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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Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire / Emmanuel Segnon Sogbossi in Disability and Rehabilitation [périodique éléctronique], 2022 (Décembre 2022)  

Public ISBD [article]  inDisability and Rehabilitation [périodique éléctronique] > 2022 (Décembre 2022) Titre : Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire Type de document : document électronique Auteurs : Emmanuel Segnon Sogbossi ; Carlyne Arnould ; G.-T. Kpadonou ; Sèbiyo Charles Batcho ; Yannick Bleyenheuft Année de publication : 2022 Langues : Français (fre) Mots-clés : Cerebral palsy  activities of daily living  patient reported outcome measures  psychometrics  Africa Résumé : Purpose To calibrate a West-African version of the ACTIVLIM-CP questionnaire (ACTIVLIM-CP-WA) for children with cerebral palsy (CP). Materials and Methods We recruited 287 children with CP of various age range: 2–6 years (n = 117, preschoolers), 6–12 years (n = 96, children) and 12–19 years (n = 74, adolescents). Caregivers of children of each age range completed the experimental version of the ACTIVLIM-CP-WA including 76 (preschoolers), 78 (children) and 76 (adolescents) global daily life activities. Responses were analyzed using the Rasch RUMM2030 software. Results The final West-African version of ACTIVLIM-CP including 31 items (both common and age-specific items) defined a unidimensional, linear scale with well-discriminated response categories. It presented a high internal consistency (R = 0.94). Moreover, all items were locally independent and the item difficulty hierarchy was invariant regarding caregivers’ education, children’s age and gender, MACS and GMFCS levels. The ACTIVLIM-CP-WA measures were significantly correlated (p < 0.05) with Gross Motor Function Classification System (ρ = −0.77), Manual Ability Classification System (ρ = −0.75), Box and Block test (dominant hand r = 0.51; non-dominant hand r = 0.49), One-minute walking test (r = 0.28), and Timed up and Go test (r = −0.40). Conclusions The ACTIVLIM-CP-WA questionnaire provides a valid and reliable tool that has the potential to follow children’s evolution and quantify changes consecutive to neurorehabilitation in Sub-Saharan Africa. En ligne : https://www.tandfonline.com/doi/abs/10.1080/09638288.2022.2154083 Permalink : ./index.php?lvl=notice_display&id=112685 [article] Measuring global activity performance in children with cerebral palsy in West Africa : validation of an adapted version of the ACTIVLIM-CP questionnaire [document électronique] / Emmanuel Segnon Sogbossi ; Carlyne Arnould ; G.-T. Kpadonou ; Sèbiyo Charles Batcho ; Yannick Bleyenheuft . - 2022. Langues : Français (fre) in Disability and Rehabilitation [périodique éléctronique] > 2022 (Décembre 2022) Mots-clés : Cerebral palsy  activities of daily living  patient reported outcome measures  psychometrics  Africa Résumé : Purpose To calibrate a West-African version of the ACTIVLIM-CP questionnaire (ACTIVLIM-CP-WA) for children with cerebral palsy (CP). Materials and Methods We recruited 287 children with CP of various age range: 2–6 years (n = 117, preschoolers), 6–12 years (n = 96, children) and 12–19 years (n = 74, adolescents). Caregivers of children of each age range completed the experimental version of the ACTIVLIM-CP-WA including 76 (preschoolers), 78 (children) and 76 (adolescents) global daily life activities. Responses were analyzed using the Rasch RUMM2030 software. Results The final West-African version of ACTIVLIM-CP including 31 items (both common and age-specific items) defined a unidimensional, linear scale with well-discriminated response categories. It presented a high internal consistency (R = 0.94). Moreover, all items were locally independent and the item difficulty hierarchy was invariant regarding caregivers’ education, children’s age and gender, MACS and GMFCS levels. The ACTIVLIM-CP-WA measures were significantly correlated (p < 0.05) with Gross Motor Function Classification System (ρ = −0.77), Manual Ability Classification System (ρ = −0.75), Box and Block test (dominant hand r = 0.51; non-dominant hand r = 0.49), One-minute walking test (r = 0.28), and Timed up and Go test (r = −0.40). Conclusions The ACTIVLIM-CP-WA questionnaire provides a valid and reliable tool that has the potential to follow children’s evolution and quantify changes consecutive to neurorehabilitation in Sub-Saharan Africa. En ligne : https://www.tandfonline.com/doi/abs/10.1080/09638288.2022.2154083 Permalink : ./index.php?lvl=notice_display&id=112685

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