There are inclusion and exclusion criteria for both studies. Inclusion criteria by Chiu, H. C., Ada, L., (2016) were, the study must randomise or quasi-randomised trial for children with hemiplegic CP with any level of disability, aged and below 18 years old and constraint-induced movement therapy and restraint applied on non-affected during supervised activity and practice of the more affected upper limb and exclusion criteria were research design, not RCT, intervention not only CIMT or mCIMT, participants not only hemiplegia, no supervised practice during restraint, both groups received CIMT, and control unsuitable.
While inclusion criteria by Hoare, B.J, Wasiak, J., Imms, C., Carey, L. (2007) systematic review in full text form articles of all randomised controlled trials (RCTs) and controlled clinical trials (CCTs) comparing Hemiplegic Cerebral Palsy, CIMT, modified CIMT and Forced Use with traditional services such as occupational
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According to Simmon A.E as cited in Survey Research Design (Shuttleworth M, 2008), there are a few disadvantages of small sample design, such as less variability of sample which may reduce the data accuracy, the data leads to bias as the person should be not entitled to the study, and sampling errors can significantly affect the precision and interpretation of the study results.
However, both studies only use Randomized Controlled Trial study, Clinically Controlled Trial and Trial Study were selected. According to Abalos E, Carroli G, Mackey ME, Bergel E (2001), Randomized controlled trials provide the most reliable results with regard to the effectiveness of interventions. This review is clearly defined about the sample condition, the intervention, a comparison and control, and the outcome measure that is to be used to determine the effectiveness. It is important as the effects of the intervention may be different in different groups.
TESTS, OUTCOME MEASURES, AND DATA GATHERING
This topic could help me determine if the use of CIMT is successful and could help my future clients that suffer from cerebral palsy.
The article’s researchers believed that it is necessary to research the efficacy of these claimed evidence based interventions.
Olama, K.A., & Thabit, N.S. (2010) performed a randomized controlled trial to determine the efficacy of whole body vibration (WBV) and a designed physical therapy program versus suspension therapy and the same designed physical therapy intervention in balance control in children with hemiparetic CP. Criteria for inclusion for the study were children with hemiparesis cerebral palsy from both sexes ages 8 to 10 years old, able to understand commands given to them, able to stand and walk independently with frequent falling, and balance problems ( as confirmed by the Tilt Board Balance Test). The exclusion criteria consisted of presence of any medical condition such as vision and hearing loss, cardiac abnormalities, and musculoskeletal disorders. Children who met the criteria (n=30) were recruited from the outpatient clinic, College of Physical Therapy, Cairo University The randomization was done according to the Gross Motor Function Classification System (GMFCS). Treatment allocations were done by the selection of a closed envelope randomly selected. Parents and children were informed of the treatment allocation after the selection, procedures were explained to both of them and signed assent and consent were obtained.
Constraint Induced Movement Therapy (CIMT) is a treatment approach that has been found to be effective in unilateral (hemiplegic) spastic cerebral palsy. It involves constraint of the less impaired upper extremity and repetitive practice of the affected arm and hand. Casts, splints, and slings are used to restrain the unaffected arm while the individual is encouraged to use the impaired arm. The individual performs motor activities repetitively for up to 6 hours a day for 2 to 4 weeks. In order to perform more complex functional motor acts, the task is broken down into smaller movements and rewarded at each step of the
Different therapies have been used as a complementary or alternative form of medicine. Some clinical therapy trials have not been recognized by the mainstream because so of the results have come back inconclusive or showed no benefit. Although some therapies have shown an improvement in cerebral palsy cases especially in children, these therapies have still not been recognized by the food and drug administration as an aid for cerebral palsy. Some of these therapies include hyperbaric oxygen therapy, resistance clothing during exercise, forms of electrical stimulation, assistance in completing certain movements several times a day, and specialized learning strategies (Cerebral Palsy: Hope Through Research, 2016) . Dietary supplements, herbal
Constraint-Induced Physical Therapy is a specialized rehabilition approach used to improve motor ability and the functional use of a limb affected by brain injury or a stroke. After suffering a stroke, a person can lose the function of one of their limbs. These stroke survivors can get frustrated and learn to stop using affected limb and start relying on the unaffected limb. Constraint-Induced Physical Therapy tries to decrease the effects of learned non-use by forcing patients to use the affected side. CIMT uses techniques like placing a mitt on the patient’s unaffected functional hand and forcing them to perform tasks with their stroke-affected limb for a majority of the day. This therapy also has the patient perform repetitive movements to repair the brains pathways. CIMT is a deliberate practice that focuses on relearning previously acquired motor skills. Relearning motor skills is measured by acquisition, retention, and transfer of skills. Acquisition is the performance of a previously learned motor skill. To relearn a motor skill, the skill must be rehearsed repeatedly. The more time a patient devotes to a task the more opportunity they have to improve their movement
The reason for this is because measuring treatment outcomes in people living with cerebral palsy is already difficult but it is even more so in those living with spastic quadriplegia. “Unlike an ambulant child, where changes can be seen in gait parameters, oxygen cost, and gait velocity, the child with spastic quadriplegia may show changes only in measures of impairment such as the modified Ashworth scale, Tardieu scale, or joint range of motion. It is difficult to measure change in the level of function or disability in the child with moderate to severe spasticity” (Gormley 2001). This being said, the need for clinical trials to assess management results for severely involved patients is still necessary. Designing studies that “employ standard enrolment criteria across centres, apply interventions in a standardized manner, utilize control groups and validated outcome measures, including measures of cost effectiveness and patient satisfaction” may be difficult, but are entirely necessary in order to justify the new approach to treatment that is suggested in this article (Gormley 2001).
The specific inclusion criteria for program enrollment included (a) offenders who reported for Level 2 or 3 probation, (b) had a recommendation or mandate for substance abuse screening in their sentencing order or had a substance abuse screen ordered by the PO at intake, (c) had a probation duration of 6 months or longer, (d) were age 18 years or older, (e) spoke English, and (f) failed their initial urinalysis. Exclusion criteria were (a) diagnosed current and known DSM-IV-R psychotic disorder, (b) current conviction for sex offense (specialized caseload), (c) evidence of neuropsychological dysfunction, (d) life expectancy of less than 6 months, and (e) probation or parole requirements that prevented protocol participation. The final sample
Cerebral Palsy (CP) is an example of an upper motor neurone lesion and a general term for a group of neurological conditions that affect movement and co-ordination. It affects around 1 in 400 people, occurring in utero or the first few years of life. Multiple parts of the brain can be affected, resulting in different types and severities. Approximately 80% have upper limb involvement with problems in the wrist and hand being most frequent, which affect activities of daily living (ALDs) such as eating. Around 56% are prescribed upper limb orthoses, with only around half using them. Upper limb orthoses cannot be concealed which may account for this low patient compliance, or upper limb function
The purpose of this systematic review was to determine the impacts CI usage has on the PA skills of children with HL. The research included in this study provided substantial information to answer this research question but identified the need for further research. Three of the four studies were short-term, and to indicate the long-term benefits of CI usage, more research needs to be conducted on the continuing effects that CI usage has on PA skills. Although only one study explored the impacts of age of implantation, a critical age needs to be identified for greatest benefits. Finally, all four of the studies concluded that PA skills can be developed by CWHL, but the research did not provide a definite AR therapy. Research needs to explore the most beneficial AR intervention to provide CWHL the opportunity for greatest
Growing up as a child during the 1970s in Lynwood, a predominantly African American neighborhood of South Central Los Angeles, I never realized the differences between my playmates and myself. Although my mother and I eventually moved to the suburbs, my father remained there. However, it was not until late childhood, while visiting my father on weekends, that I began to differentiate between my friends and myself. Maybe the piercing stares and turned heads at the neighborhood market led to this discovery. Or perhaps the racial epithets exchanged in anger between childhood friends made the differences obvious. But, more than anything else, I attribute my discovery to the disparaging nickname given to me. They referred to me as
1. What is/are the problem(s) in this case? Keep it to a single statement. At most, you may point out a couple of the key questions. The problem in the Kodak case is that Kodak is losing market value because they are reworking their product line, causing doubt in customer mindset. They have created the Funtime film to attempt to regain market value.
The topic in this systematic review is clearly defined, initially in the abstract, and being repeated in the introduction. Yes, the search for studies and other evidence was comprehensive and unbiased as it was able to be. Strict criteria were followed as described in Figure 1. Yes, the screening of citations for inclusion in this review was based on explicit criteria, as they wanted to promote confidence in the outcomes appropriate guidelines were followed carefully. Yes, the included studies were evaluated for
I can positively say, without a doubt in mind, that racism should be put in room 101 and I'm sure no one could disagree with me. We, as a society, can help this and you can join me fight this because Racism can be ruthless, cruel and dangerous. Is there anything more hurtful than someone kicking you out of a restaurant because of your skin colour? How wrong is this? Racism can lead to depression therefore; sensitive people can even commit suicide, would you want this? Furthermore, recently I took a survey in which 9 out of 10 people say racism shouldn't be allowed and the other 10%, I would say they don’t have hearts. As a reward of this we will get peace, harmony, tranquillity and a long-term reward will be that the wars
Today there are many severe disability’s that effect individuals on a daily basis. Cerebral Palsy is a condition eliminates control over a person’s movements and the way the body works. The movement disorder is non curable but can be helped with appropriate assistive technology. In this paper you will learn more about Cerebral Palsy, broadening your knowledge on the disease and giving you a better understanding in your respected field of the rehabilitation.