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Studies have shown that high doses of intensive care are suitable for children with cerebral palsy, Health News, ET HealthWorld

Washington: Scientists report that children with cerebral palsy benefited most from 60 hours of restraint-induced exercise therapy (CIMT) over a four-week period.

The results of this study were published in the journal Pediatrics.

Studies also showed that intensive care did not stress the family. Findings can have widespread implications for the treatment of motor disorders in children.

A study by researchers at Virginia Tech’s VTC, Flalin Biomedical Institute, UVA Children’s Hospital, Ohio State University, and the National Children’s Hospital found that high doses of CIMT therapy (20 3-hour sessions in 4 weeks) Significant and permanent improvement in arm and hand use, especially in daily functional activities.

The Hemiplegic Arm and Hand Movement Children Project (CHAMP) study was the first to compare different dose levels of the same type of CIMT intervention in similar children.

This study was funded by the Eunice Kennedy Schreiber National Institutes of Health and Human Development at the National Institutes of Health.

“CHAMP provides clinicians and families with new discoveries that can actually help clinicians and their families in choosing treatments that may have meaningful benefits for children with hemiplegic cerebral palsy,” said the Fralin Biomedical Research Institute. Says Sharon Landesman Ramey, a prominent researcher and professor of psychology and psychology. Neuroscience at Virginia Tech, leading the study and the corresponding author of the treatise.

This study focused on children with hemiplegic cerebral palsy (HCP), the most common pediatric neuromotor disorder. Cerebral palsy affects 1 to 4 children per 1,000 people in the United States, and according to the Centers for Disease Control and Prevention, about 40% of these children develop hemiplegia.

The research group enrolled 118 HCP children aged 2-8 years in three locations: Roanoke and Charlottesville, Virginia, and Columbus, Ohio. CHAMP randomized the children and assigned them to different CIMT treatment groups with different dose levels (30 hours vs. 60 hours in 4 weeks) and the type of constraint used (cast vs. sprint). These treatment groups were compared to conventional and conventional treatment groups. It was later provided in the form of CIMT as an ethical option for study participation.

A form of CIMT therapy known as ACQUIREc was developed by co-principal investigators Stephanie DeLuca and Ramey. These researchers are also co-directing the Fralin Biomedical Research Institute at VTC Neuromotor Research Clinic, Karen Echols of the University of Alabama, and other colleagues. In Birmingham.

In the CHAMP study, stronger treatment sessions (3 hours a day, 5 days a week, 4 weeks) significantly improved upper arm and hand abilities, and a low dose of 30 hours a month (2.5 hours session, 3). It turned out to be (days). One week of four weeks) generated less profit. Early improvement in children lasted for at least 6 months after high-intensity CIMT.

Treatments can change the lives of children. Kim Hindery, whose daughter Abigail, 6, participated in a study in Ohio, witnessed a dramatic difference between and after treatment.

“I could literally see her brain changing. When she looked up at her hand, I would never forget,’Oh!’-“It exists! ” I was just fascinated. Being able to see the light bulb go out in the child’s head is a precious thing you never expected to see, “Hindery said.

These benefits are well known to DeLuca, who has overseen the delivery of ACQUIRE therapy to more than 500 children.

DeLuca, an associate professor of pediatrics and neuroscience at Virginia Tech, said:

“Children see and feel their improvements and become active partners in treatment. ACQUIRE therapy motivates children to engage in new and difficult activities,” DeLuca added.

This study shows that parents who are worried about the intensity of treatment and the use of casts need little to worry. The study also unexpectedly showed that conventional and conventional treatments benefited children more than before. Landesman Ramie said the child should reassure parents receiving other forms of treatment.

“Even higher CIMT intensity and full-time casts are stress-free for parents, and children quickly learned to adapt to constraints,” said Amy Dollarg, professor and director of occupational therapy at the Faculty of Health. Says. Ohio Rehabilitation Science.

Richard Stevenson, a pediatric professor at UVA Children’s and director of neurodevelopmental behavior pediatrics, welcomed the findings that could potentially revolutionize the clinical treatment of these infants.

“There were some unexpected findings in this study, for example, the type of constraint used on the strong side may be important for some individual children, but overall, 21 days 24 hours a year. There was no significant difference between the person with his arms crossed 24/7. He wore a splint of his arms only during the treatment session. “

Warren Law, a clinical professor of neurology and pediatrics at Ohio State University School of Medicine and the National Children’s Hospital, agreed.

“The rate and magnitude of change in these children with hemiplegic cerebral palsy exceeds what most pediatric neurologists thought was possible,” Rho said.

“These findings may change our clinical understanding of the high potential these children have for future growth,” Law concludes.



Studies have shown that high doses of intensive care are suitable for children with cerebral palsy, Health News, ET HealthWorld

Source link Studies have shown that high doses of intensive care are suitable for children with cerebral palsy, Health News, ET HealthWorld

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