Single blind randomised controlled trial of GAME (Goals ⿿ Activity ⿿ Motor Enrichment) in infants at high risk of cerebral palsy

⿢Infants at high risk of CP were accurately identified using the General Movements Assessment or MRI.⿢GAME intervention led to improved motor outcomes when compared to standard care.⿢GAME participants had higher cognition scores at 12 months of age. Cerebral palsy (CP) is caused by a lesion in the d...

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Vydáno v:Research in developmental disabilities Ročník 55; číslo NA; s. 256 - 267
Hlavní autoři: Morgan, Catherine, Novak, Iona, Dale, Russell C., Guzzetta, Andrea, Badawi, Nadia
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Ltd 01.08.2016
Témata:
Anxiety - psychology
Cerebral palsy
Cerebral Palsy - epidemiology
Cerebral Palsy - rehabilitation
Cognition
Depression - psychology
Early intervention
Early Medical Intervention - methods
Environment
Environmental enrichment
Female
Goals
Humans
Infant
Learning
Male
Motor learning
Motor Skills
Neuronal Plasticity
Parents - education
Parents - psychology
Patient-Centered Care
Risk
Single-Blind Method
Stress, Psychological - psychology
Cerebral palsy
Early intervention
Motor learning
Environmental enrichment
ISSN:0891-4222, 1873-3379, 1873-3379
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Shrnutí:⿢Infants at high risk of CP were accurately identified using the General Movements Assessment or MRI.⿢GAME intervention led to improved motor outcomes when compared to standard care.⿢GAME participants had higher cognition scores at 12 months of age. Cerebral palsy (CP) is caused by a lesion in the developing infant brain. Recent neuroplasticity literature suggests that intensive, task-specific intervention ought to commence early, during the critical period of neural development. To determine whether ⿿GAME⿿ (Goals ⿿ Activity ⿿ Motor Enrichment), a motor learning, environmental enrichment intervention, is effective for improving motor skills in infants at high risk of CP. Single blind randomised controlled trial of GAME versus standard care. Primary outcome was motor skills on the Peabody Developmental Motor Scales-2 (PDMS-2). Secondary outcomes included Canadian Occupational Performance Measure (COPM), Bayley Scales of Infant and Toddler Development (BSID-III) and Gross Motor Function Measure-66 (GMFM-66). Outcome assessors were masked to group allocation and data analyzed with multiple regression. All n=30 infants enrolled received the assigned intervention until 16 weeks post enrolment. At 12 months of age, n=26 completed assessments. Significant between group differences were found in raw scores on the PDMS-2 in favour of GAME (B=20.71, 95%CI 1.66⿿39.76, p=0. 03) and at 12 months on the total motor quotient (B=8.29, 95%CI 0.13⿿16.45,p =0.05). Significant between group differences favored GAME participants at 12 months on the cognitive scale of the BSID-III and satisfaction scores on the COPM. GAME intervention resulted in advanced motor and cognitive outcomes when compared with standard care.
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ISSN:0891-4222
1873-3379
1873-3379
DOI:10.1016/j.ridd.2016.04.005