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Rod W Hunt - One of the best experts on this subject based on the ideXlab platform.
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neonatal white matter abnormality predicts childhood Motor Impairment in very preterm children
Developmental Medicine & Child Neurology, 2011Co-Authors: Alicia J. Spittle, Lex W. Doyle, Jeanie L.y. Cheong, Gehan Roberts, Katherine J Lee, Jeremy Lim, Rod W HuntAbstract:Aim Children born very preterm are at risk for impaired Motor performance ranging from cerebral palsy (CP) to milder abnormalities, such as developmental coordination disorder. White matter abnormalities (WMA) at term have been associated with CP in very preterm children; however, little is known about the impact of WMA on the range of Motor Impairments. The aim of this study was to assess whether WMA were predictive of all levels of Motor Impairments in very preterm children. Method Two hundred and twenty-seven very preterm infants (<30wks gestational age or birthweight <1250g) had brain magnetic resonance imaging at term-equivalent age to assess for WMA, which were categorized as nil, mild, or moderate to severe. At 5 years of age children were classified as having a moderate to severe Motor Impairment if they were below the 5th centile or mild to severe Motor Impairment if their score placed them no higher than the 15th centile on the Movement Assessment Battery for Children (MABC). WMA (nil vs mild and nil vs moderate–severe) were explored as predictors of Motor Impairment using logistic regression. Analyses were repeated adjusting for the effects of other perinatal variables and excluding children with CP. Results Of the 193 very preterm children (97 males, 96 females) assessed with the MABC, 53 (27%) were classified as having a moderate to severe Motor Impairment and 96 (50%) a mild to severe Motor Impairment. WMA were predictive of Motor Impairment in very preterm children, with mild versus no WMA increasing the odds of moderate to severe Motor Impairment by over fivefold (odds ratio [OR] 5.6; 95% confidence interval [CI] 1.9–16.1; p=0.002) and mild to severe Impairment by twofold (OR 2.2; 95% CI 1.1–4.2; p=0.02). Compared with no WMA, moderate to severe WMA increased the odds for moderate to severe Impairment 19-fold (OR 19.4; 95% CI 5.6–66.7; p<0.001) and for mild to severe Motor Impairment ninefold (OR 9.4; 95% CI 3.2–28.1; p<0.001). Results remained similar after controlling for several potential confounders and after excluding 14 children who had CP at age 2 years. Interpretation WMA predict Motor Impairment at 5 years, with rates of Impairment increasing with more severe WMA. Very preterm children with any WMA at term require follow-up throughout childhood.
Neville Hogan - One of the best experts on this subject based on the ideXlab platform.
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effects of robotic therapy on Motor Impairment and recovery in chronic stroke
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Susan E Fasoli, Hermano Igo Krebs, Joel Stein, Walter R Frontera, Neville HoganAbstract:Fasoli SE, Krebs HI, Stein J, Frontera WR, Hogan N. Effects of robotic therapy on Motor Impairment and recovery in chronic stroke. Arch Phys Med Rehabil 2003;84: 477-82. Objective: To examine whether robotic therapy can reduce Motor Impairment and enhance recovery of the hemiparetic arm in persons with chronic stroke. Design: Pre-posttest design. Setting: Rehabilitation hospital, outpatient care. Participants: Volunteer sample of 20 persons diagnosed with a single, unilateral stroke within the past 1 to 5 years, with persistent hemiparesis. Interventions: Robotic therapy was provided 3 times weekly for 6 weeks. Subjects able to reach robot targets were randomly assigned to sensoriMotor or progressive-resistive ro- botic therapy groups. Robotic therapy consisted of goal-di- rected, planar reaching tasks to exercise the hemiparetic shoul- der and elbow. Main Outcome Measures: The Modified Ashworth Scale, Fugl-Meyer test of upper-extremity function, Motor Status Scale (MSS) score, and Medical Research Council Motor power score. Results: Evaluations by a single blinded therapist revealed statistically significant gains from admission to discharge (P.05) on the Fugl-Meyer test, MSS score, and Motor power score. Secondary analyses revealed group differences: the pro- gressive-resistive therapy group experienced nonspecific im- provements on wrist and hand MSS scores that were not observed in the sensoriMotor group. Conclusions: Robotic therapy may complement other treat- ment approaches by reducing Motor Impairment in persons
Alicia J. Spittle - One of the best experts on this subject based on the ideXlab platform.
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Motor Impairment Trends in Extremely Preterm Children: 1991-2005.
Pediatrics, 2018Co-Authors: Alicia J. Spittle, Kate L. Cameron, Lex W. Doyle, Jeanie L.y. CheongAbstract:BACKGROUND: There are increasing numbers of surviving children who were born extremely preterm (EP; gestational age METHODS: All children born EP and/or ELBW in the calendar years of 1991–1992, 1997, and 2005 in Victoria, Australia, were recruited at birth. Randomly selected normal birth weight (>2499 g) and term-born controls were matched for expected date of birth, sex, and sociodemographic status. At 8 years’ corrected age, Motor Impairment was defined as cerebral palsy (CP) or a score less than the fifth centile on the Movement Assessment Battery for Children for the 1991–1992 and 1997 cohorts and less than or equal to the fifth centile on the Movement Assessment Battery for Children–Second Edition for the 2005 cohort. RESULTS: Motor Impairment was more likely in children born EP and/or ELBW compared with children born at term for all epochs. There was a significant increase in Motor Impairment in EP and/or ELBW children over the 3 eras, from 23% in 1991–1992 and 26% in 1997 to 37% in 2005 (χ2trend = 10.2; P = .001). This was due to an increase in non-CP Motor Impairment (13% in 1991 to 1992; 15% in 1997; 26% in 2005; χ2trend = 12.5; P CONCLUSIONS: The rate of Motor Impairment in EP and/or ELBW children assessed at 8 years of age increased between eras, an increase caused by non-CP Motor Impairment.
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neonatal white matter abnormality predicts childhood Motor Impairment in very preterm children
Developmental Medicine & Child Neurology, 2011Co-Authors: Alicia J. Spittle, Lex W. Doyle, Jeanie L.y. Cheong, Gehan Roberts, Katherine J Lee, Jeremy Lim, Rod W HuntAbstract:Aim Children born very preterm are at risk for impaired Motor performance ranging from cerebral palsy (CP) to milder abnormalities, such as developmental coordination disorder. White matter abnormalities (WMA) at term have been associated with CP in very preterm children; however, little is known about the impact of WMA on the range of Motor Impairments. The aim of this study was to assess whether WMA were predictive of all levels of Motor Impairments in very preterm children. Method Two hundred and twenty-seven very preterm infants (<30wks gestational age or birthweight <1250g) had brain magnetic resonance imaging at term-equivalent age to assess for WMA, which were categorized as nil, mild, or moderate to severe. At 5 years of age children were classified as having a moderate to severe Motor Impairment if they were below the 5th centile or mild to severe Motor Impairment if their score placed them no higher than the 15th centile on the Movement Assessment Battery for Children (MABC). WMA (nil vs mild and nil vs moderate–severe) were explored as predictors of Motor Impairment using logistic regression. Analyses were repeated adjusting for the effects of other perinatal variables and excluding children with CP. Results Of the 193 very preterm children (97 males, 96 females) assessed with the MABC, 53 (27%) were classified as having a moderate to severe Motor Impairment and 96 (50%) a mild to severe Motor Impairment. WMA were predictive of Motor Impairment in very preterm children, with mild versus no WMA increasing the odds of moderate to severe Motor Impairment by over fivefold (odds ratio [OR] 5.6; 95% confidence interval [CI] 1.9–16.1; p=0.002) and mild to severe Impairment by twofold (OR 2.2; 95% CI 1.1–4.2; p=0.02). Compared with no WMA, moderate to severe WMA increased the odds for moderate to severe Impairment 19-fold (OR 19.4; 95% CI 5.6–66.7; p<0.001) and for mild to severe Motor Impairment ninefold (OR 9.4; 95% CI 3.2–28.1; p<0.001). Results remained similar after controlling for several potential confounders and after excluding 14 children who had CP at age 2 years. Interpretation WMA predict Motor Impairment at 5 years, with rates of Impairment increasing with more severe WMA. Very preterm children with any WMA at term require follow-up throughout childhood.
Susan E Fasoli - One of the best experts on this subject based on the ideXlab platform.
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short duration robotic therapy in stroke patients with severe upper limb Motor Impairment
Journal of Rehabilitation Research and Development, 2005Co-Authors: Margaret A Finley, Susan E Fasoli, Laura Dipietro, Jill Ohlhoff, Leah R Macclellan, Christine Meister, Jill Whitall, Richard F Macko, Christopher T Bever, Hermano Igo KrebsAbstract:Chronic Motor deficits in the upper limb (UL) are a major contributor to disability following stroke. This study investigated the effect of short-duration robot-assisted therapy on Motor Impairment, as measured by clinical scales and robot- derived performance measures in patients with chronic, severe UL Impairments after stroke. As part of a larger study, 15 indi- viduals with chronic, severe UL paresis (Fugl-Meyer < 15) after stroke (minimum 6 mo postonset) performed 18 sessions of robot-assisted UL rehabilitation that consisted of goal- directed planar reaching tasks over a period of 3 weeks. Out- come measures included the Fugl-Meyer Assessment, the Motor Power Assessment, the Wolf Motor Function Test, the Stroke Impact Scale, and five robot-derived measures that reflect Motor control (aiming error, mean speed, peak speed, mean:peak speed ratio, and movement duration). Robot- assisted training produced statistically significant improve- ments from baseline to posttreatment in the Fugl-Meyer and Motor Power Assessment scores and the quality of motion (quantified by a reduction in aiming error and movement dura- tion with an increase in mean speed and mean:peak speed ratio). Our findings indicate that robot-assisted UL rehabili- tation can reduce UL Impairment and improve Motor control in patients with severe UL paresis from chronic stroke.
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effects of robotic therapy on Motor Impairment and recovery in chronic stroke
Archives of Physical Medicine and Rehabilitation, 2003Co-Authors: Susan E Fasoli, Hermano Igo Krebs, Joel Stein, Walter R Frontera, Neville HoganAbstract:Fasoli SE, Krebs HI, Stein J, Frontera WR, Hogan N. Effects of robotic therapy on Motor Impairment and recovery in chronic stroke. Arch Phys Med Rehabil 2003;84: 477-82. Objective: To examine whether robotic therapy can reduce Motor Impairment and enhance recovery of the hemiparetic arm in persons with chronic stroke. Design: Pre-posttest design. Setting: Rehabilitation hospital, outpatient care. Participants: Volunteer sample of 20 persons diagnosed with a single, unilateral stroke within the past 1 to 5 years, with persistent hemiparesis. Interventions: Robotic therapy was provided 3 times weekly for 6 weeks. Subjects able to reach robot targets were randomly assigned to sensoriMotor or progressive-resistive ro- botic therapy groups. Robotic therapy consisted of goal-di- rected, planar reaching tasks to exercise the hemiparetic shoul- der and elbow. Main Outcome Measures: The Modified Ashworth Scale, Fugl-Meyer test of upper-extremity function, Motor Status Scale (MSS) score, and Medical Research Council Motor power score. Results: Evaluations by a single blinded therapist revealed statistically significant gains from admission to discharge (P.05) on the Fugl-Meyer test, MSS score, and Motor power score. Secondary analyses revealed group differences: the pro- gressive-resistive therapy group experienced nonspecific im- provements on wrist and hand MSS scores that were not observed in the sensoriMotor group. Conclusions: Robotic therapy may complement other treat- ment approaches by reducing Motor Impairment in persons
Nadia Badawi - One of the best experts on this subject based on the ideXlab platform.
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psychometric properties of assessments of cognition in infants with cerebral palsy or Motor Impairment a systematic review
Journal of Pediatric Psychology, 2019Co-Authors: Catherine Morgan, Ingrid Honan, Abigail Allsop, Iona Novak, Nadia BadawiAbstract:Objective Approximately 50% of people with cerebral palsy have a cognitive Impairment. However, many tools used to assess cognition in infants require almost normal fine Motor ability, and thus may not accurately reflect cognitive abilities of infants with cerebral palsy or other Motor Impairments. This systematic review aimed to evaluate the psychometric properties of cognitive assessment tools for infants aged 0-24 months with Motor Impairments and to make recommendations about the most appropriate cognitive assessment tools for the purpose of discrimination, prediction, and evaluation. Method A systematic review was conducted. CINAHL, Embase, ERIC, Medline, PsycINFO, and SCOPUS databases were searched to identify studies reporting on 1 or more psychometric properties of a standardized cognitive assessment tool or questionnaire in a sample/subsample of infants with Motor Impairment. Of the 4,480 articles reviewed, 9 assessment tools were identified in 20 publications, which met our inclusion criteria. Articles were appraised using the COnsensus-based Standards for the selection of health Measurement INstruments to assess study rigor. The GRADE framework was applied to develop recommendations for clinical practice. Results The Mayes Motor-Free Compilation, Fagan Test of Infant Intelligence, and Bayley-III Low Motor/Vision have predictive and/or discriminative utility in this population. The Mullen Scales of Early Learning was the only tool with psychometric research available examining responsivity to change. Conclusions Assessment tools with low-Motor/Motor-free accommodations have greater accuracy in estimating cognitive abilities of infants with Motor Impairment than conventional norm-referenced tests. There, however, remains a significant paucity of research in this area.
