- 期刊
The Impact of Massed Practice on Children with Hemiplegic Cerebral Palsy: Pilot Study of Home-Based Toy Play Therapy
並列摘要
Massed practice may be of value for children with cerebral palsy (CP) as a means to promote functional recovery. Use of automated and home-based systems could provide a practical means for ongoing rehabilitation therapy. However, the appropriate way to deliver, structure, and monitor massed practice in the home setting in order to maximize neural and behavioral impact needs to be established. The purpose of this study was to explore the means and limitations of providing massed practice using home-based toy therapy on a small group of five children with CP in an initial pilot trial. Children used an exoskeleton toy controller for toy play for six months in the home setting. A series of clinical and behavioral measures were carried out in the laboratory at the start of the study and after 1, 2, 3, and 6 months of use. Participant compliance in the home setting was monitored by an embedded data logger. Results indicate that children were partially compliant in using the toys and were reliable in meeting laboratory evaluation sessions. Use was compromised by lack of durability of the controller and lack of sustained interest in the same toy over time. Evaluation of outcomes suggested that the combined clinical and quantitative behavioral outcomes measures were useful and could potentially capture changes in performance over time. These could be used in conjunction with measures of neural change (e.g. fMRI) to correlate brain changes and recovery. Using toy play for home based massed practice will require toy controllers to be robust and sufficiently versatile to maintain interest over time. Practical and inexpensive systems to overcome current limitations and barriers to their use are discussed.
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