{"title":"The Effect of Bilateral Anodal Transcranial Direct Current Stimulation versus Treadmill Training on Brain Activities, Gait Functions, Level of Participation and Enjoyment of Children with Cerebral Palsy: A Randomized Controlled Trial Protocol.","authors":"Hikmat Hadoush, Nihad A Almasri, Nasim Alnuman","doi":"10.1080/17518423.2021.1905730","DOIUrl":"https://doi.org/10.1080/17518423.2021.1905730","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) possesses bilateral sensory-motor cortical excitability alterations. In past studies, researchers have applied unilateral anodal transcranial direct stimulation (tDCS) with inconsistent findings.</p><p><strong>Objective: </strong>Examining the effects of treadmill training with either unilateral or bilateral anodal tDCS stimulation on brain activities, gait, and body functions of children with CP.</p><p><strong>Design: </strong>Randomized-clinical-trial.</p><p><strong>Participants: </strong>Eighty children with CP will be allocated into: treadmill/bilateral-tDCS, treadmill/unilateral-tDCS, treadmill/sham-tDCS, and treadmill groups. Additional 20 neurotypical children will be recruited for comparison.</p><p><strong>Intervention: </strong>Planned intervention will implement ten-sessions of treadmill training (50% of maximum-ground speed) either with unilateral-tDCS over left sensory-motor, or bilateral-tDCS over left/right sensory-motor areas. Brain activities, gait, body functions, and participation will be assessed at pre-intervention, post-intervention, and at one-month follow-up.</p><p><strong>Result and discussion: </strong>This study would contribute to extant findings on the use of tDCS stimulation in children with CP and to our understanding of the appropriateness of the planned outcome measures.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1905730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25523181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helene M Dumas, Elaine L Rosen, Damara Viray, Colleen Sutherland, Morgan Seifert, Pengsheng Ni
{"title":"Inter- and Intra-rater Reliability of the Head Control Scale: Brief Report.","authors":"Helene M Dumas, Elaine L Rosen, Damara Viray, Colleen Sutherland, Morgan Seifert, Pengsheng Ni","doi":"10.1080/17518423.2021.1970042","DOIUrl":"https://doi.org/10.1080/17518423.2021.1970042","url":null,"abstract":"<p><strong>Purpose: </strong>To examine inter-rater and intra-rater reliability of the Head Control Scale (HCS).</p><p><strong>Methods: </strong>Introduction of the HCS to eight physical therapists in a pediatric post-acute hospital was followed by use in a repeated-measures design across two trials to establish reliability of the raters. Therapists scored the HCS twice within 4 weeks, using videos of infants at both 2 and 6 months of age, one infant described as typically developing and one with atypical development.</p><p><strong>Results: </strong>For the HCS overall score, reliability was excellent with an inter-rater reliability intraclass correlation coefficient ((ICC) (3,1) = 0.97 (95% confidence interval, 0.899-0.998) and intra-rater reliability ICC (3,1) range = 0.815-1.0. HCS position scores between and within raters ranged from slight to substantial agreement.</p><p><strong>Conclusion: </strong>In this small study of inter- and intra-rater reliability, HCS overall score demonstrated excellent reliability for all raters however, HCS position scores demonstrated some variability, especially for the prone position.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39666060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Solis, Colleen K Reutebuch, Terry Falcomata, Zaira Jimenez, Danielle Cravalho
{"title":"Reading Intervention for Students with ASD in the Middle Grades: An Alternating Treatment Study of Embedded Interests Reading and Expository Text Conditions.","authors":"Michael Solis, Colleen K Reutebuch, Terry Falcomata, Zaira Jimenez, Danielle Cravalho","doi":"10.1080/17518423.2021.1942279","DOIUrl":"https://doi.org/10.1080/17518423.2021.1942279","url":null,"abstract":"<p><strong>Aim: </strong>We conducted two separate but related multiple baseline with alternating treatment single-case design studies to investigate the effect of the same reading intervention for students with autism spectrum disorder being implemented under different conditions.</p><p><strong>Method: </strong>We conducted a researcher-implemented study in a public school (Study 1) and a teacher-implemented study in a specialized private charter school for children with ASD (Study 2). In each study, we compared a typical intervention approach with interest-based text intervention that included reading on each child's interest area. The treatment included systematic vocabulary instruction and main-summarization strategy instruction.</p><p><strong>Results: </strong>Findings from Study One showed consistent increases in comprehension and vocabulary outcomes compared to baseline. In Study Two the baselines phases were unstable with small differences in mean scores detected for vocabulary during the intervention phase favoring the interest-based treatment for three of four participants.</p><p><strong>Conclusion: </strong>The results across studies were mixed indicating the importance of taking into account contextual factors including student characteristics and learning environment.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1942279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39093812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hoffmann-Lamplmair Doris, Ritter Irene, Leiss Ulrike, Slavc Irene, Pletschko Thomas
{"title":"The assessment of executive functioning in pediatric patients with posterior fossa tumors: A recommendation to combine caregiver-based ratings and performance-based tests.","authors":"Hoffmann-Lamplmair Doris, Ritter Irene, Leiss Ulrike, Slavc Irene, Pletschko Thomas","doi":"10.1080/17518423.2021.1915404","DOIUrl":"https://doi.org/10.1080/17518423.2021.1915404","url":null,"abstract":"<p><strong>Objective: </strong>This study addresses the issue of drawing valid conclusions about the assessment of executive functioning (EF) in long-term survivors of pediatric posterior fossa tumors (PPFT).</p><p><strong>Method: </strong>All 44 patients (females = 18, mean age = 11 years) were treated consecutively at our department for PPFTs (medulloblastomas, ependymomas, low-grade-gliomas). Four years after diagnosis, their EF was investigated, considering age at diagnosis and treatment type. The validity, sensitivity, and specificity of different EF measures (TMT-B, Number Repetition, WCST, BRIEF) were compared and Strengths-and-Difficulties-Questionnaire was incorporated as a potential screening for EF issues.</p><p><strong>Results: </strong>EF impairments were found, especially in patients with chemo-/radiotherapy. Caregiver-ratings and performance-based-EF-tests identified different patients as below average. Sensitivity was highest in TMT-B. Strengths-and-Difficulties-Questionnaire was not an adequate screening for EF.</p><p><strong>Conclusion: </strong>It is essential to assess patients with PPFT with performance-based-tests as well as caregiver-questionnaires, since EF impairments are not always visible at the behavioral level but may still influence everyday life.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1915404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38891271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jilian A O'Neill, Sean C Rose, Ashley M Davidson, Kathleen M Shiplett, Anthony Castillo, Kelly A McNally
{"title":"Predictors of Treatment Response to Multidisciplinary Care for Persistent Symptoms after Pediatric Concussion.","authors":"Jilian A O'Neill, Sean C Rose, Ashley M Davidson, Kathleen M Shiplett, Anthony Castillo, Kelly A McNally","doi":"10.1080/17518423.2021.1917719","DOIUrl":"https://doi.org/10.1080/17518423.2021.1917719","url":null,"abstract":"<p><strong>Purpose: </strong>To assess which pediatric patients experiencing persistent post-concussive symptoms (PCS) benefit most from multidisciplinary treatment including specialists in Neurology, Neuropsychology, Physical Therapy, and Athletic Training, and to explore the effectiveness of this approach.</p><p><strong>Methods: </strong>A retrospective chart review of 56 adolescents 10-20 years old (M = 15.0 ± 2.1) receiving multidisciplinary care for PCS (>30 days) was conducted.</p><p><strong>Results: </strong>Systolic blood pressure and Body Mass Index predicted time to concussion resolution (<i>p</i> < .05), such that higher values were associated with slower resolution. PCS scores significantly decreased between participants' initial and final clinic visits, <i>p</i> < .01, and among the 25 participants for whom pre-intervention PCS scores were available, symptom severity scores significantly declined following multidisciplinary intervention compared to pre-referral values (<i>p</i> < .01).</p><p><strong>Conclusions: </strong>Exploratory analyses reveal that multidisciplinary treatment is a promising approach for reducing symptoms among adolescents with PCS, and that those with greater levels of physical fitness may benefit most.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1917719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38901117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Inspiratory Muscle and Balance Training in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial.","authors":"Büşra Kepenek-Varol, Hülya Nilgün Gürses, Dilara Füsun İçağasıoğlu","doi":"10.1080/17518423.2021.1905727","DOIUrl":"https://doi.org/10.1080/17518423.2021.1905727","url":null,"abstract":"<p><p>The aim of the study was to investigate the effects of inspiratory muscle and balance training on pulmonary function, respiratory muscle strength (RMS), functional capacity, and balance in children with hemiplegic cerebral palsy (CP). Thirty children with hemiplegic CP (Gross Motor Function Classification System I-II) included in this study. The control group (n = 15) underwent conventional physiotherapy rehabilitation program (CPRP) that included balance exercises, and the training group's (n = 15) program included inspiratory muscle training (IMT) in addition to CPRP for 8 weeks. The outcome measures were pulmonary function test, RMS measurement, the six-minute walk test (6MWT), and balance tests. There were no significant differences in the score changes of pulmonary function, balance, and 6MWT distance between groups (<i>p</i> > .05), whereas maximum inspiratory and expiratory pressure further increased in the training group (<i>p</i> > .05). RMS assessment and the identification of children who need it, and adding IMT to CPRP will contribute greatly to the rehabilitative approach of children with CP.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1905727","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25548554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giulio E Lancioni, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti, Francesca Campodonico, Valeria Chiariello, Lorenzo Desideri, Serafino Buono
{"title":"Everyday Technology to Help People with Intellectual and Other Disabilities Access Stimulation via Functional Motor Responses and Improved Body Posture.","authors":"Giulio E Lancioni, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti, Francesca Campodonico, Valeria Chiariello, Lorenzo Desideri, Serafino Buono","doi":"10.1080/17518423.2021.1989513","DOIUrl":"https://doi.org/10.1080/17518423.2021.1989513","url":null,"abstract":"<p><strong>Purpose: </strong>This study assessed everyday technology to help eight participants with intellectual and sensory-motor disabilities access stimulation via functional arm/hand responses and improved body posture.</p><p><strong>Methods: </strong>An ABABB<sup>1</sup>BB<sup>1</sup> design was used for each participant, with A representing baseline phases, B intervention phases in which arm/hand responses led to a 12-s stimulation, and B<sup>1</sup> intervention phases in which the stimulation for arm/hand responses was conditional on an improved/correct torso and head posture. The technology involved a Samsung Galaxy A10 smartphone fitted with Google Assistant and MacroDroid, a mini voice-recording device, and a portable mini voice amplifier.</p><p><strong>Results: </strong>All participants had a large increase in arm/hand responses from the baseline periods to the B and B<sup>1</sup> phases. They also had a large increase in correct posture from the B phases to the B<sup>1</sup> phases.</p><p><strong>Conclusion: </strong>This technology-aided approach may be a helpful resource for people similar to the participants of this study.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39501524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geraldine Leader, Amy Hogan, June L Chen, Leanne Maher, Katie Naughton, Nathan O'Rourke, Mia Casburn, Arlene Mannion
{"title":"Age of Autism Spectrum Disorder Diagnosis and Comorbidity in Children and Adolescents with Autism Spectrum Disorder.","authors":"Geraldine Leader, Amy Hogan, June L Chen, Leanne Maher, Katie Naughton, Nathan O'Rourke, Mia Casburn, Arlene Mannion","doi":"10.1080/17518423.2021.1917717","DOIUrl":"https://doi.org/10.1080/17518423.2021.1917717","url":null,"abstract":"<p><strong>Aim: </strong>Research is required to study the relationship between age of autism spectrum disorder (ASD) diagnosis and the presence of comorbidities.</p><p><strong>Method: </strong>The Gastrointestinal Symptom Inventory, Autism Spectrum Disorder-Comorbid for Children, Behavior Problem Inventory-Short Form and Social Communication Questionnaire were completed by parents of 129 children and adolescents with a diagnosis of ASD.</p><p><strong>Results: </strong>Results revealed significant relationships between the age of ASD diagnosis, the presence of comorbidities and intellectual disability. Significant correlations were found between the age of ASD diagnosis and self-injurious and stereotyped behavior. Comorbid psychopathology significantly predicted the presence of GI symptoms. In addition, the relationship between comorbid psychopathology and challenging behavior in this study was reported as bi-directional as both comorbidities predicted one another in the sample.</p><p><strong>Conclusion: </strong>Future research needs to consider the role of comorbidities in relation to ASD diagnosis.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1917717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38948377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kinematic and Temporospatial Changes in Children with Cerebral Palsy during the Initial Stages of Gait Development.","authors":"Rigas Dimakopoulos, George Syrogiannopoulos, Ioanna Grivea, Zoe Dailiana, Sotirios Youroukos, Arietta Spinou","doi":"10.1080/17518423.2021.1914763","DOIUrl":"https://doi.org/10.1080/17518423.2021.1914763","url":null,"abstract":"<p><strong>Purpose: </strong>To identify changes in the gait kinematics and temporospatial parameters of children with bilateral Cerebral Palsy (CP) at 8 months after the onset of independent walking and identify differences to Typical Development (TD) children at the onset of independent walking and at 8 months follow up.</p><p><strong>Method: </strong>Sixteen children with bilateral CP, GMFCS levels I and II, and 15 TD children were recruited. Gait kinematics and temporospatial parameters were recorded using a 3-D gait analysis system; the sagittal plane of the lower limb joints was analyzed. Baseline measurements were recorded at the individual's onset of independent walking and follow up was after 8 months.</p><p><strong>Results: </strong>Compared to baseline, children with bilateral CP demonstrated increased (mean difference ± SE) plantar flexion (11.79 ± 2.96), single support (0.04 ± 0.01), step length (0.2 ± 0.05) and stride length (0.4 ± 0.09), at follow up; all <i>p</i> < .05. Compared to TD children, they also had lower gait speed (0.16 ± 0.05), higher single support (0.02 ± 0.01) and lower maximum knee extension (9.14 ± 4.49) during the swing phase, at baseline and follow up (0.1 ± 0.04, 0.05 ± 0.01, 23.04 ± 4.17, respectively); all <i>p</i> < .05.</p><p><strong>Conclusion: </strong>There are changes in the sagittal plane kinematics and temporospatial parameters of the gait during the first 8 months of independent walking. These indicate gait maturation changes and highlight the impact of walking experience on the gait characteristics of children with bilateral CP.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1914763","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38888659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adnan Barutcu, Saliha Barutcu, Safi Kolkiran, Fatih Ozdener
{"title":"Evaluation of Anxiety, Depression and Burden on Caregivers of Children with Cerebral Palsy.","authors":"Adnan Barutcu, Saliha Barutcu, Safi Kolkiran, Fatih Ozdener","doi":"10.1080/17518423.2021.1917718","DOIUrl":"https://doi.org/10.1080/17518423.2021.1917718","url":null,"abstract":"<p><p>In this study, we investigated the relationship of demographic variables with mental disorders generally encountered by the caregivers. The cohort includes 109 caregivers (38.53 ± 9.62 year-old) of pediatric cerebral palsy patients (1-18 year-old) taken more than 3 months of caregiving. Data were obtained via face-to-face interviews and a 13-questioned survey followed by a statistical correlation with Zarit-Caregiver-Burden-Scale (Zarit-CBS), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II scores (BDI-II). BAI scores were lower in the case of collaborative caregiving (<i>p</i> = .034) and a better financial status (<i>p</i> = .045) but higher in families having more than 1 disabled child (<i>p</i> = .019). Zarit-CBS scores were significantly higher in caregiving mothers with older age (<i>p</i> = .027) and lower in families having only 1 disabled child (<i>p</i> = .025). Mental disorders related to caregiving are dependent on the burden directed on the caregivers and having collaboration decreases anxiety. Medical assistance should be provided to caregivers showing signs of a mental disorder.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17518423.2021.1917718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38839285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}