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How intensity of impairment and dose of occupational therapy services impact the outcome in cerebral palsy? | ||
Journal of Rehabilitation Sciences & Research | ||
مقاله 4، دوره 7، شماره 1، خرداد 2020، صفحه 20-24 اصل مقاله (516.6 K) | ||
نوع مقاله: Original Articles | ||
شناسه دیجیتال (DOI): 10.30476/jrsr.2020.83982.1051 | ||
نویسندگان | ||
Mohadeseh Balvardi1؛ Saeedeh Pourahmad2؛ Somayeh Kavousipor* 3؛ Hadi Raeisi Shahraki4 | ||
1Instructor of Biostatistics, Sirjan School of Medical Sciences. Sirjan, Iran. | ||
2Bioinformatics and Computational Biology research center, Shiraz University of Medical Sciences, Shiraz, Iran. | ||
3Department of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran | ||
4Department of Epidemiology and Biostatistics, Faculty of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran. | ||
چکیده | ||
Background: The present study aimed to evaluate the impact of the number of occupational therapy sessions, using the neurodevelopmental technique, (NDT) on gross motor function and other moving outcomes in children with cerebral palsy (CP). Methods: The present cross sectional study evaluated all patients who referred to the occupational therapy service centers in the private sector and welfare organizations in Shiraz, Iran in 2015. The studied patients were children of both genders affected by spastic CP. A total of 59 individuals met the inclusion criteria and were entered in the study. A researcher-made questionnaire including 66 questions of gross motor function measure (GMFM) was used. This questionnaire measured the gross motor function in 5 dimensions including lying down, and rolling, sitting, crawling and kneeling, standing and walking, running and jumping. A negative binomial regression model with logarithmic function was applied in STATA 11 software. Results: 59.3% of the patients were boys. According to our results, 38.3%, 33.3% and 38.3% were affected by spastic diplegia, spastic hemiplegia and spastic quadriplegia respectively. Children at level one of gross motor function had 1.3 times higher achievement, compared to the individuals in other levels (P=0.003) and the subjects who participated in more than five sessions per week had 1.04 more achievement than the others (P=0.001). Conclusion: The results of this study showed that the more common occupational therapy sessions the children participated in, the more successful thegross motor function of children affected by level 1 CP of gross motor function classification was. Further investigations are required to assess other motor levels. | ||
کلیدواژهها | ||
Cerebral Palsy؛ Gross Motor Function؛ Therapy intensity؛ Occupational Therapy | ||
مراجع | ||
1. Kim, W.H. and E.Y. Park, Causal relation between spasticity, strength, gross motor function, and functional outcome in children with cerebral palsy: a path analysis. Dev. Med. Child Neurol., 2011. 53 (1): p. 68-73. 2. Tuzson, A.E., K.P. Granata, and M.F. Abel, Spastic velocity threshold constrains functional performance in cerebral palsy. Arch. Phys. Med. Rehabil., 2003. 84 (9): p. 1363-1368. 3. Ahlborg, L., C. Andersson, and P. Julin, Whole-body vibration training compared with resistance training: effect on spasticity, muscle strength and motor performance in adults with cerebral palsy. J Rehabil Med., 2006. 38 (5): p. 302-308. 4. Fowler, E.G., et al., Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Phys. Ther., 2007. 87 (11): p. 1495-1510. 5. Rosenbaum, P.L., et al., Prognosis for gross motor function in cerebral palsy: creation of motor development curves. Jama., 2002. 288 (11): p. 1357-1363. 6. Stiller, C., B.C. Marcoux, and R.E. Olson, The effect of conductive education, intensive therapy, and special education services on motor skills in children with cerebral palsy. Phys. Occup. Ther. Pediatr., 2003. 23 (3): p. 31-50. 7. Mahani, M.K., M. Karimloo, and S. Amirsalari, Effects of modified Adeli suit therapy on improvement of gross motor function in children with cerebral palsy. Hong Kong J Occup Th., 2011. 21 (1): p. 9-14. 8. Labaf, S., et al., Effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy. Iran J Child Neurol., 2015. 9 (2): p. 36. 9. Salehi, M. and M. Roudbari, Zero inflated Poisson and negative binomial regression models: application in education. Med J Islam Repub Iran., 2015. 29: p. 297. 10. Ardiles, L.G., et al., Negative Binomial regression model for analysis of the relationship between hospitalization and air pollution. Atmos. Pollut. Res., 2018. 9 (2): p. 333-341. 11. Gardner, W., E.P. Mulvey, and E.C. Shaw, Regression analyses of counts and rates: Poisson, overdispersed Poisson, and negative binomial models. Psychol. Bull., 1995. 118 (3): p. 392. 12. Rafiei M, A.e.S.M.T., J. B., Zero-inflated negative binomial modeling, efficiency for analysis of length of maternity hospitalization. Yafteh., 2005. 6 (4): p. 35-40. 13. Nasseryan, J., et al., The association of demographic and clinical factors with the frequency of restenosis in patients undergoing angioplasty using negative binomial regression. Irje., 2016. 12 (2): p. 9-17. 14. Salehi, R., et al., Development of the Persian version of gross motor function measure-88 (GMFM-88): A study of reliability. Trends Med. Res., 2015. 10 (3): p. 69-74. 15. Palisano, R.J., et al., Validation of a model of gross motor function for children with cerebral palsy. Phys. Ther., 2000. 80 (10): p. 974-985. 16. Novak, I. and A. Cusick, Home programmes in paediatric occupational therapy for children with cerebral palsy: Where to start? Aust. Occup. Ther. J., 2006. 53 (4): p. 251-264. 17. Amouzadeh Khalili, M., M. Rasoulzadeh, and F. Mirshja, A survey of home based rehabilitation model performance for movement disorders caused by neurological injuries. Life Sci J., 2016. 13 (1s). 18. Kavousipor, S., et al., Cultural adaptation and psychometric properties of the Persian version of the Affordance in the Home Environment for Motor Development. Iran J Child Neurol., 2019. 13 (1): p. 25. 19. Sung, I.-Y., et al., Efficacy of forced-use therapy in hemiplegic cerebral palsy. Arch. Phys. Med. Rehabil., 2005. 86 (11): p. 2195-2198. 20. Ustad, T., A.B. Sorsdahl, and A.E. Ljunggren, Effects of intensive physiotherapy in infants newly diagnosed with cerebral palsy. Pediatr Phys Ther., 2009. 21 (2): p. 140-148. 21. Mukherjee, A., et al., Intensive rehabilitation combined with HBO2 therapy in children with cerebral palsy: a controlled longitudinal study. Undersea Hyperb Med., 2014. 41 (2): p. 77-85. | ||
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