scholarly journals The effectiveness of tele-rehabilitation on improvement of daily living activities in children with cerebral palsy: narrative review

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Mohammad E. Tamboosi ◽  
Safeer S. Al-Khathami ◽  
Shamekh M. El-Shamy
Keyword(s):  
Cerebral Palsy ◽  
Rural Areas ◽  
Daily Living ◽  
Intensive Therapy ◽  
Narrative Review ◽  
Daily Living Activities ◽  
Therapy Program ◽  
Home Based ◽  
Unilateral Cerebral Palsy ◽  
And Performance

Abstract Aim To investigate the effectiveness of tele-rehabilitation for children diagnosed with unilateral cerebral palsy. Method The design of this study is a narrative review. An electronic search was conducted for studies that related to tele-rehabilitation using the following databases: CINAHL, PubMed, MEDLINE, OTSeeker, and PEDro. The data extracted were analyzed by evaluating them according to the key results, limitations, suitability of the methods used to the initial hypothesis, interpretation of the results, and impact of the conclusions in the field. Results Out of 139 studies, 3 studies met the inclusion criteria. Further, manual searches of the references of included studies identified 2 more relevant studies. The interventions applied in those studies were web-based multi-modal therapy program using Move-it-to-improve-it (Mitii™), home-based hand-arm bimanual intensive therapy (H-HABIT), and lower-extremity functional training (LIFT). The outcomes were executive functions, occupational performance, activity capacity, dexterity, quality of bimanual hand-use, functional goals, gait capacity, and performance. Conclusion Tele-rehabilitation is effective in improving the functions of the upper and lower extremities in daily living activities for children with unilateral cerebral palsy (UCP), aged between 2 to 18 years old, classified to levels I and II in GMFCS and levels I, II, and III in MACS. Webcam and good internet connection are essential requirements to conduct tele-rehabilitation. Children need to be contacted weekly via phone or e-mail for further follow-ups. Additionally, tele-rehabilitation may be considered one of the intervention strategies for patients who live in rural areas.

Interview for Deterioration in Daily Living Activities in Dementia: construct and concurrent validity in patients with mild to moderate dementia

2011 ◽  
Vol 24 (3) ◽  
pp. 382-390 ◽  
Author(s):  
Sebastian Voigt-Radloff ◽  
Rainer Leonhart ◽  
Matthias Schützwohl ◽  
Luisa Jurjanz ◽  
Thomas Reuster ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Internal Consistency ◽  
Concurrent Validity ◽  
Daily Living ◽  
Factor Model ◽  
Cognitive Testing ◽  
Daily Living Activities ◽  
Moderate Dementia ◽  
Dementia Research ◽  
And Performance

ABSTRACTBackground: The purpose of the study was to translate the Interview for Deterioration in Daily Living Activities in Dementia (IDDD) into German and to evaluate the construct and concurrent validity in people with mild to moderate dementia.Methods: IDDD data of two pooled samples (n = 301) were analyzed regarding ceiling and bottom effects, internal consistency, factor reliability and correlations with corresponding scales on cognition and activities of daily living.Results: We found minimal bottom (< 5%) and ceiling (≤ 2%) effects, good internal consistency (Cronbach's α > 0.7) and moderate to good factor reliability (0.66–0.87). Low correlations with cognition (Pearson coefficient: < 0.17) confirmed the differences between cognitive testing and activities of daily living (ADL). Minor correlations with other ADL scores (r < 0.2) indicated that different scores cover a different range of ADLs. The original two factor model could not be confirmed. A suggested four factor model distinguishing initiative and performance of basic and instrumental ADL demonstrated better indices of fit and higher correlations with corresponding scales.Conclusion: A four factor model of the IDDD can be used in dementia research for assessing initiative in and performance of basic and household activities of daily living. The findings suggest that ADL scales correlate only poorly and that further development of the IDDD is needed to cover a broader range of ADLs.

scholarly journals The newly revised interview for deteriorations in daily living activities in dementia (R-IDDD2): distinguishing initiative from performance at assessment

2016 ◽  
Vol 29 (3) ◽  
pp. 497-507 ◽  
Author(s):  
Clarissa M. Giebel ◽  
David Challis ◽  
Daniela Montaldi
Keyword(s):  
Quality Of Life ◽  
Daily Living ◽  
Medication Management ◽  
Well Being ◽  
Everyday Functioning ◽  
Repair Work ◽  
Daily Living Activities ◽  
Mild Dementia ◽  
And Performance

ABSTRACTBackground:Minimal evidence exists on the detailed deficits in complex instrumental activities of daily living (IADLs) in mild dementia. The aim of this study was twofold, to validate a revised questionnaire focusing measuring the initiative and performance of IADLs in mild dementia and to explore the relationship between individual IADLs and patient and carer well-being.Methods:A total of 183 carers of people with mild dementia completed a further modified Revised Interview for Deterioration in Daily Living Activities 2 (R-IDDD2), which comprised new activities such as computer use, as well as sub-activities on the performance scale. Carers also completed questionnaires assessing patient quality of life (QoL-AD), carer quality of life (AC-QoL), and burden (GHQ-12).Results:Persons with dementia were significantly poorer initiating than performing cleaning, doing repair work, and preparing a hot or cold meal, whereas being poorer at performing dressing and following current affairs. Using the computer, preparing a hot meal, finance, and medication management were most impaired, whereas more basic activities of dressing, washing oneself, brushing hair or teeth, and preparing a hot drink were most preserved. Poor initiative and performance on nearly all activities were significantly related to reduced carer and patient well-being.Conclusions:The R-IDDD2 offers a platform to comprehensively assess everyday functioning. Deteriorations in initiative and performance need to be targeted separately in interventions, as the former requires effective triggering and the latter structured training and support. Most activities were significantly associated with well-being, particularly patient quality of life so that improving any activity should improve well-being.

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