive thumb adduction and flexion and limited active wrist extension from infancy. Post-lesional aberrant plasticity can lead to progressive abnormalities of the developing motor system. Disturbances of somatosensory and visual function and developmental disregard contribute to difficulties with hand use. Progressive soft tissue and bony changes may occur, leading to contractures, which further limit function in a vicious cycle. Early intervention might help to break this cycle, however, the precise nature and appropriateness of the intervention must be carefully considered. Traditional approaches to the hemiplegic upper limb include medications and botulinum toxin injections to manage abnormalities of tone, and surgical interventions. Therapist input, including provision of orthoses, remains a mainstay although many therapies have not been well evaluated. There has been a recent increase in interventions for the hemiplegic upper limb, mostly aimed outside the period of infancy. These include trials of constraint-induced movement therapy (CIMT) and bimanual therapy as well as the use of virtual reality and robot-assisted therapy. In future, non-invasive brain stimulation may be combined with therapy. Interventions under investigation in the infant age group include modified CIMT and action observation therapy. A further approach which may be suited to the infant with thumb-in-palm deformity, but which requires evaluation, is the use of elastic taping. Enhanced cutaneous feedback through mechanical stimulation to the skin provided by the tape during movement has been postulated to modulate ongoing muscle activity. If effective, this would represent a low-cost, safe, widely applicable early intervention.

show abstract

“…Some scholars have also noted that CIMT may overemphasize the individual movement of the affected upper limb and ignore the cooperative movement of both upper limbs. Although CIMT can effectively improve the function of the affected limb, the therapeutic effect does not necessarily transfer to daily life ( Nijland et al, 2011 ; Taub and Uswatte, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

The Mechanism and Clinical Application of Constraint-Induced Movement Therapy in Stroke Rehabilitation

Wang

Xiang

et al. 2022

Front. Behav. Neurosci.

View full text Add to dashboard Cite

Constraint-induced movement therapy (CIMT) has been widely applied in stroke rehabilitation, and most relevant studies have shown that CIMT helps improve patients’ motor function. In practice, however, principal issues include inconsistent immobilization durations and methods, while incidental issues include a narrow application scope and an emotional impact. Although many studies have explored the possible internal mechanisms of CIMT, a mainstream understanding has not been established.

show abstract

Importance for CP Rehabilitation of Transfer of Motor Improvement to Everyday Life

Cited by 7 publications

References 16 publications

Prescribing Physical, Occupational, and Speech Therapy Services for Children With Disabilities

Prescribing Physical, Occupational, and Speech Therapy Services for Children With Disabilities

Early Intervention to Improve Hand Function in Hemiplegic Cerebral Palsy

The Mechanism and Clinical Application of Constraint-Induced Movement Therapy in Stroke Rehabilitation

Contact Info

Product

Resources

About