Protocol and Feasibility-Randomized Trial of Telehealth Delivery for a Multicomponent Upper Extremity Intervention in Infants With Asymmetric Cerebral Palsy.
| Title: | Protocol and Feasibility-Randomized Trial of Telehealth Delivery for a Multicomponent Upper Extremity Intervention in Infants With Asymmetric Cerebral Palsy. |
|---|---|
| Authors: | Pietruszewski L; Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.; Burkhardt S; Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.; Yoder PJ; Department of Special Education, Peabody College of Education, Vanderbilt University, Nashville, TN, USA.; Heathcock J; School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA.; Lewandowski DJ; Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.; Maitre NL; Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.; Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA. |
| Source: | Child neurology open [Child Neurol Open] 2020 Sep 23; Vol. 7, pp. 2329048X20946214. Date of Electronic Publication: 2020 Sep 23 (Print Publication: 2020). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: SAGE Publications Inc Country of Publication: United States NLM ID: 101691975 Publication Model: eCollection Cited Medium: Internet ISSN: 2329-048X (Electronic) Linking ISSN: 2329048X NLM ISO Abbreviation: Child Neurol Open Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Original Publication: [Thousand Oaks, Calif.] : SAGE Publications Inc., [2014]-[2024] |
| Abstract: | Background: Past work showed that an in-person, therapist-guided, parent-implemented multicomponent intervention increased the motor functioning of the more affected upper extremity (UE) in infants with asymmetric cerebral palsy. The authors document treatment fidelity and provide initial testing of telehealth intervention delivery in a new subject sample.; Methods: The authors adapted the intervention manual used in the previous trial for telehealth. Infants (6-24 months) were randomly assigned to intervention (n = 7) or waitlist (n = 6). The intervention prescribed soft-constraint wear on the less affected UE for 6 hours, 5 d/wk, and exercises. After an initial in-person training session, three 15- to 45-minute telehealth sessions were performed.; Results: Median weekly constraint wear was 21 hours (interquartile range = 10.3-29.7); average parent-treatment fidelity was 95.7% (SD 11.2). A significant large (Cohen d = 0.92) between-group differences occurred on fine motor functioning of more affected UEs.; Conclusion: The telehealth intervention was feasible and potentially effective, but a larger trial is needed to evaluate efficacy.; (© The Author(s) 2020.) |
| Competing Interests: | Declaration of Conflicting Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Maitre reports USPTO 29/577,142 (C-MITT, Soft Constraint Harness for Infants 6-27 Months – for Filing Design Application), pending, freely available to the general public on the NCH website at https://www.nationwidechildrens.org/-/media/nch/research/documents/cmitt-design-patent.ashx. |
| References: | Public Health. 2015 Jun;129(6):611-20. (PMID: 26025176); J Child Neurol. 2015 Oct;30(11):1453-8. (PMID: 25762585); Semin Pediatr Neurol. 2004 Mar;11(1):5-10. (PMID: 15132248); Phys Occup Ther Pediatr. 2014 Feb;34(1):4-21. (PMID: 23848499); Disabil Rehabil. 2010;32(3):248-58. (PMID: 20001831); Natl Health Stat Report. 2020 Feb;(139):1-7. (PMID: 32510313); Dev Med Child Neurol. 2010 Jul;52(7):e167-73. (PMID: 20187878); BMJ Open. 2017 Sep 18;7(9):e017204. (PMID: 28928195); Neural Plast. 2018 Jul 4;2018:4843985. (PMID: 30123250); Front Psychol. 2016 Apr 27;7:587. (PMID: 27199822); Exp Brain Res. 2006 Mar;169(4):507-18. (PMID: 16341854); Neurosci Lett. 2013 Apr 12;540:21-7. (PMID: 23063950); Pediatr Res. 2016 Jan;79(1-2):169-76. (PMID: 26466080); Pediatr Phys Ther. 2019 Apr;31(2):217-224. (PMID: 30865149); Dev Med Child Neurol. 2012 Sep;54(9):822-8. (PMID: 22765352); Dev Med Child Neurol. 2013 Jun;55(6):509-19. (PMID: 23346889); Int J Telerehabil. 2019 Jun 12;11(1):33-40. (PMID: 31341545); Pediatrics. 2020 May;145(5):. (PMID: 32269135); Phys Ther. 2014 Mar;94(3):411-21. (PMID: 24231231); Lancet Neurol. 2014 Jul;13(7):710-26. (PMID: 24932993); Pediatrics. 2015 Jul;136(1):e293-308. (PMID: 26122813); Dev Med Child Neurol. 2010 Dec;52(12):1120-6. (PMID: 20646031); JAMA Pediatr. 2017 Sep 1;171(9):897-907. (PMID: 28715518); Pediatrics. 2004 Jan;113(1 Pt 1):1-6. (PMID: 14702439); J Pediatr Psychol. 2016 Jun;41(5):531-42. (PMID: 26702629); J Biomed Inform. 2019 Jul;95:103208. (PMID: 31078660); Brain Topogr. 2020 Aug 3;:. (PMID: 32748303); Child Dev. 2004 Jul-Aug;75(4):1268-81. (PMID: 15260877); Disabil Rehabil. 2012;34(17):1488-94. (PMID: 22304672); Pediatrics. 2019 Oct;144(4):. (PMID: 31558576); J Med Internet Res. 2019 Oct 25;21(10):e12981. (PMID: 31654569); Child Dev. 1990 Feb;61(1):60-75. (PMID: 2307047); Phys Ther. 2008 Mar;88(3):310-22. (PMID: 18096650); J Hand Ther. 2015 Apr-Jun;28(2):114-24; quiz 125. (PMID: 25835251) |
| Contributed Indexing: | Keywords: cerebral palsy; infant; neurodevelopment; rehabilitation; treatment |
| Entry Date(s): | Date Created: 20201005 Latest Revision: 20220417 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC7517997 |
| DOI: | 10.1177/2329048X20946214 |
| PMID: | 33015220 |
| Database: | MEDLINE |
Journal Article