Barriers and Enablers Identified by Three Pediatric Teams
This is a non-experimental qualitative research design used to discover the restrictions found by therapists that provide evidence-based upper-limb …show more content…
In this disorder, one half of the body has more deficits than the other half. The modified CIMT attempts to improve function by restraining the unaffected upper limb in order to train the affected upper limb. The therapists believe that treatment at home is a necessary component on the road to recovery, which is why they are comparing the results of this intervention at home and in the clinic (Rostami, …show more content…
There has not been a study that compared specific motor interventions for sitting. The investigators choose to compare a home program, which is the standard of care in early intervention with a perceptual motor program in a pediatric outpatient setting. It is hypothesized that the perceptual motor program will have a more positive effect compared to the home program (Harbourne et al., 2010).
The sample consisted of 32 infants with cerebral palsy or risk factors for cerebral palsy randomly assigned to one of the two intervention groups. A group of 15 infants with typical development for sitting were used as the control variable. The home program was family focused, and training occurred once per week at home. Static focus on positioning and repositioning of the child with supports when errors occurred. The perceptual motor program was child focused and occurred twice weekly in a pediatric outpatient setting. Dynamic focus on the child to solve problems with touch cues. The study lasted for 8 weeks. The intervention groups were measured prior to intervention and 1 month after the intervention was completed. Using the linear RMS (Root Mean Scale), nonlinear ApEn (approximate enthropy) and the linear Sway Path (measure of velocity), the COP (Center