Improving the Motor Skill of Children With Posterior Fossa Syndrome

Harbourne, Regina T.; Becker, Katherine M.; Arpin, David J.; Wilson, Tony W.; Kurz, Max J.

doi:10.1097/pep.0000000000000092

Cited by 13 publications

(8 citation statements)

References 31 publications

(41 reference statements)

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“…Six years previously, we had unsuccessfully tried to obtain a topical (via the tongue) noninvasive neuromodulation device that had been safely used in children with posterior fossa syndrome—the Portable Neuromodulation Stimulator (PoNS)—which was reported both to induce a relaxation response and to facilitate motor rehabilitation. 13 , 14 Subsequently, other neurostimulation methodologies—which used the ear, rather than the tongue, as a portal to the brain—had been developed. For example, in 2014, Stephen Porges developed a five-hour modified-music intervention—the Safe and Sound Protocol—whose aim was to decrease auditory hypersensitivity and chronic autonomic arousal in children with autism.…”

Section: Case Historymentioning

confidence: 99%

Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Rajabalee

Kozlowska

Lee

et al. 2022

Harv Rev Psychiatry

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Section: Case Historymentioning

confidence: 99%

Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Rajabalee

Kozlowska

Lee

et al. 2022

Harv Rev Psychiatry

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“…On further analyses, increased severity in the posterior fossa malformations had a correlation with motor skills (fine motor: r = -0.389, p = 0.013; gross motor: r = -0.325, p = 0.038). Previous studies have shown that alterations in the posterior fossa can cause devastating balance and motor problems (34). The correlation table is presented in the Supplementary Table 3.…”

Section: Discussionmentioning

confidence: 99%

Zika Virus Congenital Microcephaly Severity Classification and the Association of Severity with Neuropsychomotor Development

Esper

Franco

Soder

et al. 2020

Preprint

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Objectives: We propose and evaluate a system for assessing severity of ZikV-related microcephaly brain abnormalities called RaRe (Radiological Reading score). The system is a combination of neuroradiologist evaluation scores; we also propose and evaluate its semi-automated version, which is generated from MRI indices. Design: We carried out a cross-sectional study with retrospective data collection at birth and 13-39 months; data collection includes radiologists evaluation of MRI images and a semi-automated system for analyzing MRI images from ZikV-related microcephaly patients; we also evaluated the association of severity and RaRe scores with developmental outcomes. Setting: Brain Institute of Rio Grande do Sul and Memorial Hospital Arthur Ramos, both in Brazil. Participants: 42 infants with ZikV-related congenital microcephaly (age at second evaluation M = 24.83 months; SD = 5.82). Mothers were infected by Zika Virus during pregnancy and were symptomatic or asymptomatic. Main outcome measures: Clinical and radiological outcomes (blindly reviewed); severity classification system (semi-automated - RaRe-Auto or based on neuroradiological evaluation - RaRe-Clin) and association with developmental outcomes (Bayley-III scales). Results: RaRe-Clin positively correlated with RaRe-Auto (r = 0.892; p < 0.001). Severity negatively associated with neurodevelopment scores assessed by Bayley-III scales in all three domains: cognition, language and motor skills. There was no association between trimester of infection and head circumference at birth (r = 0.160; p = 0.338) but there was an association between trimester of infection and RaRe-Clin (r = -0.355; p = 0.029). Conclusions: The clinical and semi-automated RaRe scores predicted Bayley scores. RaRe-Clin and RaRe-Auto can predict the trimester of infection and severity of outcomes and should be investigated in their further application with other congenital and infection-related brain abnormalities.

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“…Bilateral coordination in control group has a median score of 18 (IQR=17. [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (Table 2, Fig. 2)…”

Section: Bilateral Coordinationmentioning

confidence: 99%

“…Several authors reported two cases with positive results after 8-week intervention, including neuromodulation devices as part of intensive physical therapy. 11 Others have demonstrated the effectiveness of a 12-week intervention including stability of 20 cases exercise under the same conditions. 12 However, a small sample size, as well as the lack of consensus on rehabilitation plans do not allow positive results to be explicitly transferred to other survivors after posterior fossa tumor.…”

Section: Introductionmentioning

confidence: 99%

Impact of Physical Activity on Postural Stability and Coordination in Children With Posterior Fossa Tumor: Randomized Control Phase Iii Trial

Usama

Abdelaziem

Rashed

et al. 2022

Preprint

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Background: Posterior fossa tumor is a type of brain tumor that is located at the borders of both the brain stem and cerebellum. The cerebellum is the brain region in charge of balance and coordination. Pediatric patients diagnosed with posterior fossa tumor have been reported to fall frequently. Objectives: The aim of this study is to investigate the effectiveness of balance and coordination training in these children. Methods: This randomized control clinical trial (ClinicalTrials.gov Identifier: NCT04528316) was carried out between September 2020 and April 2021 at Children Cancer Hospital-57357. The inclusion criteria were - patients with posterior fossa tumor in maintenance phase and, age between 5-12 years. The exclusion criteria were - patients who had a genetic disorder or suffer from mental retardation, a chronic lung disease, sever cardiomyopathy, or a neuromuscular disease that does not not related to tumor. The study participants were randomly assigned into three groups: Group I/Control group: they received Pilates core stability exercises program, Group II/Postural stability group: They received the same program plus HUMAC balance program, and Group III/Coordination group: They received the same program plus coordination exercises of BOT-2. The semi-parametric proportional odds model was used to compare follow up scores of the Postural stability group vs Control, and Coordination group vs Control, while adjusting for baseline values. All tests were two-sided, with alpha set to 0.05. Results: Sixty children including 38 boys and 22 girls were enrolled in this study. In all three groups, postural stability and coordination improved significantly in terms of modified clinical test of sensory integration of balance, center of pressure, limits of stability, bilateral coordination, and upper-limb coordination. Conclusion: The current study supports the value of adding postural stability and coordination training to the physiotherapy plan for children with posterior fossa tumor. Keywords: Posterior fossa tumor, Children, HUMAC, BOT-2, Postural stability, Balance, Coordination.

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Improving the Motor Skill of Children With Posterior Fossa Syndrome

Cited by 13 publications

References 31 publications

Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Neuromodulation Using Computer-Altered Music to Treat a Ten-Year-Old Child Unresponsive to Standard Interventions for Functional Neurological Disorder

Zika Virus Congenital Microcephaly Severity Classification and the Association of Severity with Neuropsychomotor Development

Impact of Physical Activity on Postural Stability and Coordination in Children With Posterior Fossa Tumor: Randomized Control Phase Iii Trial

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