A Physical Therapy Intervention to Advance Cognitive and Motor Skills: A Single Subject Study of a Young Child With Cerebral Palsy.
A Physical Therapy Intervention to Advance Cognitive and Motor Skills: A Single Subject Study of a Young Child With Cerebral Palsy.
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DOI：
10.1097/pep.0000000000000635
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发表时间：
2019-10
期刊：
影响因子：
--
通讯作者：
Brown SE
中科院分区：
文献类型：
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作者：
Dusing SC;Harbourne RT;Lobo MA;Westcott-McCoy S;Bovaird JA;Kane AE;Syed G;Marcinowski EC;Koziol NA;Brown SE
背景：物理治疗干预严重运动障碍的儿童不解决运动和认知development.Purpose之间的关系：评估的潜力，物理治疗干预的重点是提高认知和运动的成果在一个孩子与严重的运动impersons.Design：AB阶段设计，没有revers.Methods：一个孩子参加了8个评估，从4到29个月的年龄。在12个月内进行4次基线评估后，提供3个月的START-Play干预。完成总粗大运动功能测量（GMFM）、坐姿、伸手和问题解决评估。目视检查，2个标准差（SD）带法，和百分比的非重叠数据的方法评估changes.Results：这个孩子有改善GMFM总和坐分数，玩具接触的频率增加，并增加解决问题的行为率以下intervention.Conclusion：START-发挥显示承诺为儿童严重的运动障碍。需要进一步的研究来评估疗效。
Background:Physical therapy interventions for children with severe motor impairments do not address the relationship between motor and cognitive development.Purpose:Evaluate the potential of a physical therapy intervention focusing on enhancing cognitive and motor outcomes in a child with severe motor impairments.Design:AB phase design without reversal.Methods:One child participated in 8 assessments from 4 to 29 months of age. The START-Play intervention was provided for 3 months following 4 baseline assessments over 12 months. Total Gross Motor Function Measure (GMFM), Sitting, Reaching, and Problem Solving assessments were completed. Visual inspection, 2 standard deviation (SD) Band Method, and percent of nonoverlapping data methods evaluated change.Results:This child had improved GMFM total and sitting scores, increased frequency of toys contacts, and increased rate of problem-solving behaviors following intervention.Conclusion:START-Play shows promise for children with severe motor impairments. Additional research is needed to evaluate efficacy.