The effect of interactive computer play on balance and functional abilities in children with moderate cerebral palsy: a pilot randomized study

Objectives: To investigate the feasibility and potential efficacy of a six-week interactive computer play training on balance and gross motor function in children with moderate cerebral palsy. Design: A pilot single-blinded matched randomized controlled study. Setting: Community. Participants: In total, 18 children with moderate cerebral palsy were recruited, paired according to age and severity of cerebral palsy and randomized into intervention group or control group. Intervention: The intervention group received additional trunk control training using the interactive computer play in sitting four times per week, 20 minutes per session for six weeks. All study children continued their usual physiotherapy programme. Measurements: All study children were assessed at baseline, week 3, week 6 (completion of intervention) and week 12 using the Pediatric Reach Test, Gross Motor Function Measure–66-Item Set and 2-Minute Walk Test. Results: All intervention children completed and enjoyed the training with no reported adverse event. All children were assessed at all time points. No significant difference was found between the two groups in all assessments. In both groups of children, significant improvements were found in the Gross Motor Function Measure–66-Item Set between week 3 (intervention group: mean 53.41, SD 5.34; control group: mean 52.86, SD 8.33) and week 6 (intervention group: mean 55.00, SD 6.32; control group: mean 54.20, SD 8.35). Conclusion: The intervention protocol of a six-week interactive computer play training was feasible and safe for children with moderate cerebral palsy in special school settings. Future studies with larger sample sizes or using single-subject designs are recommended.

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Validity and Reliability of the Indonesian Version Gross Motor Function Measure to Measure Gross Motor Function in Cerebral Palsy Children

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v1i1.214 ◽

1970 ◽

Vol 1 (1) ◽

pp. 71-79

Author(s):

Selly C Anggoro ◽

Amendi Nasution ◽

Luh K Wahyuni ◽

Aria Kekalih

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Internal Consistency ◽

Criterion Validity ◽

Gross Motor ◽

Gross Motor Function ◽

Gross Motor Function Measure ◽

Significant Difference ◽

Good Internal Consistency ◽

Function Measure

Objectives: Cerebral palsy (CP) is the most physical disabling disease in children. Gross motor capacity in CP usually measured and evaluated by Gross Motor Function Measure (GMFM), a standardizedobservational instrument to evaluate gross motor function. Studies showed GMFM reliable, valid, and responsive to change of CP gross motor function. This research aims to examine validity and reliabilityof GMFM translated into Indonesian.Methods: Cross sectional study with consecutive sampling of CP children aged 2-15 years came to pediatric rehabilitation clinic at RSCM Medical Rehabilitation Department or YPAC Jakarta. Subjects classified by age, type, anatomical distribution, and severity.Gross motor function evaluated with 88 GMFM items translated into Indonesia. Inter-rater evaluated gross motor function through video records. Criterion validity tested by correlation coefficient, construct validity tested by comparing GMFM item with dimension total scores and GMFM total score with corrected Spearman correlation. Inter-rater reliability tested by unpaired T-test, internal consistency by alpha Cronbach.Results: Thirty one CP children with mean age 7 years 11 months, mean GMFM score 58.40 (SD=49.09).No significant difference of all GMFM dimensions; almost all GMFM items obtained from inter-rater evaluation. Good internal consistency (alpha Cronbach 0.884) and good criterion validity of all dimensions;; inter-item and total correlations good to strong (r=0.523-0.859).Conclusion: GMFM Indonesian has good to strong criterion validity. Construct validity of all dimensions was quite good. Internal consistency was good. No significant difference between inter-raters showed GMFM inter-rater reliability good enough.Keywords: Cerebral palsy, gross motor function, gross motor function measure, validity, reliability.

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Functional Gains in Children With Spastic Hemiplegia Following a Tendon Achilles Lengthening Using Computerized Adaptive Testing—A Pilot Study

Child Neurology Open ◽

10.1177/2329048x18811452 ◽

2018 ◽

Vol 5 ◽

pp. 2329048X1881145 ◽

Cited By ~ 3

Author(s):

Eli Saleh ◽

Noémi Dahan-Oliel ◽

Kathleen Montpetit ◽

Thierry Benaroch ◽

Rita Yap ◽

...

Keyword(s):

Cerebral Palsy ◽

Pilot Study ◽

Data Collection ◽

Motor Function ◽

Gross Motor ◽

Gross Motor Function ◽

Gross Motor Function Measure ◽

Data Collection Instrument ◽

Spastic Hemiplegia ◽

Function Measure

Purpose: This pilot study evaluated the outcomes of tendon Achilles lengthening in 12 children (mean age: 11.2 years) with spastic hemiplegia. Methods: Cerebral Palsy Computer Adaptive Tests, the timed up-and-go, the Gross Motor Function Measure, the Gillette Functional Assessment Questionnaire, and the Pediatric Outcomes Data Collection Instrument were administered at baseline and at 6, 12, and 24 months postsurgery. Results: Significant improvement at the latest follow-up (12-24 months following surgery) was seen in all domains of the Cerebral Palsy Computer Adaptive Test: activity ( P = .017), lower extremity ( P = .005), global ( P = .005), pain ( P = .005), and fatigue ( P = .028), as well as in the Gross Motor Function Measure-standing domain ( P = .02) and the mobility domain of the Pediatric Outcomes Data Collection Instrument ( P = .04). Conclusion: These findings indicate that the tendon Achilles lengthening improved functional outcome in these children as measured by tests of physical function, walking speed, and activity performance.

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Psychometric properties of trunk impairment scale in children with spastic diplegia

Scientific Reports ◽

10.1038/s41598-021-98104-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Vedasri Dasoju ◽

Rakesh Krishna Kovela ◽

Jaya Shanker Tedla ◽

Devika Rani Sangadala ◽

Ravi Shankar Reddy

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Concurrent Validity ◽

Reliability And Validity ◽

Spastic Diplegia ◽

Gross Motor ◽

Rater Reliability ◽

Gross Motor Function ◽

Gross Motor Function Measure ◽

Function Measure

AbstractThe Trunk Impairment Scale (TIS) is a valid and reliable tool to assess trunk impairment in children with heterogeneous cerebral palsy. The purpose of this study was to determine the reliability and validity of the TIS in assessing children with spastic diplegic cerebral palsy. The sample was a total of 30 subjects (15 = boys, 15 = girls). All subjects underwent an assessment of the sitting component of the Gross Motor Function Measure-88 and TIS by rater 1. Rater one observed video recordings within 24 h and scored TIS for intra-rater reliability, while rater two did likewise after 48 h for inter-rater reliability. The mean and standard deviation of the TIS and sitting components of the Gross Motor Function Measure-88 were 15.66 ± 4.20 and 52.36 ± 6.26, respectively. We established intra-rater and inter-rater reliability of the TIS with Intra Class Correlation Coefficient 0.991 and 0.972, respectively. The concurrent validity of the TIS with the sitting component of the Gross Motor Function Measure-88 was good, with an r-value of 0.844 (p < 0.001). This study showed the excellent intra-rater and inter-rater reliability and high concurrent validity of the TIS in assessing children with spastic diplegic cerebral palsy.

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Gambaran Peningkatan Fungsi Motorik Kasar Pada Anak Cerebral Palsy Spastik Setelah Pemberian Hippotherapy: Literature Review

Prosiding Seminar Nasional Kesehatan ◽

10.48144/prosiding.v1i.694 ◽

2021 ◽

Vol 1 ◽

pp. 430-438

Author(s):

Khusnah Khauliya ◽

A Abdurrachman

Keyword(s):

Cerebral Palsy ◽

Literature Review ◽

Motor Function ◽

Google Scholar ◽

Spastic Cerebral Palsy ◽

Gross Motor ◽

Gross Motor Function ◽

Review Analysis ◽

Gross Motor Function Measure ◽

Function Measure

AbstractSpastic Cerebral Palsy is a type of Cerebral Palsy that experiences stiffness or tightness of the muscles. These muscles become stiff because messages to the muscles are conveyed incorrectly by the damaged part of the brain. The presence of spasticity will affect gross motor function disorders in children with cerebral palsy. One of the physiotherapy approaches to improve gross motor function is hippotherapy. This literature review study aims to describe gross motor function in Spastic Cerebral Palsy children after giving hippotherapy from several articles. The selection of articles in this study was a literature review analysis using the PICO method, five articles were obtained for review from several data bases such as PubMed (n=2) and Google Scholar (n=3). The measuring instrument uses GMFM (Gross Motor Function Measure) to measure gross motor function in Spastic Cerebral Palsy children. The results of the literature review analysis in these five articles indicate that hippotherapy can improve gross motor function in Spastic Cerebral Palsy children with an average value before the action of 63.65 and after the action of 66.68. From the results of the literature review of these five articles, it shows that hippotherapy is proven to improve gross motor function in Spastic Cerebral Palsy children before and after giving intervention with hippotherapy modality with an average difference of 3.03. Hippotherapy can be used as a reference material for interventions or research materials or physiotherapy research, especially in pediatric cases.Keywords: GMFM; spastic cerebral palsy; hippotherapy AbstrakCerebral Palsy Spastik merupakan salah satu jenis Cerebral Palsy yang mengalami kekakuan atau keketatan otot-otot. Otot ini menjadi kaku karena pesan pada otot disampaikan secara tidak benar oleh bagian otak yang rusak. Adanya spastisitas akan berpengaruh terhadap gangguan fungsi motorik kasar pada anak Cerebral Palsy. Salah satu pendekatan fisioterapi untuk meningkatkan fungsi motorik kasar adalah hippotherapy. Penelitian literature review ini bertujuan untuk mengetahui gambaran fungsi motorik kasar pada anak Cerebral Palsy Spastik setelah pemberian hippotherapy dari beberapa artikel. Pemilihan artikel pada penelitian ini yaitu analisis literature review dengan metode PICO, didapatkan lima artikel untuk direview dari beberapa data base sepertiPubMed (n=2) dan Google Scholar (n=3). Alat ukur menggunakan GMFM (Gross Motor Function Measure) untuk mengukur fungsi motorik kasar pada anak Cerebral Palsy Spastik. Hasil analisis literature review pada kelima artikel ini menunjukkan bahwa hippotherapy dapat meningkatkan fungsi motorik kasar pada anak Cerebral Palsy Spastik dengan nilai rata-rata sebelum tindakan 63,65 dan sesudah tindakan 66,68. Dari hasil literature review kelima artikel ini menunjukkan bahwa hippotherapy terbukti dapat meningkatkan fungsi motorik kasar pada anak Cerebral Palsy Spastik sebelum dan sesudah pemberian intervensi dengan modalitas hippotherapy dengan hasil selisih rata-rata sebesar 3,03. Hippotherapy dapat digunakan sebagai bahan acuan untuk intervensi maupun bahan riset atau penelitian fisioterapi khususnya pada kasus pediatric.Kata kunci : GMFM;cerebral palsy spastik;hippotherapy

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