Abstract
This proof-of-concept feasibility trial examined the potential of the Cognitive Orientation to daily Occupational Performance Approach (CO-OP) to augment deep brain stimulation (DBS) outcomes in childhood-onset hyperkinetic movement disorders (HMD) including dystonia and dyskinetic cerebral palsy. This is a single case experimental design using multiple baseline as n-of-1 trial comprising 10 intervention sessions, with replications across participants (n = 10). Treatment focused on 3 participant-selected goals. Transfer was assessed on 2 additional untreated goals. Individuals enrolled were 6-21 years of age and had DBS in situ and sufficient manual ability. Primary outcome was functional performance change on the Performance Quality Rating Scale-Individualized (PQRS-i) measured before, during, and posttreatment, and at 3-month follow-up. Assessors of outcome were blinded to time of assessment, number of intervention session, and treatment allocation. To measure effect size, a nonoverlapping index, Tau-U, was used. Feasibility measures were captured. One participant withdrew before baseline assessment. Effect sizes of at least 0.66 were seen at both posttreatment and follow-up with all participants showing improvements in at le...Continue Reading
References
Jan 1, 1985·Neurology·R E BurkeJ Friedman
Aug 1, 1994·Physical Therapy·M R Nourbakhsh, K J Ottenbacher
Apr 1, 1990·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·M LawN Pollock
Nov 17, 2009·Brain Injury : [BI]·Sara E McEwenJennifer D Ryan
Feb 9, 2010·Disability and Rehabilitation·Sara E McEwenJennifer D Ryan
Apr 17, 2010·Neuropsychological Rehabilitation·Sara E McEwenJennifer D Ryan
Jun 3, 2010·Psychological Methods·Thomas R Kratochwill, Joel R Levin
Apr 19, 2011·Behavior Therapy·Richard I ParkerStephanie B Sauber
Jun 7, 2011·Journal of School Psychology·Daniel M MagginRobert H Horner
Mar 7, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Helene J PolatajkoCarolyn M Baum
Feb 19, 2014·Neuropsychological Rehabilitation·Hariharan SwaminathanKeith Smolkowski
Nov 25, 2014·Neurorehabilitation and Neural Repair·Sara McEwenTimothy Wolf
Feb 11, 2015·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Daniel E LumsdenJean-Pierre Lin
Nov 7, 2015·Implementation Science : IS·Sara E McEwenElizabeth Linkewich
Jun 9, 2016·Disability and Rehabilitation·Michelle JackmanElspeth Froude
Jun 11, 2016·Physical & Occupational Therapy in Pediatrics·Debra CameronHelene J Polatajko
Jun 16, 2016·Lancet Neurology·Anne KoyLars Timmermann
Oct 7, 2016·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Hortensia Gimeno, Jean-Pierre Lin
Jul 5, 2018·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Hortensia GimenoRichard G Brown
Citations
Jan 8, 2020·Healthcare·Hortensia Gimeno, Tim Adlam
Feb 9, 2021·Frontiers in Pediatrics·Hortensia GimenoRichard G Brown
Dec 31, 2020·Children·Hortensia GimenoHelene Polatajko
Jun 22, 2021·Frontiers in Neurology·Marenka SmitUNKNOWN Collaborative Working Group
Jan 20, 2022·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Meysam RoostaeiBahman Razi