A Physical Therapy Intervention to Advance Cognitive and Motor Skills: A Single Subject Study of a Young Child with Cerebral Palsy

Stacey C. Dusing, Reggie T. Harbourne, Michele A. Lobo, Sally Westcott-Mccoy, James A. Bovaird, Audrey E. Kane, Gullnar Syed, Emily C. Marcinowski, Natalie A. Koziol, Shaaron E. Brown

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Physical therapy interventions for children with severe motor impairments do not address the relationship between motor and cognitive development. Purpose: Evaluate the potential of a physical therapy intervention focusing on enhancing cognitive and motor outcomes in a child with severe motor impairments. Design: AB phase design without reversal. Methods: One child participated in 8 assessments from 4 to 29 months of age. The START-Play intervention was provided for 3 months following 4 baseline assessments over 12 months. Total Gross Motor Function Measure (GMFM), Sitting, Reaching, and Problem Solving assessments were completed. Visual inspection, 2 standard deviation (SD) Band Method, and percent of nonoverlapping data methods evaluated change. Results: This child had improved GMFM total and sitting scores, increased frequency of toys contacts, and increased rate of problem-solving behaviors following intervention. Conclusion: START-Play shows promise for children with severe motor impairments. Additional research is needed to evaluate efficacy. Video Abstract: For more insights from the authors, access Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A273. (Pediatr Phys Ther 2019;31:347-352).

Original languageEnglish (US)
Pages (from-to)347-352
Number of pages6
JournalPediatric Physical Therapy
Volume31
Issue number4
DOIs
StatePublished - Oct 1 2019

Keywords

  • cerebral palsy
  • cognitive
  • early intervention
  • motor
  • physical therapy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation

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    Dusing, S. C., Harbourne, R. T., Lobo, M. A., Westcott-Mccoy, S., Bovaird, J. A., Kane, A. E., Syed, G., Marcinowski, E. C., Koziol, N. A., & Brown, S. E. (2019). A Physical Therapy Intervention to Advance Cognitive and Motor Skills: A Single Subject Study of a Young Child with Cerebral Palsy. Pediatric Physical Therapy, 31(4), 347-352. https://doi.org/10.1097/PEP.0000000000000635