Perceived parental differential treatment, cognition, behaviour and family cohesiveness among siblings of children with cerebral palsy? A family-mediated intervention to understand “displaced” children

Author(s):  
Preeti Tabitha Louis ◽  
Navin Kumar

AbstractThe present study adopts a quasi-experimental design to evaluate the impact of perceived parental differential treatment towards 30 non-disabled siblings of children with cerebral palsy 7–10 years of age. Standardised inventories such as, the Stanford-Binet Intelligence Test (SBIT), the Connors Parent Rating Scale-Revised (CPRS) and the Draw-a-Family test were used pre and post intervention. Scheduled interviews were used for parents and children to obtain information regarding family cohesiveness. A special program was designed to structure the home environment and to maximise parental involvement that catered to the “needy child” and this was implemented for 6 months after which the children were reassessed. Prior to the intervention, we observed deficits in cognitive skills and siblings had concerns in hyperactivity and oppositional behaviour. Scheduled interviews with siblings elicited responses that represented neglect, perceived differential treatment and negative emotional well-being. Projective tests revealed that family dynamics were disturbed and chaotic. Post intervention, we observed significant differences in the cognitive orientation, behavioural engagement and also in the interpersonal relationship within the family. We may conclude therefore, that parental involvement significantly predicts academic and psychosocial adjustment of siblings and this is an important implication for practitioners in developing early intervention programs.

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Arnaud ◽  
Carine Duffaut ◽  
Jérôme Fauconnier ◽  
Silke Schmidt ◽  
Kate Himmelmann ◽  
...  

Abstract Background Effective inclusion in society for young people with disabilities is increasingly seen as generating opportunities for self-development, and improving well-being. However, significant barriers remain in the vast majority of activities meaningful for young adults. Research argues that various personal (disabilities, health) and environmental (access to the resources needed, accessible environment, discrimination, lack of personal economic independence) factors contribute to limited participation. However, previous studies conducted in young people with cerebral palsy (CP) mainly investigated the transition period to adulthood, and did not fully consider the whole range of impairment severity profiles or environmental barriers. In this study, we will use the follow-up of the SPARCLE cohort and a comparison group from the general population (1) to investigate the impact of the environment on participation and quality of life of young adults with CP, (2) to determine predictors of a successful young adulthood in educational, professional, health and social fields, (3) to compare quality of life and frequency of participation in social, work and recreational activities with the general population, (4) to document on participation and quality of life in those with severe disabilities. Methods The SPARCLE3 study has a combined longitudinal and cross-sectional design. Young adults with CP aged 22 to 27 years in 6 European regions previously enrolled in the SPARCLE cohort or newly recruited will be invited to self-complete a comprehensive set of questionnaires exploring participation (daily life and discretionary activities), health-related quality of life, body function, personal factors (health, personal resources), and contextual factors (availability of needed environmental items, family environment, services provision) during home visits supervised by trained researchers. Proxy-reports or adapted questionnaires will be used for those with the most severe impairments. The recruitment of a large group from the general population (online survey) will enable to identify life areas where the discrepancies between young people with CP and their able-bodied peers are the most significant. Discussion This study will help identify to what extent disabilities and barriers in environment negatively affect participation and quality of life, and how previous valued experiences during childhood or adolescence might modulate these effects.


2020 ◽  
pp. 135910531990027
Author(s):  
Assimina Tsibidaki

The study focuses on families raising a child with cerebral palsy to investigate family strengths and their association with family and parent demographic characteristics in Greece and Italy. Participants were 120 parents raising a biological child with cerebral palsy. Data collection used a self-report questionnaire and the Family Strengths Inventory. According to the findings, families share a high sense of family strengths, which is mainly represented in the high sense of ‘pride’ and ‘accord’. In addition, demographic characteristics seem to be important predictors of well-being and strengthen parents and families raising a child with cerebral palsy.


2021 ◽  
Vol 15 (2) ◽  
pp. 138-144
Author(s):  
Anita J. Mudge ◽  
Sinu Thilak ◽  
Elizabeth A. Wojciechowski ◽  
Joshua Burns ◽  
Simon P. Paget

Author(s):  
Jinlong Wu ◽  
Paul D. Loprinzi ◽  
Zhanbing Ren

This research aims to evaluate the effect of virtual reality (VR) games on balance recovery of children with cerebral palsy (CP) by quantitatively synthesizing the existing literature, and to further determine the impact of VR game intervention (the duration of each intervention, intervention frequency, intervention cycle, and total intervention time) on the balance recovery of children with CP. To this end, relevant literature up until 3 August 2019 was retrieved from Chinese databases (CNKI and Wanfang Data) and the databases in other languages (Web of Science, Pubmed, EBSCOhost, Informit, Scopus, Science Direct, and ProQuest), and bias analysis was conducted with the PEDro scale in this research. Randomized controlled trials (RCTs) were selected and underwent meta-analysis, and combined effect size was calculated with a random effects model. The results showed that VR games may improve the balance of children with CP (Hedge’s g = 0.29; 95% CI 0.10–0.48), and no significant influence of the intervention on balance of children with CP was shown in the subgroup analysis. In conclusion, VR games played a positive role in the improvement of balance of children with CP, but these results should be viewed with caution owing to current methodological defects (difference in measurement, heterogeneity of control groups, intervention combined with other treatments, etc.).


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