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Interventions that facilitate daily activities
for children with cerebral…
Interventions that facilitate daily activities
for children with cerebral palsy
By : Vasiliki Argyrouli
Method
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Search Terms and Procedure:
Search terms: “Occupational therapy intervention”, “Activities of daily living”, and “Cerebral Palsy”.
Boolean operator: AND between each search term.
Total hits: 60; Duplicates: 10.
Screening procedure: Screened for relevance by title, abstract, and full text.
Only articles meeting inclusion criteria were kept; duplicates and irrelevant articles were removed.
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Finding
Search Results:
Cinahl: 22 articles, 6 relevant, 3 duplicates.
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Key Findings:
Rassafiani et al. (2020): Evaluated vestibular intervention effects on balance and ADL participation.
Smidt et al. (2020): Explored experiences of parents and OTs with home-based hand function training.
Ko et al. (2020): Studied Group Task-Oriented Therapy's (TOT) effectiveness on motor and social function and ADL.
Anaby et al. (2017): Studied general OT focusing on activity and participation.
Wu et al. (2013): Investigated effectiveness of constrained-induced movement therapy (CIMT) for children with CP.
Wallen et al. (2011): Compared CIMT to intensive OT on ADLs.
De Brito Brandao et al. (2012): Compared CIMT to Hand Arm Bimanual Intensive Therapy (HABIT) for self-care activities.
Chen et al. (2014): Used CIMT to identify home-based treatment outcomes.
Choi et al. (2021): Investigated how virtual reality programs could facilitate upper limb fx
Discussion
- Constraint-Induced Movement Therapy (CIMT): Aims to facilitate movement of the affected upper limb, promoting independence and participation in ADLs. Despite its positive outcomes, CIMT has been questioned for side effects like skin irritation and frustration, and for not focusing on meaningful activities for participants.
- Hand-Arm Bimanual Intensive Therapy (HABIT): Focuses on neuroplasticity, involving the affected hand in everyday activities. Effective in improving ADL performance, HABIT encourages intensive practice of bimanual activities without physical restraints.
- Active Vestibular Intervention: Utilizes swings, balls, trampolines, and ramps to improve hand mobility and balance through creative play. However, combined with OT, it showed no impact on ADL performance.
- Goal-Oriented Programs: Emphasizes setting and achieving goals important to the child and their family. This family-centered approach, often using the Canadian Occupational Performance Measure (COPM), focuses on occupational performance and satisfaction.
- Task-Oriented Programs: Improves performance through repetition of specific tasks and activities, aiming to enhance general functional abilities and muscle strength. The effectiveness depends on the therapist's choice of measurement scale, considering the child's needs and family priorities.
- Virtual Reality Intervention: Incorporates technology and games to engage children in therapeutic activities, improving reaction times and ADL skills. Virtual reality interventions were found to be more effective than regular OT.
- General OT Programs: Surveying OT and physiotherapy practices, these programs evaluate various aspects like mobility, cognitive abilities, and ADLs. They focus on practical and emotional engagement in meaningful activities.
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Conclusion
Review Limitations: The review had a small number of articles, and many methods were function-oriented rather than occupation-focused.
Intervention Flexibility: Therapists can use various interventions based on individual needs and abilities, though many methods resembled physiotherapy.
Occupation Focus: The review highlighted the need for more occupation-focused interventions rather than just function-focused ones.
Future Research: Future studies should emphasize occupation-focused activities and use instruments that measure engagement in meaningful occupations, ensuring interventions are goal-directed, enjoyable, and relevant to children.
Introduction
CP is a group of permanent disorders affecting movement and posture, causing activity limitations due to non-progressive disturbances in the developing brain (Rosenbaum et al., 2007).
It affects motor skills, muscle tone, balance, movement, and posture.
Common disorders include spasticity, dyskinesia, and ataxia.
Rationale and Aim of the Study:
High prevalence of CP and the need for effective interventions for ADL.
Goal to guide OTs by identifying effective methods for facilitating ADL in children with CP.