INTEGRATION EXERCISE PROGRAMME FOR CHILDREN WITH LEARNING DIFFICULTIES WHO HAVE PRESERVED VESTIGIAL PRIMITIVE REFLEXES

2017 ◽  
Vol 15 (3) ◽  
pp. 0-0 ◽  
Author(s):  
Celestyna Grzywniak
Keyword(s):  
Motor Development ◽  
Motor Coordination ◽  
Muscle Tension ◽  
Learning Difficulties ◽  
Exercise Programme ◽  
Control Group ◽  
Primitive Reflexes ◽  
Short Period ◽  
Psychology Pedagogy ◽  
Auditory Analysis

Background: The main goal of the research was to determine the usefulness of the Integration exercise programme stimulating development in children with learning difficulties who have preserved vestigial primitive reflexes. Their symptoms included weak motor and visual-motor coordination, lowered visual and auditory analysis and synthesis which resulted in difficulties in reading and writing, disrupted emotional development, psychomotor hyperactivity, weak concentration and other symptoms. Material/ Methods: 104 children with learning difficulties and other accompanying symptoms took part in the experiment. The children were trained in the shape of the Integration exercise programme at school under a therapist’s supervision and additionally at home under parental supervision. The children who went through the whole programme were qualified to the experimental group and those who resigned from the programme after a short period of time – to the control group. A pre-test and a post-test, before and after completion of the Integration exercise programme, was used to evaluate the results. Results: It was found that the Integration exercise programme is useful in therapy involving facilitation of development in children with learning difficulties, who exhibit various symptoms. Almost all the obtained results were statistically significant. The Integration exercise programme is particularly effective in the case of children exhibiting a whole set of symptoms along with learning difficulties, problems with concentration, weak emotion control, weak motor development, abnormal muscle tension, weak motor coordination. Conclusions:The Integration exercise programme widens the range of methods stimulating development and the range of possibilities to apply the therapy practiced in psychology, pedagogy and physiotherapy.

scholarly journals Evaluation of functional capabilities in children with Down Syndrome

2016 ◽  
Vol 29 (2) ◽  
pp. 335-342 ◽  
Author(s):  
Desirée F. Scapinelli ◽  
Érica Martinho Salvador Laraia ◽  
Albert Schiaveto de Souza
Keyword(s):  
Down Syndrome ◽  
Motor Development ◽  
Motor Coordination ◽  
Functional Performance ◽  
Self Care ◽  
Control Group ◽  
Motor Delay ◽  
Children With Down Syndrome ◽  
Development Control ◽  
Functional Capabilities

Abstract Introduction: Down Syndrome (DS) is a chromosomal abnormality characterized by mental retardation of varying degrees and is one of the most commonly found chromosomal aberrations, presenting motor delay such as muscular hypotonic, balance disorders, motor coordination and gait changes. Objective: To evaluate the functional capabilities in children with Down syndrome through the Pediatric Evaluation of Disability Inventory (PEDI). Methods: 20 children of both sexes, 10 with normal motor development (Control group) and 10 with Down syndrome. The functional capabilities were evaluated by PEDI (part I: functional capabilities, part II and III: caregiver assistance and change in environment) through interviews with caregivers. Results: Significant differences were observed in Part I, regarding functional capabilities in self-care (p = 0.0007), mobility (p = 0.0007) and social function (p = 0.0002), and in Part II, regarding caregiver assistance, the domains of self-care and mobility had p <0.0001 and p = 0.001. In Part III, changes in environment were more frequent when related to Down group. Conclusion: The Down syndrome group has lower functional performance in both functional capabilities and caregiver assistance, when compared to control group. However, it is clear that this questionnaire provides subsidies to make an early stimulation treatment in order to perform daily skills with the least possible help from their caregivers.

scholarly journals Influence of the Passive Stabilization of the Trunk and Upper Limb on Selected Parameters of the Hand Motor Coordination, Grip Strength and Muscle Tension, in Post-Stroke Patients

2021 ◽  
Vol 10 (11) ◽  
pp. 2402
Author(s):  
Anna Olczak ◽  
Aleksandra Truszczyńska-Baszak
Keyword(s):  
Grip Strength ◽  
Upper Extremity ◽  
Upper Limb ◽  
Motor Coordination ◽  
Objective Assessment ◽  
Muscle Tension ◽  
Control Group ◽  
Cerebral Stroke ◽  
Post Stroke ◽  
Passive Stabilization

Objective: Assessment of the influence of a stable trunk and the affected upper limb (dominant or non-dominant) on the parameters of the wrist and hand motor coordination, grip strength and muscle tension in patients in the subacute post-stroke stage compared to healthy subjects. Design: An observational study. Setting: Stroke Rehabilitation Department. Subjects: Thirty-four subjects after ischemic cerebral stroke and control group-32 subjects without neurological deficits, age and body mass/ height matched were included. Main measures: The tone of the multifidus, transverse abdominal and supraspinatus muscles were assessed by Luna EMG device. A HandTutor device were used to measure motor coordination parameters (e.g., range of movement, frequency of movement), and a manual dynamometer for measuring the strength of a hand grip. Subjects were examined in two positions: sitting without back support (non-stabilized) and lying with stabilization of the trunk and the upper limb. Results: Passive stabilization of the trunk and the upper extremity caused a significant improvement in motor coordination of the fingers (p ˂ 0.001) and the wrist (p < 0.001) in patients after stroke. Improved motor coordination of the upper extremity was associated with an increased tone of the supraspinatus muscle. Conclusions: Passive stabilization of the trunk and the upper limb improved the hand and wrist coordination in patients following a stroke. Placing patients in a supine position with the stability of the affected upper limb during rehabilitation exercises may help them to access latent movement patterns lost due to neurological impairment after a stroke.

scholarly journals Neurological Soft Signs in Obsessive Compulsive Disorder: Standardised Assessment and Comparison with Schizophrenia

1999 ◽  
Vol 11 (4) ◽  
pp. 197-204 ◽  
Author(s):  
D. Bolton ◽  
W. Gibb ◽  
A. Lees ◽  
P. Raven ◽  
J. A. Gray ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Sensory Integration ◽  
Motor Coordination ◽  
Control Group ◽  
Obsessive Compulsive ◽  
Neurological Soft Signs ◽  
Compulsive Disorder ◽  
Primitive Reflexes ◽  
Extrapyramidal Signs ◽  
Reported Study

While several studies have detected raised levels of neurological soft signs in patients with obsessive compulsive disorder (OCD), the specificity of these abnormalities remains uncertain. This study used a new standardised measure, the Cambridge Neurological Inventory (CNI), to assess soft signs in 51 subjects with OCD. Comparison was made with data on patients with schizophrenia and a non-clinical control group from a previously reported study. Individuals with OCD showed raised levels of soft signs compared with non-clinical controls in many categories of the CNI: Motor Coordination, Sensory Integration, Primitive Reflexes, Extrapyramidal Signs, and Failure of Suppression. Compared with patients with schizophrenia, the OCD group had lower levels of neurological signs in some CNI categories: Hard Signs, Motor Co-ordination, Tardive Dyskinesia, Catatonic Signs, and Extrapyramidal Signs. However, levels of soft signs in the OCD group did not significantly differ from those in the schizophrenia group in other CNI categories: Sensory Integration, Primitive Reflexes and Failure of Suppression. The significance of these patterns of findings is discussed.

Physical and Emotional Abuse and Motor Development: A Preliminary Investigation

1987 ◽  
Vol 64 (2) ◽  
pp. 469-470 ◽  
Author(s):  
Honore M. Hughes ◽  
Ro Di Brezzo
Keyword(s):  
Motor Development ◽  
Emotional Abuse ◽  
Motor Coordination ◽  
Preliminary Investigation ◽  
Learning Difficulties ◽  
Language Delays ◽  
Formal Assessment ◽  
Problem Checklist

Mothers of 212 children aged 2 to 12 yr. responded to a problem checklist. Significantly more children reported as maltreated were said to have learning difficulties than comparison children; language delays and poor motor coordination were also noted. Such children would benefit from the formal assessment and remediation of problems in motor development.

FMS Effects of a Motor Program for Children With Autism Spectrum Disorders

2021 ◽  
pp. 003151252110100
Author(s):  
Liangshan Dong ◽  
Bo Shen ◽  
YanLi Pang ◽  
Mingting Zhang ◽  
Yuan Xiang ◽  
...  
Keyword(s):  
Motor Development ◽  
Group Versus ◽  
Motor Program ◽  
Autism Spectrum ◽  
Control Group ◽  
Gross Motor Development ◽  
Children With Asd ◽  
Individualized Approach ◽  
Experimental Group ◽  
Ball Skills

The current study evaluated the effectiveness of a motor program that specifically targeted fundamental motor skills (FMS) in children with ASD. The experimental group (n=21) participated in a 9-week program with motor instructions for 80 minutes/day, three days/week, while the control group (n=29) did not participate in the program. We measured FMS (using the Test of Gross Motor Development-3) one-week before, one-week after, and two-months after the program. Children in the experimental group had significantly larger FMS improvements than the controls on both locomotor and ball skills immediately following the program, and these participants showed continuous improvement on locomotor, but not ball skills, at 2-months follow-up. In individual analyses, 80% of children in the experimental group versus 29% of children in the control group showed continuous locomotor skills improvement beyond their pre-test levels. These findings highlight the importance of both a long-term motor development intervention and an individualized approach for evaluating improved FMS among children with ASD.

scholarly journals Autologous Platelet-Rich Fibrin (PRF) as an Adjunct in the Management of Osteoradionecrosis and Medication-Related Osteonecrosis of Jaws. Case Series in A Single Centre

2021 ◽  
Vol 11 (8) ◽  
pp. 3365
Author(s):  
Benjie Law ◽  
Hui Yuh Soh ◽  
Syed Nabil ◽  
Rama Krsna Rajandram ◽  
Abd Jabar Nazimi ◽  
...  
Keyword(s):  
Case Series ◽  
Cost Effective ◽  
Control Group ◽  
Platelet Rich Fibrin ◽  
Tissue Healing ◽  
Number Of Patients ◽  
Short Period ◽  
Oral And Maxillofacial Region ◽  
Surgical Adjunct ◽  
Autologous Platelet

Osteoradionecrosis (ORN) of the jaws and medication-related osteonecrosis of the jaws (MRONJ) are uncommon but serious diseases affecting the oral and maxillofacial region with clinically similar appearance but distinct pathophysiology. Management of ORN and MRONJ is inherently challenging and the treatment outcomes are unpredictable. The use of autologous platelet concentrates (APCs) to promote hard and soft tissue healing is well described in the literature, and the efficacy of leucocyte and platelet-rich fibrin (L-PRF) has been well documented in a number of clinical studies. The aim of this study was to present our treatment strategy and the outcomes of incorporating L-PRF as a surgical adjunct in management of ORN and MRONJ in our centre. Methods: eight cases of ORN and MRONJ were treated with a combination of sequestrectomy and L-PRF as a surgical adjunct. Results: the overall success was 87.5%. Using L-PRF as an adjunct, we were able to predictably manage ORN and MRONJ without causing significant morbidity. Conclusion: our experience shows that L-PRF may be used as a valuable and cost-effective adjunct to surgical management of ORN and MRONJ. However, due to a limited number of patients, and a short period of review, the true effectiveness of the method is yet to be demonstrated in a longer follow-up study including a greater number of patients, besides the inclusion of a control group.

scholarly journals Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040108
Author(s):  
Rowan W Johnson ◽  
Sian A Williams ◽  
Daniel F Gucciardi ◽  
Natasha Bear ◽  
Noula Gibson
Keyword(s):  
Exercise Prescription ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Programme ◽  
Home Exercise ◽  
Control Group ◽  
Neurodevelopmental Disabilities ◽  
Home Exercise Programme ◽  
Exercise Programmes ◽  
Randomised Controlled

ObjectiveDetermine the adherence to and effectiveness of an 8-week home exercise programme for children with disabilities delivered using Physitrack, an online exercise prescription tool, compared with traditional paper-based methods.DesignSingle-blinded, parallel-groups, randomised controlled trial (RCT).SettingIntervention took place in participants’ homes in Western Australia.ParticipantsChildren aged 6 to 17 years, with neurodevelopmental disabilities including cerebral palsy (CP), receiving community therapy services.InterventionAll participants completed an individualised home exercise programme, which was delivered to the intervention group using Physitrack and conventional paper-based methods for the control group.Primary outcome measuresAdherence to exercise programme, goal achievement and exercise performance.Secondary outcome measuresEnjoyment, confidence and usability of Physitrack.ResultsFifty-four participants with CP (n=37) or other neurodevelopmental disabilities (n=17) were recruited. Fifty-three were randomised after one early withdrawal. Forty-six completed the 8-week programme, with 24 in the intervention group and 22 in the control group. There was no difference between the two groups for percentage of exercises completed (intervention (n=22): 62.8% (SD 27.7), control (n=22): 55.8% (SD 19.4), between group mean difference −7.0% (95% CI: −21.6 to 7.5, p=0.34)). Both groups showed significant improvement in their self-rated performance of individualised goal activities, however there was no statistically significant difference between groups for goal achievement, quality of exercise performance, enjoyment, confidence or preferred method of delivery. There were no adverse events.ConclusionPhysitrack provides a therapist with a new means of providing an exercise programme with online tools such as exercise videos, but our preliminary findings indicate that it may be no better than a traditional paper-based method for improving exercise adherence or the other outcomes measured. Exercise programmes remain an intervention supported by evidence, but a larger RCT is required to fully evaluate online delivery methods.Trial registration detailsAustralian New Zealand Clinical Trials Registry; ACTRN12616000743460.

scholarly journals Comparison on Well-Being, Engagement and Perceived School Climate in Secondary School Students with Learning Difficulties and Specific Learning Disorders: An Exploratory Study

2021 ◽  
Vol 11 (7) ◽  
pp. 103
Author(s):  
Elisabetta Lombardi ◽  
Daniela Traficante ◽  
Roberta Bettoni ◽  
Ilaria Offredi ◽  
Mirta Vernice ◽  
...  
Keyword(s):  
Secondary School ◽  
Secondary School Students ◽  
Learning Difficulties ◽  
Well Being ◽  
Control Group ◽  
Learning Disorder ◽  
School Students ◽  
Specific Learning Disorder ◽  
The Impact ◽  
Specific Learning

Reading and writing skills influence the social status of students, exerting effects not only on learning, but also on wellbeing. This study aimed to assess the impact of diagnosis of specific learning disorder on well-being in secondary-school students, comparing students with a diagnosis of specific learning disorder (SLD-group), students showing learning difficulties without diagnosis (LD-group) and students without learning difficulties (control-group). Students were tested with neuropsychological screening tests in order to identify learning difficulties and were further assessed by means of psychological and school well-being questionnaires. The results show that LD group perceive themselves as having a low sense of mastery and autonomy, less interest and engagement in daily activities and low peer social support than their schoolmates. This result highlights, for the LD group, a low well-being experience, which is not observed in the SLD and control groups. On the contrary, SLD group students do not differ from control group students in any dimensions except for the perceived parents’ support and involvement in school life, in which the SLD group show the highest scores. This work underlines the importance of having a diagnosis as it seems to work as a protective factor for both the psychological and school well-being of the student.

EXPRESS: Short-term upper limb immobilization impairs grasp representation

2020 ◽  
pp. 174702182098552
Author(s):  
Lucette Toussaint ◽  
Aurore Meugnot ◽  
Christel Bidet-Ildei
Keyword(s):  
Response Times ◽  
Motor Program ◽  
Control Group ◽  
Short Term ◽  
Small Sphere ◽  
Large Sphere ◽  
Short Period ◽  
Limb Immobilization ◽  
Laterality Task ◽  
Sensorimotor Processes

The present experiment aimed to gain more information on the effect of limb nonuse on the cognitive level of actions and, more specifically, on the content of the motor program used for grasping an object. For that purpose, we used a hand-grasping laterality task that is known to contain concrete information on manipulation activity. Two groups participated in the experiment: an immobilized group, including participants whose right hand and arm were fixed with a rigid splint and an immobilization vest for 24 hours, and a control group, including participants who did not undergo the immobilization procedure. The main results confirmed a slowdown of sensorimotor processes, which is highlighted in the literature, with slower response times when the participants identified the laterality of hand images that corresponded to the immobilized hand. Importantly, the grip-precision effect, highlighted by slower response times for hands grasping a small sphere versus a large sphere, is impaired by 24 hours of limb nonuse. Overall, this study provided additional evidence of the disengagement of sensorimotor processes due to a short period of limb immobilization.

scholarly journals Hybrid Tele and In-Clinic Occupation Based Intervention to Improve Women’s Daily Participation after Breast Cancer: A Pilot Randomized Controlled Trial

2021 ◽  
Vol 18 (11) ◽  
pp. 5966
Author(s):  
Khawla Loubani ◽  
Rachel Kizony ◽  
Uzi Milman ◽  
Naomi Schreuer
Keyword(s):  
Breast Cancer ◽  
Cognitive Abilities ◽  
Controlled Trial ◽  
Intervention Group ◽  
Performance Measure ◽  
Control Group ◽  
Activity Levels ◽  
Emotional Symptoms ◽  
Short Period ◽  
Secondary Outcomes

Background: Women after breast cancer (BC) cope with decreased daily participation and quality of life (QOL) due to physical, cognitive, and emotional symptoms. This study examined a hybrid occupation-based intervention, Managing Participation with Breast Cancer (MaP-BC), to improve daily participation in their meaningful activities. Methods: Thirty-five women after BC phase were randomly allocated to the MaP-BC intervention (n = 18) or control (n = 17) group (standard care only). Assessments were administered at baseline (T1), 6-week (T2), and 12-week (T3) post-T1. Main outcome: perceived performance and performance-satisfaction with meaningful activities according to the Canadian Occupational Performance Measure. Secondary outcomes: retained activity levels (Activity Card Sort), QOL (Functional Assessment of Cancer Therapy-Breast), cognitive abilities (Montreal Cognitive Assessment and Behavior Rating Inventory of Executive Function), and upper-extremity functioning (Disability of Arm, Shoulder, Hand). Results showed significant interaction (group x time) effects for the primary outcome in performance, F(2,66) = 29.54, p = 0.001, ɳP2 = 0.472, and satisfaction, F(2,66) = 37.15, p = 0.000, ɳP2 = 0.530. The intervention group improved more in performance, t = 5.51, p = 0.0001, d = 1.298, and satisfaction, t = −5.32, p = 0.0001, d = 1.254, than the control group between T1 and T2. Secondary outcomes demonstrated within-group improvements. Conclusion: MaP-BC, a comprehensive occupation-based hybrid intervention tailored to women’s functional daily needs after BC, improved participation in meaningful activities within a short period.

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