Interactive Computer Play as “Motor Therapy” for Individuals With Cerebral Palsy.

The aim of the study was to evaluate the quality of evidence for interactive computer play (ICP) to improve motor performance (including motor control, strength, or cardiovascular [CVS] fitness) in individuals with cerebral palsy. A computer-assisted literature search was completed, focusing on ICP...

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Publicado en:Seminars in Pediatric Neurology Vol. 20; no. 2; pp. 127 - 139
Autores principales: Fehlings, Darcy, Switzer, Lauren, Findlay, Briar, Knights, Shannon
Formato: research Journal Article
Publicado: W B Saunders Jun2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2013
      vid: 20
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        10.1016/j.spen.2013.06.003
        89693905
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        atl: Interactive Computer Play as “Motor Therapy” for Individuals With Cerebral Palsy.
      aug:
        au:
          Fehlings, Darcy
          Switzer, Lauren
          Findlay, Briar
          Knights, Shannon
        affil: Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada
      sug:
        subj:
          Cerebral Palsy Therapy
          Quality of Health Care Evaluation
          Medical Practice, Evidence-Based Evaluation
          Neurology
          Pediatrics
          Human
          Motor Activity
          Computer-Aided Design
          Medical Organizations
          Serial Publications
          Physical Fitness Evaluation
          Lower Extremity Exercises
      ab: The aim of the study was to evaluate the quality of evidence for interactive computer play (ICP) to improve motor performance (including motor control, strength, or cardiovascular [CVS] fitness) in individuals with cerebral palsy. A computer-assisted literature search was completed, focusing on ICP as a therapeutic modality to improve motor outcomes in individuals of all ages with cerebral palsy with a specific focus on upper and lower extremity motor outcomes and promotion of CVS fitness. Articles were classified according to American Academy of Neurology guidelines and recommendation classifications were given based on the levels of evidence. Seventeen articles underwent full-text review including 6 on upper extremity motor function, 5 on lower extremity motor function, 1 on CVS fitness, and 5 on studies with a combination of upper or lower extremity or CVS fitness focus or both. Overall, there was level B (probable) evidence for ICP interventions to improve lower extremity motor control or function. However, there was inadequate evidence (level U) for ICP interventions improving upper limb motor control or function or CVS fitness. Although promising trends are apparent, the strongest level of evidence exists for the use of ICP to improve gross motor outcomes. Additional evidence is warranted especially when evaluating the effect of ICP on upper limb motor outcomes and CVS fitness.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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