Neurodevelopmental Disorders
Conditions
Keywords
technology, neurodevelopmental disorders, pediatrics, rehabilitation, intensive therapy
Brief summary
The goal of this study is to assess the individualized use of technology to assess motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the program. Children 7-17 years old who can walk and are completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests will be selected including common balance tests (standing with eyes open, standing with eyes closed), walking, walking and turning, standing up and sitting down from a bench, reaction time, and step down. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care.
Detailed description
The goal of this study is to assess the individualized use of instrumented assessment of motor function and balance for ambulatory children participating in an intensive therapy episode of care and determine the effectiveness of the intervention. Children 7-17 with neurodevelopmental diagnosis, GMFCS Levels I and II and completing an intensive therapy episode of care will be recruited to participate in this study. Demographic, health history, and PT,OT,ST medical records will be collected. Based on the participant's functional goals, motor function and balance tests in single and dual conditions will be selected including Romberg balance tests, walking, walking and turning, sit to/from stand, reaction time, and step down administered while participant is recorded using a portable measurement platform which incorporates a custom force plate, Azure Kinect spatial sensor, and interface board. Participants will be tested before, immediately after, 6 weeks after, and 12 weeks after the episode of care. Testing is estimated to last for 45 minutes.
Interventions
OTHERIntensive interdisciplinary therapy
Intensive interdisciplinary therapy includes an intense burst of physical, occupational, and/or speech therapy with high intensity and frequency in a duration (e.g. 3-6 hours/day, 3-5 days/week for 4 weeks)
Sponsors
University of Missouri-Columbia
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
7 Years to 17 Years
Inclusion criteria
* Ambulatory children 7-17 years old receiving care in an interdisciplinary, intensive therapy program * GMFCS Levels I and II * able to follow 2-3 step directions * English speaking
Exclusion criteria
* orthopedic surgery in the past year or * significant visual impairment * significant hearing impairment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Eyes closed standing on firm surface | before physical therapy begins | center of pressure as a measure of postural control obtained from a forceplate obtained while eyes closed standing on firm surface |
| Walking | before physical therapy | speed obtained from spatial sensor |
| 5 Times sit to stand test | before physical therapy | time to complete obtained from spatial sensor |
| Step down | before physical therapy | knee joint kinematics obtained from spatial sensor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measures of processes of care | immediately following the episode of care | Questionnaire designed to assess parents' perceptions of the care they and their children receive from children's rehabilitation treatment centres. It is a means to assess family-centred behaviours of health care providers. |
Countries
United States
Outcome results
None listed