The Effect of Frequency of Cerebral Palsy Treatment: A Matched-Pair Pilot Study
The feasibility and effectiveness of a year-long integrated rehabilitation program for young children (less than 6 years old) with cerebral palsy was evaluated, and efficacy of different treatment schedules was compared. A sample of 40 children (20 male; mean age, 3 years ±1.22) took part: 20 presen...
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| Veröffentlicht in: | Pediatric neurology 2008-11, Vol.39 (5), p.335-340 |
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| container_title | Pediatric neurology |
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| creator | Gagliardi, Chiara, MD Maghini, Cristina, MD Germiniasi, Chiara, MD Stefanoni, Giuseppe, PT Molteni, Francesca, PT Burt, D. Michael, PhD Turconi, Anna C., MD |
| description | The feasibility and effectiveness of a year-long integrated rehabilitation program for young children (less than 6 years old) with cerebral palsy was evaluated, and efficacy of different treatment schedules was compared. A sample of 40 children (20 male; mean age, 3 years ±1.22) took part: 20 presented with tetraparesis, 12 with diparesis, and 8 with hemiparesis. Participants' motor abilities were classified according to the Gross Motor Function Measure classification system at baseline and after 1 year of treatment. For half of the participants, treatment consisted of continuous integrated intervention twice a week; for the other half, treatment was the 3i intervention (Intermittent, Intensive, Integrated), in which a month of intensive, twice-a-day treatment was followed by a continuous, twice-a-week phase, lasting 5 months. Overall, there was an improvement in gross motor function, with 37% of children improving and no children showing lowered function. Neither baseline general cognitive abilities nor age had a significant effect on the level of improvement, although initial gross motor function did. Children undergoing the intensive intermittent intervention showed the greatest motor function improvement. Results support the effectiveness of the integrated intervention and of periods of higher frequency intervention in young children. |
| doi_str_mv | 10.1016/j.pediatrneurol.2008.07.021 |
| format | Article |
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Michael, PhD ; Turconi, Anna C., MD</creator><creatorcontrib>Gagliardi, Chiara, MD ; Maghini, Cristina, MD ; Germiniasi, Chiara, MD ; Stefanoni, Giuseppe, PT ; Molteni, Francesca, PT ; Burt, D. Michael, PhD ; Turconi, Anna C., MD</creatorcontrib><description>The feasibility and effectiveness of a year-long integrated rehabilitation program for young children (less than 6 years old) with cerebral palsy was evaluated, and efficacy of different treatment schedules was compared. A sample of 40 children (20 male; mean age, 3 years ±1.22) took part: 20 presented with tetraparesis, 12 with diparesis, and 8 with hemiparesis. Participants' motor abilities were classified according to the Gross Motor Function Measure classification system at baseline and after 1 year of treatment. For half of the participants, treatment consisted of continuous integrated intervention twice a week; for the other half, treatment was the 3i intervention (Intermittent, Intensive, Integrated), in which a month of intensive, twice-a-day treatment was followed by a continuous, twice-a-week phase, lasting 5 months. Overall, there was an improvement in gross motor function, with 37% of children improving and no children showing lowered function. Neither baseline general cognitive abilities nor age had a significant effect on the level of improvement, although initial gross motor function did. Children undergoing the intensive intermittent intervention showed the greatest motor function improvement. Results support the effectiveness of the integrated intervention and of periods of higher frequency intervention in young children.</description><identifier>ISSN: 0887-8994</identifier><identifier>EISSN: 1873-5150</identifier><identifier>DOI: 10.1016/j.pediatrneurol.2008.07.021</identifier><identifier>PMID: 18940557</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Appointments and Schedules ; Biological and medical sciences ; Cerebral Palsy - rehabilitation ; Cerebral Palsy - therapy ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Matched-Pair Analysis ; Medical sciences ; Motor Activity ; Neurology ; Paresis - rehabilitation ; Paresis - therapy ; Pediatrics ; Pilot Projects ; Quadriplegia - rehabilitation ; Quadriplegia - therapy ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Pediatric neurology, 2008-11, Vol.39 (5), p.335-340</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-3ab1783626aefb529957186f10f576190dde46c7cf364bbf6a423cfcd2188ada3</citedby><cites>FETCH-LOGICAL-c466t-3ab1783626aefb529957186f10f576190dde46c7cf364bbf6a423cfcd2188ada3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pediatrneurol.2008.07.021$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20814379$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18940557$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gagliardi, Chiara, MD</creatorcontrib><creatorcontrib>Maghini, Cristina, MD</creatorcontrib><creatorcontrib>Germiniasi, Chiara, MD</creatorcontrib><creatorcontrib>Stefanoni, Giuseppe, PT</creatorcontrib><creatorcontrib>Molteni, Francesca, PT</creatorcontrib><creatorcontrib>Burt, D. Michael, PhD</creatorcontrib><creatorcontrib>Turconi, Anna C., MD</creatorcontrib><title>The Effect of Frequency of Cerebral Palsy Treatment: A Matched-Pair Pilot Study</title><title>Pediatric neurology</title><addtitle>Pediatr Neurol</addtitle><description>The feasibility and effectiveness of a year-long integrated rehabilitation program for young children (less than 6 years old) with cerebral palsy was evaluated, and efficacy of different treatment schedules was compared. A sample of 40 children (20 male; mean age, 3 years ±1.22) took part: 20 presented with tetraparesis, 12 with diparesis, and 8 with hemiparesis. Participants' motor abilities were classified according to the Gross Motor Function Measure classification system at baseline and after 1 year of treatment. For half of the participants, treatment consisted of continuous integrated intervention twice a week; for the other half, treatment was the 3i intervention (Intermittent, Intensive, Integrated), in which a month of intensive, twice-a-day treatment was followed by a continuous, twice-a-week phase, lasting 5 months. Overall, there was an improvement in gross motor function, with 37% of children improving and no children showing lowered function. Neither baseline general cognitive abilities nor age had a significant effect on the level of improvement, although initial gross motor function did. Children undergoing the intensive intermittent intervention showed the greatest motor function improvement. Results support the effectiveness of the integrated intervention and of periods of higher frequency intervention in young children.</description><subject>Appointments and Schedules</subject><subject>Biological and medical sciences</subject><subject>Cerebral Palsy - rehabilitation</subject><subject>Cerebral Palsy - therapy</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Matched-Pair Analysis</subject><subject>Medical sciences</subject><subject>Motor Activity</subject><subject>Neurology</subject><subject>Paresis - rehabilitation</subject><subject>Paresis - therapy</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><subject>Quadriplegia - rehabilitation</subject><subject>Quadriplegia - therapy</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0887-8994</issn><issn>1873-5150</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkl2L1DAUhoMo7rj6F6Qgetd60jQfVVhYhtlVWNmBHa9Dmp6wGTvtmLRC_70pM6zolVch8JzzvjwcQt5RKChQ8XFfHLH1Zgw9TmHoihJAFSALKOkzsqJKspxTDs_JCpSSuarr6oK8inEPALwuq5fkgqq6As7litzvHjHbOId2zAaX3QT8OWFv5-WzxoBNMF22NV2cs11AMx6wHz9l19k3M9pHbPOt8SHb-m4Ys4dxaufX5IVLNL45v5fk-81mt_6S393ffl1f3-W2EmLMmWmoVEyUwqBreFnXXFIlHAXHpaA1tC1WwkrrmKiaxglTlcw625ZUKdMadkk-nPYew5Aax1EffLTYdabHYYpa1BJA8DqBn0-gDUOMAZ0-Bn8wYdYU9OJT7_VfPvXiU4PUyWeafnuOmZoDtn9mzwIT8P4MmGhN54LprY9PXAmKVkwuNTYnDpOUXx6DjtYn0Sk5JPe6Hfx_Frr6Z4_tfO9T9A-cMe6HKfTJu6Y6lhr0w3ICywWAAmCcCfYbqfuvzw</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Gagliardi, Chiara, MD</creator><creator>Maghini, Cristina, MD</creator><creator>Germiniasi, Chiara, MD</creator><creator>Stefanoni, Giuseppe, PT</creator><creator>Molteni, Francesca, PT</creator><creator>Burt, D. Michael, PhD</creator><creator>Turconi, Anna C., MD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081101</creationdate><title>The Effect of Frequency of Cerebral Palsy Treatment: A Matched-Pair Pilot Study</title><author>Gagliardi, Chiara, MD ; Maghini, Cristina, MD ; Germiniasi, Chiara, MD ; Stefanoni, Giuseppe, PT ; Molteni, Francesca, PT ; Burt, D. Michael, PhD ; Turconi, Anna C., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-3ab1783626aefb529957186f10f576190dde46c7cf364bbf6a423cfcd2188ada3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Appointments and Schedules</topic><topic>Biological and medical sciences</topic><topic>Cerebral Palsy - rehabilitation</topic><topic>Cerebral Palsy - therapy</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Matched-Pair Analysis</topic><topic>Medical sciences</topic><topic>Motor Activity</topic><topic>Neurology</topic><topic>Paresis - rehabilitation</topic><topic>Paresis - therapy</topic><topic>Pediatrics</topic><topic>Pilot Projects</topic><topic>Quadriplegia - rehabilitation</topic><topic>Quadriplegia - therapy</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gagliardi, Chiara, MD</creatorcontrib><creatorcontrib>Maghini, Cristina, MD</creatorcontrib><creatorcontrib>Germiniasi, Chiara, MD</creatorcontrib><creatorcontrib>Stefanoni, Giuseppe, PT</creatorcontrib><creatorcontrib>Molteni, Francesca, PT</creatorcontrib><creatorcontrib>Burt, D. 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For half of the participants, treatment consisted of continuous integrated intervention twice a week; for the other half, treatment was the 3i intervention (Intermittent, Intensive, Integrated), in which a month of intensive, twice-a-day treatment was followed by a continuous, twice-a-week phase, lasting 5 months. Overall, there was an improvement in gross motor function, with 37% of children improving and no children showing lowered function. Neither baseline general cognitive abilities nor age had a significant effect on the level of improvement, although initial gross motor function did. Children undergoing the intensive intermittent intervention showed the greatest motor function improvement. Results support the effectiveness of the integrated intervention and of periods of higher frequency intervention in young children.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18940557</pmid><doi>10.1016/j.pediatrneurol.2008.07.021</doi><tpages>6</tpages></addata></record> |
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| subjects | Appointments and Schedules Biological and medical sciences Cerebral Palsy - rehabilitation Cerebral Palsy - therapy Child, Preschool Female Humans Infant Male Matched-Pair Analysis Medical sciences Motor Activity Neurology Paresis - rehabilitation Paresis - therapy Pediatrics Pilot Projects Quadriplegia - rehabilitation Quadriplegia - therapy Treatment Outcome Vascular diseases and vascular malformations of the nervous system |
| title | The Effect of Frequency of Cerebral Palsy Treatment: A Matched-Pair Pilot Study |
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