A5056987359- Cerebral Palsy and Movement Disorders
- Infant Development and Preterm Care
- Family and Disability Support Research
- Children's Physical and Motor Development
- Stroke Rehabilitation and Recovery
- Neonatal and fetal brain pathology
- Inclusion and Disability in Education and Sport
- Occupational Therapy Practice and Research
- Prenatal Substance Exposure Effects
- Sports injuries and prevention
- Muscle activation and electromyography studies
- Balance, Gait, and Falls Prevention
- Botulinum Toxin and Related Neurological Disorders
- Foot and Ankle Surgery
- Lung Cancer Treatments and Mutations
- Neurogenetic and Muscular Disorders Research
- Cancer Treatment and Pharmacology
- Spinal Cord Injury Research
- Effects of Vibration on Health
- Colorectal Cancer Treatments and Studies
- Educational and Psychological Assessments
- Hip disorders and treatments
- Cognitive and developmental aspects of mathematical skills
- Patient-Provider Communication in Healthcare
- Neuroscience of respiration and sleep
University of Washington
2015-2024
Indiana University – Purdue University Indianapolis
2024
Sierra Lobo (United States)
2022
Seattle University
2009-2020
Mercer University
2010-2018
University of Oklahoma Health Sciences Center
2015-2018
Canadian Institutes of Health Research
2010-2018
Mercer University Health Sciences Center
2015-2018
Seattle Children's Hospital
2018
McMaster University
2010-2018
Aim To determine the stability of Gross Motor Function Classification System ( GMFCS ), Manual Ability MACS and Communication CFCS ) over 1‐year 2‐year intervals using a process for consensus classification between parents therapists. Method Participants were 664 children with cerebral palsy CP 18 months to 12 years age, one their parents, 90 Consensus therapists on level function was ≥92% , . A linearly weighted kappa coefficient ≥0.75 criterion stability. Results Kappa coefficients varied...
Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework IV STEP conference to summarize literature on VR SG children adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity Participation; Plasticity. Overall in area offers support SGs improve body functions some extent activity...
The aims of this study were to describe physical therapy (PT) and occupational (OT) services for a cohort 399 children with cerebral palsy (CP), 2–6 years old, residing in the United States Canada. Parents completed questionnaire by telephone interview. Therapists classified children's Gross Motor Function Classification System (GMFCS) level. Mean minutes per month PT OT greater receiving both an educational clinic setting. levels IV–V than level I reported that interventions focused...
Our objective was to evaluate the efficacy of Sitting Together and Reaching Play (START-Play) intervention in young infants with neuromotor disorders.This randomized controlled trial compared usual care early (UC-EI) START-Play plus UC-EI. Analyses included 112 motor delay (55 UC-EI, 57 START-Play) recruited at 7 16 months age across 5 sites. twice-weekly home visits infant caregiver for 12 weeks provided by physical therapists trained intervention; UC-EI not disrupted. Outcome measures were...
Aim To explore the relationship between rehabilitation therapies and development in children with cerebral palsy (CP). Method We conducted a prospective, longitudinal study involving 656 CP (mean age [SD] 6y [2y 8mo] at entry; 1y 6mo–11y 11mo; 287 females, 369 males), their parents. Children were assessed two to five times over 2 years by therapists using standardized measures of balance walking endurance. Parents completed questionnaires on demographics, therapies, children’s performance...
Aim The aim of this study was to test a model determinants gross motor function young children with cerebral palsy ( CP ). Method Four hundred and twenty‐nine (242 males, 187 females; mean age 3y 2mo, SD 11mo) representing all levels the G ross M otor F unction C lassification S ystem GMFCS ) participated. Children in I II III V were classified as Groups 1 2 respectively. Distribution quadriplegia, 44%; hemiplegia, 24%; diplegia, 23%; triplegia, 6%; monoplegia, 2% (data not available for...
A multivariate model of determinants change in gross-motor ability and engagement self-care play provides physical occupational therapists a framework for decisions on interventions supports young children with cerebral palsy their families. Aspects the child, family ecology, rehabilitation community services may influence children's activity participation. child include primary secondary impairments, associated comorbid health conditions, adaptive behaviors. Literature support is reviewed....
The objectives of this study were to determine the: (1) internal consistency and test-retest reliability the Child Engagement in Daily Life measure; (2) construct validity measure (known groups methods), that is, ability discriminate participation family recreational activities self-care among young children varying age motor between with without cerebral palsy, (3) stability hierarchical ordering items for CP devise an interval-level scoring system.429 their parents 110 participated...
In Brief Purpose: We sought to examine whether children with cerebral palsy (CP) demonstrate anticipatory postural adjustments (APAs) similar those observed in typical development (TD). Methods: A sample of convenience 14 children, seven CP and TD, participated this study. The center pressure (COP) was calculated from ground reaction force data collected the AMTI (OR-6) platform as child reached forward while standing. Results: Posterior COP shift frequently both groups before arm movement....
In Brief Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided HTML PDF versions of article on journal's Web site (www.pedpt.com).The authors report an intervention ITW developed from a motor control perspective. The outcomes 5 cases revealed increases ankle range motion. Improvement spontaneous heel-toe gait frequency was not achieved.
This perspective article provides an example of a study planned using guidelines for comprehensive rehabilitation outcomes research, approach that is believed to give service providers meaningful evidence support practice. line investigation has been guided by the World Health Organization's International Classification Functioning, Disability and Health. The short title under way Move & PLAY (Movement Participation in Life Activities Young Children). briefly describes conceptual model, on...
The attainment of walking is a focus physical therapy intervention in children with cerebral palsy (CP) and may affect their independence mobility participation daily activities. However, knowledge determinants independent to guide therapists' decision making lacking.The aim this study was identify child factors (postural control, reciprocal lower limb movement, functional strength, motivation) family (family support family) that predict 1 year later young CP at Gross Motor Function...
To test a model of child, family and service determinants participation in recreational activities for young children with cerebral palsy (CP).Participants were convenience sample 429 (242 males) CP, aged 18 to 60 months, representing all levels the Gross Motor Function Classification System (GMFCS). Children divided into two groups by GMFCS levels, I II III V. Data on impairments gross motor function collected therapists; parents provided information about children's health conditions...
In Brief Purpose: We describe primary and secondary impairments in young children with cerebral palsy (CP); report differences on the basis of Gross Motor Function Classification System (GMFCS), age, sex; examine extent that individual account for construct impairments. Methods: Participants included 429 CP (242 [56%] male; 1½ to 5 years) representing all GMFCS levels. Reliable assessors collected impairment data using clinical measures. Analyses descriptive statistics, comparisons among...
Abstract The development of sitting changes how much infants are able to explore objects. Infants who can sit with their arms free likely environment more effectively than prop sitters, as hands explore. We sought quantify sitters differed in the amount visual and manual exploration objects from arms‐free sitters. younger 7 months ( n = 31) were recruited at emergence, either or without ability change positions. grouped into stages baseline: 17) wobbly/arms‐free 14). Across three visits...
Objectives: Validity of the Early Clinical Assessment Balance (ECAB), to monitor postural stability in children with cerebral palsy (CP), was evaluated.
In Brief Purpose: We investigated the feasibility and construct validity of Dynamic Gait Index (DGI) in children explored interrater test-retest reliability. Methods: DGI performance 10 with fetal alcohol spectrum disorder (FASD), aged 8 to 15 years, was compared that age- sex-matched typical development (TD). Interrater reliability evaluated for 16 (10 TD, 6 FASD); 11 returned a retest (5 FASD). Results: The is simple raters learn easy administer children. A Mann-Whitney U test identified...