Effect of Adeli suit treatment on gait in a child with cerebral palsy: a single-subject report

Abstract Background and Purpose. People with spastic cerebral palsy often receive passive stretching that is intended to maintain or increase joint passive range of motion (PROM) even though the effectiveness of these exercises has not been definitively demonstrated. The purpose of this study was to determine the effect of PROM exercises on 6 adults with spastic quadriplegia and contractures. Participants. Four men and 2 women (X̄=31 years of age, range=20–44 years) who lived in an institution for people with mental retardation participated in the study. Methods. The authors used 2 multiple baseline designs. Three participants (group 1) received lower-extremity PROM exercises during phase A; PROM exercises were discontinued during phase B. Three participants (group 2) did not receive PROM exercises during phase A; PROM exercises were initiated during phase B. Data were analyzed using visual analysis and the C statistic. Results. Results varied with the method of analysis; however, phase A and phase B measurements, overall, did not differ for either group. Discussion and Conclusion. This study demonstrated use of a single-subject design to measure the effect of PROM exercises on adults with cerebral palsy. The authors concluded that the PROM exercise protocol did not have an effect on the lower-extremity goniometric measurements of the participants.

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Video Visual Scene Displays With Dynamic Text: Effect on Single-Word Reading by an Adolescent With Cerebral Palsy

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2020_persp-20-00068 ◽

2020 ◽

Vol 5 (5) ◽

pp. 1272-1281

Author(s):

Kelsey Mandak ◽

Janice Light ◽

David McNaughton

Keyword(s):

Cerebral Palsy ◽

Augmentative And Alternative Communication ◽

Word Reading ◽

Visual Scene ◽

Single Subject ◽

Academic Vocabulary ◽

Single Word ◽

Alternative Communication ◽

Communication Devices ◽

Single Word Reading

Purpose The purpose of this study was to investigate the effect of the Transition to Literacy (T2L) feature within video visual scene displays (VSDs) on the single-word reading of academic vocabulary concepts (i.e., weather concepts) by a preliterate adolescent with cerebral palsy and minimal speech. Method A single-subject, multiple-probe, across-word-sets design was used to evaluate the effects of the intervention. The intervention used an augmentative and alternative communication app programmed with video VSDs embedded with hot spots with the T2L feature to teach the adolescent 12 academic vocabulary words. Results The adolescent acquired all target words successfully with only minimal exposure to the written words through the app and was able to generalize her learning to two novel tasks. Using Tau-U to evaluate the size of the observed effects, there were very large effects across all word sets. Conclusions The findings from this study demonstrate the effectiveness of the T2L feature to improve single-word reading in preliterate individuals with minimal speech. The use of video VSDs and T2L technology together may offer professionals a unique way to complement current augmentative and alternative communication devices and literacy instruction for adolescents with minimal speech who are preliterate.

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PENGARUH STRUKTURAL ANALITIK SINTETIK TERGADAP PENINGKATAN MEMBACA PERMULAAN ANAK CEREBRAL PALSY

PEDAGOGIA Jurnal Ilmu Pendidikan ◽

10.17509/pdgia.v17i3.20299 ◽

2019 ◽

Vol 17 (3) ◽

pp. 247-260

Author(s):

Ana Munandar ◽

Nia Sutisna

Keyword(s):

Cerebral Palsy ◽

Reading Skills ◽

Early Reading ◽

Spastic Cerebral Palsy ◽

Single Subject ◽

Learning Method ◽

Early Reading Skills ◽

Single Subject Research ◽

The Subject ◽

Structural Methods

AbstrakMMembaca permulaan merupakan kemampuan paling dasar dan penting untuk mempelajari simbol atau kode yang memiliki makna serta dapat diterjemahkan dalam bunyi atau suara. Komponen membaca permulaan yaitu membaca huruf, suku kata, kata dan kalimat sederhana. Membaca sangat penting untuk setiap orang, begitu juga anak berkebutuhan khusus. Cerebral Palsy adalah individu yang mengalami kerusakan otak menetap yang berdampak pada mobilisasi, gerak, komunikasi, dan lain sebagainya. Metode yang digunakan oleh guru di sekolah kurang dapat meningkatkan kemampuan membaca permulaan. Oleh karena itu, subjek memerlukan metode pembelajaran yang dapat meningkatkan kemampuan membaca permulaannya. Salah satunya yaitu metode pembelajaran Strukrural Analitik Sintetik. Penelitian ini menggunakan metode pembelajaran ini untuk melihat pengaruh kepada kemampuan membaca permulaan pada subjek. Metode penelitian menggunakan pendekatan kuantitatif, eksperimen Single Subject Research dengan desain A-B-A. Jumlah sesi pada A1 tiga sesi, B tujuh sesi, dan A2 tiga sesi. Subjek penelitian ini yaitu anak cerebral palsy spastik yang mengalami hambatan kecerdasan kelas IX SMPLB. etiap sesinya anak memperoleh rata-rata nilai A1 yaitu 59,06%, B 74,80%, dan A2 84,25%. Kesimpulannya metode struktural analitik sintetik dapat berpengaruh signifikan terhadap peningkatan kemampuan membaca permulaan. AbstractPre-reading is the most basic and important ability to learn symbols or codes that have meaning and can be translated in sounds or sounds. The component of pre-reading is reading letters, syllables, words and simple sentences. Reading is very important for everyone, so are children with special needs. Cerebral Palsy is an individual who has permanent brain damage that affects mobilization, movement, communication, and so forth. The method used by teachers in schools is less able to improve pre-reading skills. Therefore, the subject requires learning methods that can improve the ability to read the beginning. One of them is the synthetic analytical structural learning method. This study uses this learning method to see the effect on early reading skills on the subject. The research method uses a quantitative approach, a single subject research experiment with A-B-A design. The number of sessions at A1 is three sessions, B is seven sessions, and A2 is three sessions. The subjects of this study are spastic cerebral palsy children who have intelligence problems in class IX SMPLB. for each session the children obtained an average A1 value of 59.06%, B 74.80%, and A2 84.25%. In conclusion, synthetic analytic structural methods can have a significant effect on improving early reading skills.

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The effects of repeated speech training using speech cues on the percentage of correct consonants and speech intelligibility in children with cerebral palsy: A single-subject design research

Phonetics and Speech Sciences ◽

10.13064/ksss.2021.13.3.079 ◽

2021 ◽

Vol 13 (3) ◽

pp. 79-90

Author(s):

Saehee Seo ◽

Pilyeon Jeong ◽

Hyunsub Sim

Keyword(s):

Cerebral Palsy ◽

Speech Intelligibility ◽

Design Research ◽

Single Subject ◽

Single Subject Design ◽

Subject Design ◽

Children With Cerebral Palsy ◽

Speech Cues ◽

Speech Training

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Impact of somatosensory interventions on upper limb function in children with hemiplegic cerebral palsy: a single-subject design study

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2019.0122 ◽

2021 ◽

Vol 28 (1) ◽

pp. 1-13

Author(s):

Moloud Khoshbakht ◽

Parvin Raji ◽

Noureddin Nakhostin Ansari ◽

Mahmoud Mahmodian

Keyword(s):

Cerebral Palsy ◽

Upper Extremity ◽

Upper Limb ◽

Visual Analysis ◽

Treatment Phase ◽

Single Subject ◽

Upper Limb Function ◽

Hemiplegic Cerebral Palsy ◽

Spastic Hemiplegia

Background/aims Hemiplegia is one of the most common types of cerebral palsy. Upper limb dysfunction in these children can affect their quality of life. The aim of this study was to investigate the effects of somatosensory interventions on upper extremity sensory and motor functions in spastic hemiplegic children. Methods This single-subject study was performed in the occupational therapy clinic of Tehran University of Medical Sciences. Three participants (two boys and one girl) aged 8–12 years with spastic hemiplegia were assessed during baseline, treatment and follow-up phases. During the treatment phase, the children received 12 tactile and proprioceptive stimulation (active, passive and playful) sessions over 4 weeks. Four sensory measures (tactile localisation, stereognosis, two-point discrimination, proprioception) and one motor measure (Box and Block Test) were assessed during each phase. Results Improvement in function was seen in all three children based on visual analysis, with significant differences between the baseline and treatment scores in the majority of measures for all participants. Changes were sustained at follow up for most tests. The effect size was large for all three children. Conclusions Despite the small number of participants, sensory intervention with a focus on sensory deficits could help to improve upper extremity sensory and motor function in children with spastic hemiplegia.

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Efficacy and Effectiveness of Physical Therapy in Enhancing Postural Control in Children With Cerebral Palsy

Neural Plasticity ◽

10.1155/np.2005.229 ◽

2005 ◽

Vol 12 (2-3) ◽

pp. 229-243 ◽

Cited By ~ 26

Author(s):

Susan R. Harris ◽

Lori Roxborough

Keyword(s):

Systematic Review ◽

Cerebral Palsy ◽

Physical Therapy ◽

Postural Control ◽

Search Strategy ◽

Control Strategies ◽

Experimental Studies ◽

Single Subject ◽

Reference List ◽

Children With Cerebral Palsy

The purpose of this article was to conduct a systematic review of studies that examined the efficacy and effectiveness of postural control intervention strategies for children with CP. Only physical therapy interventions were included, e.g. adaptive seating devices, ankle foot orthoses, neurodevelopmental treatment. A multifaceted search strategy was employed to identify all potential studies published between 1990 and 2004. The search strategy included electronic databases, reference list scanning, author and citation tracking of relevant studies, and hand searching of pediatric physical therapy journals and conference proceedings. Twelve studies (1991–2004), comprising ten group design studies and two single subject studies, met our inclusion criteria. A variety of age ranges and severity of children with cerebral palsy (n = 132) participated in the studies. The study quality scores ranged from 2 to 7 (total possible range of 0 to 7) with a median score of 5.5 and a mode of 6. As was true in an earlier systematic review on adaptive seating, most of the 12 ‘experimental’ studies published since 1990 that were aimed at evaluating the effectiveness of postural control strategies provided lower levels of evidence, i.e. Sackett Levels III to V. Additional studies with stronger designs are needed to establish that postural control interventions for children with CP are effective.

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Use of Virtual Reality to Improve Upper-Extremity Control in Children With Cerebral Palsy: A Single-Subject Design

Physical Therapy ◽

10.2522/ptj.20060062 ◽

2007 ◽

Vol 87 (11) ◽

pp. 1441-1457 ◽

Cited By ~ 104

Author(s):

Yu-Ping Chen ◽

Lin-Ju Kang ◽

Tien-Yow Chuang ◽

Ji-Liang Doong ◽

Shwn-Jan Lee ◽

...

Keyword(s):

Virtual Reality ◽

Cerebral Palsy ◽

Training Program ◽

Single Subject ◽

Single Subject Design ◽

Subject Design ◽

Children With Cerebral Palsy ◽

Vr Training ◽

Normal Cognition

Background and Purpose Virtual reality (VR) creates an exercise environment in which the intensity of practice and positive feedback can be systematically manipulated in various contexts. The purpose of this study was to investigate the training effects of a VR intervention on reaching behaviors in children with cerebral palsy (CP). Participants Four children with spastic CP were recruited. Method A single-subject design (A-B with follow-up) was used. All children were evaluated with 3 baseline, 4 intervention, and 2 follow-up measures. A 4-week individualized VR training program (2 hours per week) with 2 VR systems was applied to all children. The outcome measures included 4 kinematic parameters (movement time, path length, peak velocity, and number of movement units) for mail-delivery activities in 3 directions (neutral, outward, and inward) and the Fine Motor Domain of the Peabody Developmental Motor Scales–Second Edition (PDMS-2). Visual inspection and the 2-standard-deviation–band method were used to compare the outcome measures. Results Three children who had normal cognition showed improvements in some aspects of reaching kinematics, and 2 children’s change scores on the PDMS-2 reached the minimal detectable change during the intervention. The improvements in kinematics were partially maintained during follow-up. Discussion and Conclusion A 4-week individualized VR training program appeared to improve the quality of reaching in children with CP, especially in children with normal cognition and good cooperation. The training effects were retained in some children after the intervention.

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