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Computerised Tracking Training for Coordination in Children with Hemiplegic Cerebral Palsy: A Case Series

Published online by Cambridge University Press:  08 January 2018

Hsiu-Ching Chiu ,
Louise Ada ,
Chin-Min Chen  and
Hsin-Min Lee
Hsiu-Ching Chiu*
Affiliation:
Department of Physical Therapy, I-Shou University, Taiwan
Louise Ada
Affiliation:
Discipline of Physiotherapy, The University of Sydney, Australia
Chin-Min Chen
Affiliation:
Department of Physical Therapy, I-Shou University, Taiwan
Hsin-Min Lee
Affiliation:
Department of Physical Therapy, I-Shou University, Taiwan
*
Address for correspondence: Hsiu-Ching Chiu, Department of Physical Therapy, I-Shou University, No. 8, Yida Road, Jiaosu Village, Yanchao District Kaohsiung City 82445, Taiwan. E-mail: [email protected]
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Abstract

Objective: To examine whether elbow coordination training can improve elbow coordination in cerebral palsy and whether any benefit carries over to upper limb activity.

Methods: A case series A–B–C multiple baseline study was carried out. Two weeks of no intervention (A) was followed by 2 weeks of computerised tracking (B), which was followed by 2 weeks of no intervention (C). Six children (age range 7–12 years) with hemiplegic cerebral palsy (Level I–III of the Manual Ability Classification System) participated. Coordination training consisted of 10 × 1-min trials of computerised tracking each session for 10 sessions over a 2-week period. Coordination was measured as tracking performance using a different target from the training target. Upper limb activity was measured using the 9-Hole Peg Test. Data were analysed using the 2-SD band method.

Results: None of the participants appeared to improve tracking performance or 9-Hole Peg Test (9HPT) scores (p > 0.05) after the 2 weeks of intervention. On withdrawal of the intervention, visual analysis showed that tracking performance and 9HPT scores remained at the same level as the intervention phase.

Conclusions: Ten minutes of computerised elbow tracking daily for 10 sessions did not improve coordination in six children with cerebral palsy.

Keywords

cerebral palsycoordinationchildrenhemiplegiaupper limb
Type
Articles
Information
Brain Impairment , Volume 19 , Special Issue 2: Mild Traumatic Brain Injury , September 2018 , pp. 193 - 200
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2018 

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