Stacey C Dusing1, Reggie T Harbourne, Michele A Lobo, Sally Westcott-McCoy, James A Bovaird, Audrey E Kane, Gullnar Syed, Emily C Marcinowski, Natalie A Koziol, Shaaron E Brown. 1. Department of Physical Therapy, Motor Development Lab (Drs Dusing, Marcinowski, and Brown and Ms Syed), Department of Occupational Therapy (Dr Kane), Virginia Commonwealth University, Richmond, Virginia; Department of Physical Therapy (Dr Harbourne), Rangos School of Health Sciences, Duquesne University, Pittsburgh, Pennsylvania; Department of Physical Therapy (Dr Lobo), University of Delaware, Newark, Delaware; Department of Rehabilitation Medicine (Dr Westcott-McCoy), University of Washington, Seattle, Washington; Nebraska Center for Research on Children, Youth, Families, and Schools (Drs Bovaird and Koziol), University of Nebraska-Lincoln, Lincoln, Nebraska.
Abstract
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.
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.
Authors: Stacey C Dusing; Tanya Tripathi; Emily C Marcinowski; Leroy R Thacker; Lisa F Brown; Karen D Hendricks-Muñoz Journal: BMC Pediatr Date: 2018-02-09 Impact factor: 2.125
Authors: Stacey C Dusing; Regina T Harbourne; Lin-Ya Hsu; Natalie A Koziol; Kari Kretch; Barbara Sargent; Sandra Jensen-Willett; Sarah Westcott McCoy; Douglas L Vanderbilt Journal: Phys Ther Date: 2022-07-04
Authors: Rocío Llamas-Ramos; Juan Luis Sánchez-González; Inés Llamas-Ramos Journal: Int J Environ Res Public Health Date: 2022-04-22 Impact factor: 4.614