Protocol for N-of-1 trials proof of concept for rehabilitation of childhood-onset dystonia: Study 1 / Hortensia Gimeno [i 4 més]
Creator: Gimeno, Hortensia [autor].
Material type: ArticleContent type: text Media type: informàtic Carrier type: recurs en líniaSubject(s): Teràpia Ocupacional | Paràlisi cerebral | Desenvolupament motor | Distonia | Acompliment ocupacional | ProtocolsOnline resources: Accés restringit a usuaris de l'EUIT
Contents:
In:
CANADIAN JOURNAL OF OCCUPATIONAL THERAPY 2018 JUN;85(3):255–260.Summary: Background.
Currently, no evidence-based rehabilitation interventions are available for hyperkinetic movement disorders (HMD), including dyskinetic cerebral palsy (CP). Among these highly heterogeneous disorders, dystonia is the predominant disorder. The Cognitive Orientation to daily Occupational Performance (CO-OP) Approach—a task-oriented, performance-based intervention to enable participation—is currently being evaluated for its potential as an intervention option.
Purpose.
This paper reports the protocol for the second of two studies designed to evaluate the potential of CO-OP to improve functional outcomes for individuals with HMD following deep brain stimulation (DBS). This second study is a systematic replication across multiple treating therapists from multiple centres.
Method.
Systematic replications will be used across centres and treating therapists trained in the CO-OP, using a series of randomized multiple-baseline N-of-1 trials. Participants will be ages 6 to 21 years with HMD and DBS as indicated by the Manual Ability Classification System. Data collection will involve multiple data points collected at baseline, during intervention, and after intervention. The intervention will involve occupation-based goal setting followed by 10 individualized CO-OP sessions. The primary outcome measures are the Performance Quality Rating Scale and the Canadian Occupational Performance Measure. Outcome data will be plotted over time for each participant and supplemented with graph statistical analysis and estimate size effect for N-of-1 trials.
Implications.
The results of this study will help to inform future training procedures and future clinical trials.
Helene J. Polatajko, Victoria Cornelius, Jean-Pierre Lin, Richard G. Brown
Item type | Current library | Collection | Call number | URL | Status | Date due | Barcode | |
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Journal | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Exclòs de préstec | 0001017291412 | |||
Journal article | Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa Internet | En línia | Text complet | Not for loan | 0000101726878 |
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