Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial / Geoffroy Saussez in Journal of NeuroEngineering and Rehabilitation, 20 (Juillet 2023)  

Public ISBD [article]  inJournal of NeuroEngineering and Rehabilitation > 20 (Juillet 2023) Titre : Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial Type de document : texte imprimé Auteurs : Geoffroy Saussez ; R. Bailly ; Rodrigo Araneda ; Julie Paradis ; Daniela Ebner-Karestinos ; Anne Klöcker ; Emmanuel Segnon Sogbossi ; Inmaculada Riquelme ; S. Brochard ; Yannick Bleyenheuft Année de publication : 2023 Langues : Anglais (eng) Résumé : Background The implementation of virtual devices can facilitate the role of therapists (e.g., patient motivation, intensity of practice) to improve the effectiveness of treatment for children with cerebral palsy. Among existing therapeutic devices, none has been specifically designed to promote the application of principles underlying evidence-based motor skill learning interventions. Consequently, evidence is lacking regarding the effectiveness of virtual-based sessions in motor function rehabilitation with respect to promoting the transfer of motor improvements into daily life activities. We tested the effectiveness of implementing a recently developed virtual device (REAtouch®), specifically designed to enable the application of therapeutic motor skill learning principles, during a Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention. Methods Forty children with unilateral cerebral palsy (5–18 years; MACS I-III; GMFCS I-II) were randomly assigned to a control group or a “REAtouch®” experimental group for a 90-h HABIT-ILE day-camp intervention (two weeks). Children in the REAtouch® group spent nearly half of their one-on-one therapeutic time using the REAtouch®. Participants underwent three testing sessions: the week before (T1), after intervention (T2), and at three months follow-up (T3). The primary outcome was the Assisting Hand Assessment (T3–T1; blinded). Secondary outcomes measured uni-bimanual hand function, stereognosis, gait endurance, daily life abilities, and functional goals. Accelerometers and a manual report of daily activities served to document therapeutic dosage and treatment characteristics. We used one-way RMANOVA to compare the efficacies of the two interventions, and non-inferiority analyses to contrast changes in the “REAtouch®” group versus the “HABIT-ILE” control group. Results We found significant improvements in both groups for most of the outcome measures (p < 0.05). There was significant non-inferiority of changes in the REAtouch® group for upper extremities motor function, functional goals attainment, and abilities in daily life activities (p < 0.05). Conclusions Use of the REAtouch® device during HABIT-ILE showed non-inferior efficacy compared to the conventional evidence-based HABIT-ILE intervention in children with unilateral cerebral palsy. This study demonstrates the feasibility of using this virtual device in a high dosage camp model, and establishes the possibility of applying the therapeutic principles of motor skill learning during specifically designed virtual-based sessions. Trial registration: Trial registration number: NCT03930836-Registration date on the International Clinical Trials Registry Platform (ICTRP): June 21th, 2018; Registration date on NIH Clinical Trials Registry: April 29th, 2019. First patient enrollment: July 3rd, 2018. En ligne : https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01218-4 Permalink : ./index.php?lvl=notice_display&id=112807 [article] Efficacy of integrating a semi-immersive virtual device in the HABIT-ILE intervention for children with unilateral cerebral palsy: a non-inferiority randomized controlled trial [texte imprimé] / Geoffroy Saussez ; R. Bailly ; Rodrigo Araneda ; Julie Paradis ; Daniela Ebner-Karestinos ; Anne Klöcker ; Emmanuel Segnon Sogbossi ; Inmaculada Riquelme ; S. Brochard ; Yannick Bleyenheuft . - 2023. Langues : Anglais (eng) in Journal of NeuroEngineering and Rehabilitation > 20 (Juillet 2023) Résumé : Background The implementation of virtual devices can facilitate the role of therapists (e.g., patient motivation, intensity of practice) to improve the effectiveness of treatment for children with cerebral palsy. Among existing therapeutic devices, none has been specifically designed to promote the application of principles underlying evidence-based motor skill learning interventions. Consequently, evidence is lacking regarding the effectiveness of virtual-based sessions in motor function rehabilitation with respect to promoting the transfer of motor improvements into daily life activities. We tested the effectiveness of implementing a recently developed virtual device (REAtouch®), specifically designed to enable the application of therapeutic motor skill learning principles, during a Hand Arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) intervention. Methods Forty children with unilateral cerebral palsy (5–18 years; MACS I-III; GMFCS I-II) were randomly assigned to a control group or a “REAtouch®” experimental group for a 90-h HABIT-ILE day-camp intervention (two weeks). Children in the REAtouch® group spent nearly half of their one-on-one therapeutic time using the REAtouch®. Participants underwent three testing sessions: the week before (T1), after intervention (T2), and at three months follow-up (T3). The primary outcome was the Assisting Hand Assessment (T3–T1; blinded). Secondary outcomes measured uni-bimanual hand function, stereognosis, gait endurance, daily life abilities, and functional goals. Accelerometers and a manual report of daily activities served to document therapeutic dosage and treatment characteristics. We used one-way RMANOVA to compare the efficacies of the two interventions, and non-inferiority analyses to contrast changes in the “REAtouch®” group versus the “HABIT-ILE” control group. Results We found significant improvements in both groups for most of the outcome measures (p < 0.05). There was significant non-inferiority of changes in the REAtouch® group for upper extremities motor function, functional goals attainment, and abilities in daily life activities (p < 0.05). Conclusions Use of the REAtouch® device during HABIT-ILE showed non-inferior efficacy compared to the conventional evidence-based HABIT-ILE intervention in children with unilateral cerebral palsy. This study demonstrates the feasibility of using this virtual device in a high dosage camp model, and establishes the possibility of applying the therapeutic principles of motor skill learning during specifically designed virtual-based sessions. Trial registration: Trial registration number: NCT03930836-Registration date on the International Clinical Trials Registry Platform (ICTRP): June 21th, 2018; Registration date on NIH Clinical Trials Registry: April 29th, 2019. First patient enrollment: July 3rd, 2018. En ligne : https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-023-01218-4 Permalink : ./index.php?lvl=notice_display&id=112807

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Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial / Rodrigo Araneda in Developmental Medecine & Child Neurology, Volume 64 n°11 (Avril 2022)  

Public ISBD [article]  inDevelopmental Medecine & Child Neurology > Volume 64 n°11 (Avril 2022) Titre : Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial Type de document : document électronique Auteurs : Rodrigo Araneda ; Enimie Herman ; Louis Delcour ; Anne Klöcker ; Geoffroy Saussez ; Julie Paradis ; Daniela Ebner-Karestinos ; Yannick Bleyenheuft Année de publication : 2022 Langues : Anglais (eng) Résumé : Aim To investigate potential changes in mirror movements after Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) training in children with unilateral cerebral palsy (CP). Method Thirty-one children with unilateral CP (mean age 9 years 4 months, SD 4 years 3 months; range 5 years 4 months–17 years 3 months; 14 females, 17 males) were randomized to either a control or treatment group. After allocation, children were assessed three times: before (T1, baseline) and after (T2) a 2-week interval and again at 3 months after T1 (T3) as follow-up. Between T1 and T2, the treatment group received 90 hours of HABIT-ILE training, while the control group continued their customary treatment. Mirror movements were assessed in all children using the Woods and Teuber Scale, as well as the Assisting Hand Assessment, Pediatric Evaluation of Disability Inventory, and Canadian Occupational Performance Measure. Results Repeated measures analysis of variance indicated a significant decrease in mirror movements in the more-affected (mean difference = 0.97; 95% confidence interval [CI] = 0.51–1.42; p < 0.001) and less-affected (mean difference = 0.71; 95% CI = 0.37–1.0; p < 0.001) hands of children after HABIT-ILE; these improvements were maintained at the 3-month follow-up. Moreover, the mirror movement changes observed at the second assessment (T2) were inversely correlated with changes in the assessment of activities of daily living, especially in the less-affected hand. Interpretation HABIT-ILE decreased the intensity of mirror movements in a group of children with CP. Furthermore, mirror movement changes were associated with bimanual performance and activities of daily living in these children. En ligne : https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn.15257 Permalink : ./index.php?lvl=notice_display&id=112810 [article] Mirror movements after bimanual intensive therapy in children with unilateral cerebral palsy : A randomized controlled trial [document électronique] / Rodrigo Araneda ; Enimie Herman ; Louis Delcour ; Anne Klöcker ; Geoffroy Saussez ; Julie Paradis ; Daniela Ebner-Karestinos ; Yannick Bleyenheuft . - 2022. Langues : Anglais (eng) in Developmental Medecine & Child Neurology > Volume 64 n°11 (Avril 2022) Résumé : Aim To investigate potential changes in mirror movements after Hand and Arm Bimanual Intensive Therapy Including Lower Extremity (HABIT-ILE) training in children with unilateral cerebral palsy (CP). Method Thirty-one children with unilateral CP (mean age 9 years 4 months, SD 4 years 3 months; range 5 years 4 months–17 years 3 months; 14 females, 17 males) were randomized to either a control or treatment group. After allocation, children were assessed three times: before (T1, baseline) and after (T2) a 2-week interval and again at 3 months after T1 (T3) as follow-up. Between T1 and T2, the treatment group received 90 hours of HABIT-ILE training, while the control group continued their customary treatment. Mirror movements were assessed in all children using the Woods and Teuber Scale, as well as the Assisting Hand Assessment, Pediatric Evaluation of Disability Inventory, and Canadian Occupational Performance Measure. Results Repeated measures analysis of variance indicated a significant decrease in mirror movements in the more-affected (mean difference = 0.97; 95% confidence interval [CI] = 0.51–1.42; p < 0.001) and less-affected (mean difference = 0.71; 95% CI = 0.37–1.0; p < 0.001) hands of children after HABIT-ILE; these improvements were maintained at the 3-month follow-up. Moreover, the mirror movement changes observed at the second assessment (T2) were inversely correlated with changes in the assessment of activities of daily living, especially in the less-affected hand. Interpretation HABIT-ILE decreased the intensity of mirror movements in a group of children with CP. Furthermore, mirror movement changes were associated with bimanual performance and activities of daily living in these children. En ligne : https://onlinelibrary.wiley.com/doi/abs/10.1111/dmcn.15257 Permalink : ./index.php?lvl=notice_display&id=112810

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Rasch-built measure of pleasant touch trought active fingertip explorations / Anne Klöcker

Public ISBD fait partie de Dossier Publications enseignants Titre : Rasch-built measure of pleasant touch trought active fingertip explorations Type de document : texte imprimé Auteurs : Anne Klöcker, Auteur ; Carlyne Arnould, Auteur ; Massimo Penta, Auteur ; Jean-Louis Thonnard, Auteur Note générale : Cet article est paru dans Frontiers in neurorobotics Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=6677 fait partie de Dossier Publications enseignants Rasch-built measure of pleasant touch trought active fingertip explorations [texte imprimé] / Anne Klöcker, Auteur ; Carlyne Arnould, Auteur ; Massimo Penta, Auteur ; Jean-Louis Thonnard, Auteur . - [s.d.]. Cet article est paru dans Frontiers in neurorobotics Langues : Anglais (eng) Permalink : ./index.php?lvl=notice_display&id=6677

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