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 language | English (US) |
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Pages (from-to) | 347-352 |
Number of pages | 6 |
Journal | Pediatric Physical Therapy |
Volume | 31 |
Issue number | 4 |
DOIs | |
State | Published - 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