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Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2-Year-Old with Cerebral Palsy

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Title: Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2-Year-Old with Cerebral Palsy
Language: English
Authors: Stuyvenberg, Corri L., Brown, Shaaron E., Inamdar, Ketaki (ORCID 0000-0003-2773-7718), Evans, Megan, Hsu, Lin-ya (ORCID 0000-0002-8801-4241), Rolin, Olivier, Harbourne, Regina T. (ORCID 0000-0001-8099-4145), Westcott McCoy, Sarah, Lobo, Michele A. (ORCID 0000-0003-2892-7687), Koziol, Natalie A., Dusing, Stacey C. (ORCID 0000-0003-3847-3893)
Source: Grantee Submission. 2021 11.
Peer Reviewed: Y
Page Count: 13
Publication Date: 2021
Sponsoring Agency: Institute of Education Sciences (ED)
Contract Number: R324A150103
Document Type: Journal Articles
Reports - Research
Descriptors: Cerebral Palsy, Physical Disabilities, Preschool Children, Intervention, Physical Therapy, Family Involvement, Drug Therapy, Psychomotor Skills, Early Intervention, Program Effectiveness, Child Development, Problem Solving, Play
Assessment and Survey Identifiers: Bayley Scales of Infant Development
DOI: 10.3390/jpm11030163
Abstract: Therapies for children with cerebral palsy (CP) often fail to address essential components of early rehabilitation: intensity, child initiation, and an embodied approach. Sitting Together And Reaching To Play (START-Play) addresses these issues while incorporating intensive family involvement to maximize therapeutic dosage. While START-Play was developed and tested on children aged 7-16 months with motor delays, the theoretical construct can be applied to intervention in children of broader ages and skills levels. This study quantifies the impact of a broader STARTPlay intervention combined with Botulinum toxin-A (BoNT-A) and phenol on the developmental trajectory of a 24 month-old child with bilateral spastic CP. In this AB +1 study, A consisted of multiple baseline assessments with the Gross Motor Function Measure-66 and the Assessment of Problem Solving in Play. The research participant demonstrated a stable baseline during A and changes in response to the combination of BoNT-A/phenol and 12 START-Play sessions during B, surpassing the minimal clinically important difference on the Gross Motor Function Measure-66. The follow-up data point (+1) was completed after a second round of BoNT-A/phenol injections. While the findings suggest the participant improved his gross motor skills with BoNT-A/phenol and START-Play, further research is needed to generalize these findings.
Abstractor: As Provided
IES Funded: Yes
Entry Date: 2021
Accession Number: ED613202
Database: ERIC
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  Data: Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2-Year-Old with Cerebral Palsy
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  Data: <searchLink fieldCode="AR" term="%22Stuyvenberg%2C+Corri+L%2E%22">Stuyvenberg, Corri L.</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Shaaron+E%2E%22">Brown, Shaaron E.</searchLink><br /><searchLink fieldCode="AR" term="%22Inamdar%2C+Ketaki%22">Inamdar, Ketaki</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2773-7718">0000-0003-2773-7718</externalLink>)<br /><searchLink fieldCode="AR" term="%22Evans%2C+Megan%22">Evans, Megan</searchLink><br /><searchLink fieldCode="AR" term="%22Hsu%2C+Lin-ya%22">Hsu, Lin-ya</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8801-4241">0000-0002-8801-4241</externalLink>)<br /><searchLink fieldCode="AR" term="%22Rolin%2C+Olivier%22">Rolin, Olivier</searchLink><br /><searchLink fieldCode="AR" term="%22Harbourne%2C+Regina+T%2E%22">Harbourne, Regina T.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-8099-4145">0000-0001-8099-4145</externalLink>)<br /><searchLink fieldCode="AR" term="%22Westcott+McCoy%2C+Sarah%22">Westcott McCoy, Sarah</searchLink><br /><searchLink fieldCode="AR" term="%22Lobo%2C+Michele+A%2E%22">Lobo, Michele A.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2892-7687">0000-0003-2892-7687</externalLink>)<br /><searchLink fieldCode="AR" term="%22Koziol%2C+Natalie+A%2E%22">Koziol, Natalie A.</searchLink><br /><searchLink fieldCode="AR" term="%22Dusing%2C+Stacey+C%2E%22">Dusing, Stacey C.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-3847-3893">0000-0003-3847-3893</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Grantee+Submission%22"><i>Grantee Submission</i></searchLink>. 2021 11.
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  Data: 13
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  Data: 2021
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  Data: Institute of Education Sciences (ED)
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  Data: 10.3390/jpm11030163
– Name: Abstract
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  Data: Therapies for children with cerebral palsy (CP) often fail to address essential components of early rehabilitation: intensity, child initiation, and an embodied approach. Sitting Together And Reaching To Play (START-Play) addresses these issues while incorporating intensive family involvement to maximize therapeutic dosage. While START-Play was developed and tested on children aged 7-16 months with motor delays, the theoretical construct can be applied to intervention in children of broader ages and skills levels. This study quantifies the impact of a broader STARTPlay intervention combined with Botulinum toxin-A (BoNT-A) and phenol on the developmental trajectory of a 24 month-old child with bilateral spastic CP. In this AB +1 study, A consisted of multiple baseline assessments with the Gross Motor Function Measure-66 and the Assessment of Problem Solving in Play. The research participant demonstrated a stable baseline during A and changes in response to the combination of BoNT-A/phenol and 12 START-Play sessions during B, surpassing the minimal clinically important difference on the Gross Motor Function Measure-66. The follow-up data point (+1) was completed after a second round of BoNT-A/phenol injections. While the findings suggest the participant improved his gross motor skills with BoNT-A/phenol and START-Play, further research is needed to generalize these findings.
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        Value: 10.3390/jpm11030163
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 13
    Subjects:
      – SubjectFull: Cerebral Palsy
        Type: general
      – SubjectFull: Physical Disabilities
        Type: general
      – SubjectFull: Preschool Children
        Type: general
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      – SubjectFull: Physical Therapy
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      – SubjectFull: Play
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