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Optimising motor learning in infants at high risk of cerebral palsy: a pilot study
BACKGROUND: The average age for the diagnosis of cerebral palsy (CP) is 19 months. Recent neuroplasticity literature suggests that intensive, task-specific intervention ought to commence as early as possible and in an enriched environment, during the critical period of neural development. Active mot...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389951/ https://www.ncbi.nlm.nih.gov/pubmed/25880227 http://dx.doi.org/10.1186/s12887-015-0347-2 |
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author | Morgan, Catherine Novak, Iona Dale, Russell C Badawi, Nadia |
author_facet | Morgan, Catherine Novak, Iona Dale, Russell C Badawi, Nadia |
author_sort | Morgan, Catherine |
collection | PubMed |
description | BACKGROUND: The average age for the diagnosis of cerebral palsy (CP) is 19 months. Recent neuroplasticity literature suggests that intensive, task-specific intervention ought to commence as early as possible and in an enriched environment, during the critical period of neural development. Active motor interventions are effective in some populations, however the effects of active motor interventions on the motor outcomes of infants with CP have not been researched thoroughly, but pilot work is promising. The aim of this study was to determine the short- term effects of “GAME”; a new and novel goal-oriented activity-based, environmental enrichment therapy programme on the motor development of infants at high risk of CP and test study procedures for a randomized controlled trial (RCT). METHODS: Pragmatic 2-group pilot RCT to assess motor outcomes, goal attainment, parent well-being and home environment quality, after 12-weeks of GAME intervention versus standard care. GAME included: creation of movement environments to elicit motor behaviours; parent training in motor learning and task analysis; frequent practice of motor tasks using a programme that was individualised to the child, was varied and focused on self-initiated movement. Data were analyzed using multiple regression. RESULTS: Thirteen infants were consented, randomised, treated and completed the study. At study conclusion, the GAME group (n = 6) demonstrated an advantage in Total Motor Quotient of 8.05 points on the Peabody Developmental Motor Scale-2 (PDMS-2) compared to the standard care group (n = 7) (p < .001). No significant differences existed between groups on any other measure. CONCLUSIONS: GAME appears to offer a promising and feasible new motor intervention for CP, with favourable short-term motor outcomes. A pressing need exists for an adequately powered RCT with long-term end points, to determine if GAME may advance these children’s motor trajectory. |
format | Online Article Text |
id | pubmed-4389951 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-43899512015-04-09 Optimising motor learning in infants at high risk of cerebral palsy: a pilot study Morgan, Catherine Novak, Iona Dale, Russell C Badawi, Nadia BMC Pediatr Research Article BACKGROUND: The average age for the diagnosis of cerebral palsy (CP) is 19 months. Recent neuroplasticity literature suggests that intensive, task-specific intervention ought to commence as early as possible and in an enriched environment, during the critical period of neural development. Active motor interventions are effective in some populations, however the effects of active motor interventions on the motor outcomes of infants with CP have not been researched thoroughly, but pilot work is promising. The aim of this study was to determine the short- term effects of “GAME”; a new and novel goal-oriented activity-based, environmental enrichment therapy programme on the motor development of infants at high risk of CP and test study procedures for a randomized controlled trial (RCT). METHODS: Pragmatic 2-group pilot RCT to assess motor outcomes, goal attainment, parent well-being and home environment quality, after 12-weeks of GAME intervention versus standard care. GAME included: creation of movement environments to elicit motor behaviours; parent training in motor learning and task analysis; frequent practice of motor tasks using a programme that was individualised to the child, was varied and focused on self-initiated movement. Data were analyzed using multiple regression. RESULTS: Thirteen infants were consented, randomised, treated and completed the study. At study conclusion, the GAME group (n = 6) demonstrated an advantage in Total Motor Quotient of 8.05 points on the Peabody Developmental Motor Scale-2 (PDMS-2) compared to the standard care group (n = 7) (p < .001). No significant differences existed between groups on any other measure. CONCLUSIONS: GAME appears to offer a promising and feasible new motor intervention for CP, with favourable short-term motor outcomes. A pressing need exists for an adequately powered RCT with long-term end points, to determine if GAME may advance these children’s motor trajectory. BioMed Central 2015-04-01 /pmc/articles/PMC4389951/ /pubmed/25880227 http://dx.doi.org/10.1186/s12887-015-0347-2 Text en © Morgan et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Morgan, Catherine Novak, Iona Dale, Russell C Badawi, Nadia Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title | Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title_full | Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title_fullStr | Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title_full_unstemmed | Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title_short | Optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
title_sort | optimising motor learning in infants at high risk of cerebral palsy: a pilot study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4389951/ https://www.ncbi.nlm.nih.gov/pubmed/25880227 http://dx.doi.org/10.1186/s12887-015-0347-2 |
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