Motor Learning Versus Neurodevelopmental Treatment

November 4th, 2010

A recent article in Clinical Rehabilitation compared two groups of children with cerebral palsy. Seventy eight children (ages 66-146 months) with spastic cerebral palsy (gross motor functional levels II and III) were divided into two groups. One group received motor learning coaching for 3x/week, one hour sessions, over three months. The other group received the same 3x/week, 1 hour sessions for three months of neurodevelopmetnal treatment (NDT). After the three months and at 6 months, the Gross Motor Function Measure (GMFM-66) was performed along with parent questionnaire and stair climbing was assessed.

The results showed the following:

  • both groups showed increased scores in GMFM-66 at 3 months
  • at 6 months retention was significantly better in the motor learning group level II children
  • stair climbing also showed improved retention after 6 months in the motor learning group (increased by 1.1% compared to a decreased of 0.3% in the NDT group)
  • mobility improved by 13% for the motor learning coaching group and decreased by 12% with the NDT group

The researchers concluded that motor learning coaching resulted in significantly better results in gross motor function and mobility for higher level functioning children with cerebral palsy.

Reference: Simona Bar-Haim et. al. Effectiveness of motor learning coaching in children with cerebral palsy: a randomized controlled trial Clin Rehabil November 2010 vol. 24 no. 11 1009-1020

Media Use and Psychological Difficulties

November 3rd, 2010

Here is yet another reason to get children to turn off the tv, computer and video games and get moving. Pediatrics published a large research study following 1013 children (average age 10.95 years old). Daily television hours and computer use were logged. Sedentary time and moderate/ vigorous physical activity were tracked with accelerometers. The results indicated that increases in television and computer time were associated with higher psychological difficulties. Children who experienced more than 2 hours a day of screen time were at increased risk of high level of psychological difficulties. The risks increased even more if the children did not reach the physical activity guidelines for the day.

Reference: Page, Angie S., Cooper, Ashley R., Griew, Pippa, Jago, Russell
Children’s Screen Viewing is Related to Psychological Difficulties Irrespective of Physical Activity Pediatrics 2010 126: e1011-e1017

November Magazine

November 2nd, 2010

DCD and PreTerm Low Birth Weight Babies

October 28th, 2010

Developmental Medicine and Child Neurology published research comparing 132 eight year old children born at 27 weeks or less or less than 1000 grams with 154 term born children. Sixteen percent of the extremely preterm or extreme low birth weight babies had moderate developmental coordination disorder (DCD). Only five percent of the full term babies had DCD. The children with DCD had poorer academic outcomes for reading, spelling and arithmetic. Results from the Child Health Questionnaire Parent Report Form indicated that parents perceptions were not predictive of DCD. The authors recommend motor screens in this at risk population.

Reference: GEHAN et al. Developmental coordination disorder in geographic cohorts of 8-year-old children born extremely preterm or extremely low birthweight in the 1990s. Developmental Medicine & Child Neurology Article first published online: 11 OCT 2010 DOI: 10.1111/j.1469-8749.2010.03779.x

10 Simple Activities to Encourage Physical Activity in the Classroom

October 27th, 2010

1. Secret Password: Every day establish a secret password activity such as 5 jumping jacks, stand on one foot for 5 seconds, hop three times, etc. Then establish when the student needs to use the secret password – i.e. after a drink of water, before receiving a hand out, when entering the classroom, in between subjects, etc.

2. Walking Worksheets: Tape worksheets on wall, easel and chalkboard. Students move from worksheet to worksheet and answer the different questions.

3. Opposite Hunt: Divide the class in half. Half of the class write a word on an index card. The other half writes the definition. Shuffle the cards and hand one card to each student. The students must move around the classroom and match the word with the definition. For younger students match up sight words, letter or numbers. Try math problems and solutions.

4. Pencil Jumps: For a quick movement break in between lessons have each student place a pencil on the floor. Jump over the pencil a designated number of times.

5. Race in Place: When reviewing material, have the students stand up and run in place by their desks. On the teacher’s signal, student stops running in place, listens to question and writes down the answer on paper.

6. Daily Rule: Establish a new daily rule every day that includes physical activity. I.e. walk backwards to water fountain, tip toe to the bathroom, stretch before sitting in chair. See if you can catch the students forgetting the daily rule.

7. Shredder: Cut up worksheets in quarters. Students can help scatter the worksheets around the floor face down. On the teacher’s signal, the students can crawl around the floor, find the four quarters of the worksheet, complete the worksheet and give it to teacher.

8. Push Up Line Up: When the students line up against the wall to leave the classroom, have each student face the wall and perform 10 wall push ups. After all push ups completed
the class can walk in the line.

9.Mobile Math: Divide the class in half to review math problems. The students can stand at their desks (paper and pencil on desk). Call out a math problem such as 4+5=. One
half of the class jumps 4 times and the other half jumps five times. Each student writes down answer on paper. Continue with other math problems. Vary movements.

10. Q and A Stretching: Provide students with paper at desk. Students can stand or sit. Ask a question and student writes down the answer (very large) on one sheet of paper. Each
student holds paper up, with two hands overhead to stretch. Teacher checks answers. Multiple choice questions work best.

If you would like a hand out of this page go to YourTherapySource.com.

Hand Out for SPD

October 26th, 2010

Advance for PT has just published a patient hand out on sensory processing disorder. It is a brief one page hand out with information on signs and symptoms of the disorder. You can view it at Advance for PT .

Fall Activity: Kick Box Painting

October 25th, 2010

Try this fun activity for children of all abilities – kick box painting. Adapt the activity as necessary by placing the box where the child can complete any active movement to knock it over.

Complex Child Magazine

October 21st, 2010

Complex Child Magazine is a monthly electronic magazine written by parents of special needs children. There are a wide variety of unique topics covered throughout the different issues. Many of the stories are first hand accounts and experiences from parents which provide an excellent perspective from the parent’s point of view. If you work with children with complex medical problems this is definitely worth a read. Check it out at Complex Child Magazine.

Special thanks to www.Therextras.com for telling us about this magazine.

Planning a Therapy Session

October 20th, 2010

Therapists can follow in the footsteps of teachers and create lesson plans for therapy sessions. This can be especially useful for group sessions or push in therapy. When the lesson plan is written, provide a copy to the teacher or parent to inform them of your goals for the session. It is a great way to establish better communication between the special education team. Here is some information to include when creating a plan for a therapy session:

1. Goal: Establish the primary goal of the session.

2. Materials Needed: List the equipment necessary for the session.

3. IEP Goals Being Met: List the student’s IEP goals that are being addressed.

4. Instruction:

a. Explain to the children what the goal is of the session

b. Write down all the steps you will take to reach the goal

5. Evaluate: How will you evaluate whether the goal was reached?

a. Formal

b. Informal

c. Rubric

d. Test

6. Closure: Wrap up the session reviewing and/or summarizing the skills that were taught.

7. Modifications: List any modifications that can adapt the lesson plan for each child if necessary.

Not only will you be prepared for the therapy session, you will be prepared for documentation and planning for the next session.

Print out the form below to get started.

Peds OT and PT Help in Mexico

October 19th, 2010