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Novel Rehabilitation Approaches for Cerebral Palsy
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Novel Rehabilitation Approaches for Cerebral Palsy

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: closed (25 February 2024) | Viewed by 8974

Special Issue Editors

Prof. Dr. Alicia Jane Spittle

E-Mail Website
Guest Editor
1. Department of Physiotherapy, The University of Melbourne, Parkville, VIC 3052, Australia
2. Victorian Infant Brain Studies, The Murdoch Children’s Research Institute, Parkville, VIC 3052, Australia
3. Department of Physiotherapy, The Royal Women’s Hospital, Parkville, VIC 3052, Australia
Interests: early intervention; cerebral palsy; preterm infants; caregiver-child interaction; consumer engaged research; physiotherapy; co-design
Dr. Catherine Morgan

E-Mail Website
Guest Editor
Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia
Interests: cerebral palsy; infants; early intervention; early diagnosis; environmental enrichment; physiotherapy; early development

Special Issue Information

Dear Colleagues,

Over 17 million people world-wide have cerebral palsy. Although it is primarily a motor disorder, there are associated impairments that impact on an individual with cerebral palsy’s function and ability to access their community. There is increasing evidence on effective interventions for children with cerebral palsy with a paradigm shift in the way we approach rehabilitation for children with cerebral palsy to focus on goal-based functional therapy and participation in the community. To give infants, children, and adults with cerebral palsy the maximum opportunity to reach their potential and take advantage of neuroplasticity, we need to investigate novel interventions that address all aspects of world health organization’s International Classification of Functioning, Disability, and Health, including body functions and structure, activity, and participation outcomes. It is also essential that we take into account the environment and personal factors that may affect outcomes for an individual with cerebral palsy and their family in response to intervention.

We invite you to contribute to this Special Issue, which aims to collate the latest evidence on novel approaches to intervention for infants, children, and adults with or at high-risk of cerebral palsy with a focus on rehabilitation, that is “interventions designed to optimise functioning and reduce disability”. Although the primary focus is on interventions for cerebral palsy, studies that include other disabilities along with cerebral palsy are invited. The manuscripts may include any format (original research, systematic reviews, state-of-the-art reviews, protocols) that may contribute to the further understanding of novel approaches to improve outcomes for people with cerebral palsy and their families across their lifespan.

Prof. Dr. Alicia Jane Spittle
Dr. Catherine Morgan
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • cerebral palsy
  • early intervention
  • rehabilitation
  • goal-oriented
  • participation

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Published Papers (3 papers)

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Research

15 pages, 1353 KiB  
Article
A Goal-Directed Program for Wheelchair Use for Children and Young People with Cerebral Palsy in Uganda: An Explorative Intervention Study
by Carin Andrews, Angelina Kakooza-Mwesige, Sauba Kamusiime, Hans Forssberg and Ann-Christin Eliasson
J. Clin. Med. 2023, 12(6), 2325; https://doi.org/10.3390/jcm12062325 - 16 Mar 2023
Cited by 2 | Viewed by 2720
Abstract
In this exploratory study, we investigate whether goal-directed intervention for wheelchairs can increase the activities of daily living for children and young people with cerebral palsy (CP) when implemented in rural Uganda. Thirty-two children and young people with CP (aged 3–18 years) participated [...] Read more.
In this exploratory study, we investigate whether goal-directed intervention for wheelchairs can increase the activities of daily living for children and young people with cerebral palsy (CP) when implemented in rural Uganda. Thirty-two children and young people with CP (aged 3–18 years) participated in a home-visit intervention program, which included donating wheelchairs and setting individual goals. Goal achievement, frequency of wheelchair use, condition of wheelchairs, and caregivers’ perspectives were collected by interviews at 6–10 month after the start of intervention and the after three years. Our result show that most wheelchairs were in good condition and frequently used after 6–10 month with 83% goal achievement (132/158 goals; mean 4.3 (range 0–7). The caregivers reported several advantages (e.g., the child being happier) and few disadvantages (e.g., poor design and durability). At the three-year follow-up, only eleven wheelchairs were still used by 23 available participants (seven deceased and two moved). The children achieved 60% of their goals (32/53 goals mean 2.9; range 1–5). This demonstrates that the goal-directed intervention program for wheelchairs can be successfully implemented in a low-income setting with a high rate of goal achievement and frequent wheelchair use, facilitating participation. However, maintenance services are crucial to obtain sustainable results. Full article
(This article belongs to the Special Issue Novel Rehabilitation Approaches for Cerebral Palsy)
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10 pages, 1813 KiB  
Article
Robotic Ankle Training Improves Sensorimotor Functions in Children with Cerebral Palsy—A Pilot Study
by Yunju Lee, Deborah Gaebler-Spira and Li-Qun Zhang
J. Clin. Med. 2023, 12(4), 1475; https://doi.org/10.3390/jcm12041475 - 12 Feb 2023
Cited by 2 | Viewed by 1942
Abstract
Children with cerebral palsy (CP) have sensorimotor impairments including weakness, spasticity, reduced motor control and sensory deficits. Proprioceptive dysfunction compounds the decreased motor control and mobility. The aims of this paper were to (1) examine proprioceptive deficit of lower extremities of children with [...] Read more.
Children with cerebral palsy (CP) have sensorimotor impairments including weakness, spasticity, reduced motor control and sensory deficits. Proprioceptive dysfunction compounds the decreased motor control and mobility. The aims of this paper were to (1) examine proprioceptive deficit of lower extremities of children with CP; (2) study improvement in proprioception and clinical impairments through robotic ankle training (RAT). Eight children with CP participated in a 6-week RAT with pre and post ankle proprioception, clinical, biomechanical assessment compared to the assessment of eight typically developing children (TDC). The children with CP participated in passive stretching (20 min/session) and active movement training (20 to 30 min/session) using an ankle rehabilitation robot (3 sessions/week over 6 weeks, total of 18 sessions). Proprioceptive acuity measured as the plantar and dorsi-flexion motion at which the children recognized the movement was 3.60 ± 2.28° in dorsiflexion and −3.72 ± 2.38° in plantar flexion for the CP group, inferior to that of the TDC group’s 0.94 ± 0.43° in dorsiflexion (p = 0.027) and −0.86 ± 0.48° in plantar flexion (p = 0.012). After training, ankle motor and sensory functions were improved in children with CP, with the dorsiflexion strength increased from 3.61 ± 3.75 Nm to 7.48 ± 2.75 Nm (p = 0.018) and plantar flexion strength increased from −11.89 ± 7.04 Nm to −17.61 ± 6.81 Nm after training (p = 0.043). The dorsiflexion AROM increased from 5.58 ± 13.18° to 15.97 ± 11.21° (p = 0.028). The proprioceptive acuity showed a trend of decline to 3.08 ± 2.07° in dorsiflexion and to −2.59 ± 1.94° in plantar flexion (p > 0.05). The RAT is a promising intervention for children with CP to improve sensorimotor functions of the lower extremities. It provided an interactive and motivating training to engage children with CP in rehabilitation to improve clinical and sensorimotor performance. Full article
(This article belongs to the Special Issue Novel Rehabilitation Approaches for Cerebral Palsy)
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13 pages, 265 KiB  
Article
“A Different Ride”: A Qualitative Interview Study of Parents’ Experience with Early Diagnosis and Goals, Activity, Motor Enrichment (GAME) Intervention for Infants with Cerebral Palsy
by Catherine Morgan, Nadia Badawi and Iona Novak
J. Clin. Med. 2023, 12(2), 583; https://doi.org/10.3390/jcm12020583 - 11 Jan 2023
Cited by 8 | Viewed by 3018
Abstract
Cerebral palsy is the most common physical disability of childhood, and early diagnosis followed by best practice early intervention is important for optimizing child and family outcomes. We investigated parents’ views of an early diagnosis of cerebral palsy (CP), followed by Goals, Activity, [...] Read more.
Cerebral palsy is the most common physical disability of childhood, and early diagnosis followed by best practice early intervention is important for optimizing child and family outcomes. We investigated parents’ views of an early diagnosis of cerebral palsy (CP), followed by Goals, Activity, Motor Enrichment (GAME) intervention. Semi-structured interviews were conducted within a pilot randomised clinical trial. Transcriptions were analyzed using grounded theory. Participants were nine mothers whose infants had received GAME intervention because they were identified as being at high risk for cerebral palsy early in infancy. The parenting experience was described as a “different ride”. The diagnosis was devastating with many time-consuming challenges, but acceptance ensued. Parents wanted an early diagnosis, prognosis, and early intervention, despite the anxiety and workload, because it meant they could help. Parents perceived that GAME was beneficial because they were taught how to help; it was goal-based and home-based. They believed the collaboration and communication skills of the therapist shaped success. Future research should focus on a broader range of participants to understand parent’s experiences with key aspects of early intervention more fully. Full article
(This article belongs to the Special Issue Novel Rehabilitation Approaches for Cerebral Palsy)
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