Interactive Computer Play in the Pursuit of Gait Optimization for Children With Cerebral Palsy

2022 ◽  
pp. 72-97
Author(s):  
Manon Maitland Schladen ◽  
Yiannis Koumpouros ◽  
Elena America Choong ◽  
Justine Lee Belschner

Exercise therapy delivered through interactive computer play (ICP) has been shown to be effective for improving gross motor skills, and ultimately gait, in children with cerebral palsy (CP). This chapter provides an overview of CP, its impact on, gait and the current physical therapy (PT) standard of care. The history of the home exercise program (HEP) component of standard PT care is described, along with the potential for using ICP to improve HEP. ICP systems are surveyed, and their defining features discussed. The current therapeutic use of ICP is described and directions for further development to enhance therapeutic utility presented. A theoretical framework to support ICP implementation, self-determination theory (SDT), is outlined, and an example of its exploration in a pilot effort is provided. An example of healthcare system barriers to rapid uptake of ICP is presented along with alternative strategies for deployment and recommendations for further research.

2014 ◽  
Vol 60 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Aynur Basaran ◽  
Kiymet Ikbal Karadavut ◽  
Sukran Ozden Uneri ◽  
Ozlem Balbaloglu ◽  
Nuray Atasoy

2017 ◽  
Vol 7 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Nabila Ahmed Sedky

ABSTRACT Objectives Evaluating oral and dental health status in Egyptian children with cerebral palsy (CP) in relation to gross motor skills and types of CP. Materials and methods Cross-sectional study was conducted at el-Shatby Hospital for Children, Alexandria, Egypt. Oral examination for 62 children with CP between the age range 3 and 12 years was performed, and decayed, missing, and filled permanent teeth (DMFT)/decayed and filled primary teeth (dft), simplified oral hygiene index (OHI-S), and modified gingival index (MGI) were charted. Maxillofacial defects, dental problems, and drooling of saliva were assessed. Children's CP type, motor milestone, and gross motor skills were determined. All statistical analyses were carried out at p<0.05 and 0.01. Results About 84.0% of children had spastic quadriplegia, 41.9% were sit-supported, 32.3% had level IV Gross Motor Function Classification System (GMFCS), 29.0% had level V no maxillofacial defects, 14.5% had dentin exposure greater than one-third of the surface, and 22.6% had frequent/severe drooling saliva. Caries prevalence comprised 54.8%, 53.2% had poor oral hygiene (OHI-S), and 43.6% had severe gingival inflammation (MGI). The first best predictor variable for dft was “motor milestone” The GMFCS (levels IV and V) was the first best predictor variable for DMFT, OHI-S, and MGI. Conclusion The majority of children had dental caries, poor oral hygiene, and severe gingival inflammation. Children who were sit-supported, had no neck support, and stand-supported were suffering from dental caries (dft) more than children who were sitting and walking alone. Children with levels IV/V GMFCS were prone to have dental caries (DMFT), susceptible to suffer from bad oral hygiene, and older children experiencing severe gingivitis more than younger ones. How to cite this article Sedky NA. Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study. J Contemp Dent 2017;7(1):1-11.


2017 ◽  
Vol 1 (1) ◽  
pp. e000078 ◽  
Author(s):  
Rachel Toovey ◽  
Charmaine Bernie ◽  
Adrienne R Harvey ◽  
Jennifer L McGinley ◽  
Alicia J Spittle

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