Single blind randomised controlled trial of GAME (Goals ⿿ Activity ⿿ Motor Enrichment) in infants at high risk of cerebral palsy

Morgan, Catherine; Novak, Iona; Dale, Russell C.; Guzzetta, Andrea; Badawi, Nadia

doi:10.1016/j.ridd.2016.04.005

Cited by 154 publications

(203 citation statements)

References 36 publications

Supporting

Mentioning

177

Contrasting

Unclassified

Order By: Relevance

“… GAME (goals, activity, motor enrichment) is a goal‐oriented, activity‐based, environmental enrichment therapy program that is designed for children under 6 months of age who are at high risk of developing cerebral palsy; and REACH (Rehabilitation Early for Congenital Hemiplegia) is a trial for children aged between 3 and 9 months who have been identified as having congenital hemiplegia; the study is designed to compare the efficacy of modified constraint‐induced movement therapy with infant bimanual therapy …”

Section: Early Intervention In Cerebral Palsymentioning

confidence: 99%

Current thinking in the health care management of children with cerebral palsy

Graham

Paget

Wimalasundera

2019

Medical Journal of Australia

View full text Add to dashboard Cite

Summary Cerebral palsy is a developmental disorder of movement and posture which is often associated with comorbidities. While there is currently a limited range of evidence‐based treatments that change the underlying pathology of cerebral palsy, there are many areas in which health care professionals can change the natural history of cerebral palsy and improve participation and quality of life for children with this condition. Early identification has become of paramount importance in the management of cerebral palsy, and it is hoped that it will allow earlier access to cerebral palsy interventions that may improve the natural history of the condition. Common challenges in the management of cerebral palsy include spasticity and dystonia, management of pain, hip surveillance, sleep and feeding, swallowing and nutrition. The six Fs framework (function, family, fitness, fun, friends and future) provides a guide to developing shared goals with families in the management of cerebral palsy.

show abstract

Section: Early Intervention In Cerebral Palsymentioning

confidence: 99%

Current thinking in the health care management of children with cerebral palsy

Graham

Paget

Wimalasundera

2019

Medical Journal of Australia

View full text Add to dashboard Cite

show abstract

“…The Goals Activity Motor Enrichment programme is an example of a multifaceted approach for infants born preterm and at term at high risk of CP, with early encouraging results. In a randomized‐controlled trial with 30 participants receiving standard care or Goals Activity Motor Enrichment for 16 weeks in the first year of life, motor skills, cognitive skills, and parental satisfaction scores were higher in the intervention group.…”

Section: Attributes Of Early Intervention Programmesmentioning

confidence: 99%

Early intervention programmes for infants at high risk of atypical neurodevelopmental outcome

Hutchon

Gibbs

Harniess

et al. 2019

Develop Med Child Neuro

View full text Add to dashboard Cite

The purpose of this review is to present a new framework, EI SMART (early intervention: sensorimotor development, attention and regulation, relationships, and therapist support) for identifying key components that could contribute to more effective interventions for infants at high risk of atypical neurodevelopmental outcome. We present a clinical consensus of current challenges and themes in early intervention, based on multidisciplinary group discussions, including parents of high‐risk infants, supported by a literature review. Components to include in early intervention programmes are: (1) promotion of self‐initiated, developmentally appropriate motor activity; (2) supporting infant self‐regulation and the development of positive parent‐infant relationships; and (3) promotion of early communication skills, parent coaching, responsive parenting, and supporting parental mental well‐being. Such multimodal programmes may need to be evaluated as a package. What this paper adds Early intervention programmes should address sensorimotor development, attention, self‐regulation, and early communication skills. Therapist input to the programme should include parent coaching and support for parental mental well‐being.

show abstract

“…In Western countries, determining the trajectory of hand development can only be considered in the context of infants already receiving some kind of early intervention or involvement in research interventions. New knowledge of increased plasticity of the young brain indicates that early intensive intervention might be more effective than later treatment and enhances development of the neuromotor system …”

mentioning

confidence: 99%

Development of hand function during the first year of life in children with unilateral cerebral palsy

Sakzewski

Sicola

Verhage

et al. 2018

Develop Med Child Neuro

View full text Add to dashboard Cite

Aim To identify developmental trajectories of hand function in infants aged 3 months to 12 months with unilateral cerebral palsy (CP). Method Infants at high risk of unilateral CP were recruited from 3 months of age from follow‐up programmes and clinics in Sweden, the Netherlands, Italy, and Australia. Measurements on the Hand Assessment for Infants (HAI) were completed until 12 months of age. Group‐based trajectory modelling was used to identify subgroups of infants with similar trajectories of development. Multinomial logistic regression determined associations between demographic variables and trajectory membership. Results Ninety‐seven infants (52 males, 45 females; median gestational age 38wks [interquartile range 30–40wks]) were included. Infants were assessed between two and seven times (mean 4, SD 1.2) with a total of 387 observations. A three‐group trajectory model identified a ‘low‐functioning group’ (n=45: 46%), ‘moderate‐functioning group’ (n=30: 31%), and ‘high‐functioning group’ (n=22: 23%). Mean posterior probabilities (0.91–0.96) and odds of correct classification (26.3–33.2) indicated good model fit. Type of brain lesion, sex, side of hemiplegia, country, gestational age, and access to intensive intervention were not associated with group membership. Interpretation Three trajectories of hand function development for infants with unilateral CP were identified and indicate some greater distinctions between groups with increasing age. The HAI is a valuable measure, capturing development of hand function of infants with unilateral CP over time. What this paper adds Three distinct developmental trajectories of hand function in infants with unilateral cerebral palsy were identified. A low‐functioning group made little progress in development of hand function in the first year of life. The degree of impairment on the impaired hand at 6 months of age is highly associated with trajectory membership. Infants with all types of brain lesion were represented across each trajectory group.

show abstract

Single blind randomised controlled trial of GAME (Goals ⿿ Activity ⿿ Motor Enrichment) in infants at high risk of cerebral palsy

Cited by 154 publications

References 36 publications

Current thinking in the health care management of children with cerebral palsy

Current thinking in the health care management of children with cerebral palsy

Early intervention programmes for infants at high risk of atypical neurodevelopmental outcome

Development of hand function during the first year of life in children with unilateral cerebral palsy

Contact Info

Product

Resources

About