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Dechemi A, Karydis K. E-BabyNet: Enhanced Action Recognition of Infant Reaching in Unconstrained Environments. IEEE Trans Neural Syst Rehabil Eng 2024; 32:1679-1686. [PMID: 38648156 DOI: 10.1109/tnsre.2024.3392161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
Machine vision and artificial intelligence hold promise across healthcare applications. In this paper, we focus on the emerging research direction of infant action recognition, and we specifically consider the task of reaching which is an important developmental milestone. We develop E-babyNet, a lightweight yet effective neural-network-based framework for infant action recognition that leverages the spatial and temporal correlation of bounding boxes of infants' hands and objects to reach for to determine the onset and offset of the reaching action. E-babyNet consists of two main layers based on two LSTM and a Bidirectional LSTM (BiLSTM) model, respectively. The first layer provides a pre-evaluation of the reaching action for each hand by providing onset and offset keyframes. Then, the biLSTM model merges the previous outputs to deliver an outcome of the reaching actions detection for each frame including the reaching hand. We evaluated our approach against four other lightweight structures using a dataset comprising 5,865 annotated images resulting in 16,337 bounding boxes from 375 distinctive infant reaching actions performed while sitting by different subjects in unconstrained (home/clinic) environments. Results illustrate the effectiveness of our approach and ability to provide reliable reaching action detection and offer onset and offset keyframes with a precision of one frame. Moreover, the biLSTM layer can handle the transition between reaching actions and help reduce false detections.
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Altunalan T, Sarı Z, Doğan TD, Hacıfazlıoğlu NE, Akman İ, Altıntaş T, Uzer S, Akçakaya NH. Early developmental support for preterm infants based on exploratory behaviors: A parallel randomized controlled study. Brain Behav 2023; 13:e3266. [PMID: 37798860 PMCID: PMC10636377 DOI: 10.1002/brb3.3266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 10/07/2023] Open
Abstract
INTRODUCTION Preterm infants are at high risk for developmental disabilities, and their parents are at increased risk for high stress. Early intervention programs are applied to reduce these adverse outcomes. The primary aim is to compare the efficacy of the novel Explorer Baby early intervention program for the holistic development of preterm infants. The second objective was to compare the stress levels of their mothers. METHODS Randomized clinical trial with 38 weeks-6 months corrected age preterm infants at low risk for cerebral palsy, randomly assigned to experimental (Explorer Baby) or active control neurodevelopmental therapy (NDT) groups. Fifty-seven infants were enrolled in the study, and 51 (26 Explorer Baby, 25 NDT) completed it. Bayley III was used as a primary outcome before, during, and after the intervention. RESULTS When we compared the changes between the groups before and after therapy, no significant differences were found in any of the primary or secondary outcomes (between-group comparisons). When comparing the changes in both groups before and after therapy (in-group comparison), the Explorer Baby group demonstrated significant improvements in cognitive (Hedges' g = .83) and explorative language skills (Hedges' g = .65), whereas the NDT group showed improved parent-child dysfunctional interaction (Hedges' g = 2.66) between T0-T1 and T0-T2. CONCLUSIONS The Explorer Baby early intervention program may be a preferred option to support premature infants without brain injury, as it shows greater skill acquisition than NDT, although not statistically significant. Both methods are safe as they support premature babies without negatively affecting mothers' overall stress levels.
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Affiliation(s)
- Turgay Altunalan
- Department of Physiotherapy and Rehabilitation, Faculty of Health ScienceKaradeniz Technical UniversityTrabzonTurkey
- Department of Physiotherapy and Rehabilitation, Faculty of Health ScienceMarmara UniversityIstanbulTurkey
- Family Consultation CenterSpastic Children's Foundation of Turkey ‐ Cerebral Palsy TurkeyIstanbulTurkey
| | - Zübeyir Sarı
- Department of Physiotherapy and Rehabilitation, Faculty of Health ScienceMarmara UniversityIstanbulTurkey
| | - Tuba Derya Doğan
- Family Consultation CenterSpastic Children's Foundation of Turkey ‐ Cerebral Palsy TurkeyIstanbulTurkey
- Department of Physiotherapy and Rehabilitation, Faculty of Health ScienceIstinye UniversityIstanbulTurkey
| | - Nilüfer Eldeş Hacıfazlıoğlu
- Clinic of Pediatric Neurology, Zeynep Kamil Gynecologic and Pediatric Training and Research HospitalUniversity of Health SciencesIstanbulTurkey
| | - İpek Akman
- Department of Pediatrics, Faculty of MedicineDemiroglu Bilim UniversityIstanbulTurkey
| | - Tuğba Altıntaş
- Department of Health SciencesUskudar UniversityIstanbulTurkey
| | - Sevil Uzer
- Clinic for Child Neurology and Social PediatricsChild Centre MaulbronnMaulbronnGermany
| | - Nihan Hande Akçakaya
- Family Consultation CenterSpastic Children's Foundation of Turkey ‐ Cerebral Palsy TurkeyIstanbulTurkey
- Department of Neurology, Faculty of MedicineDemiroglu Bilim UniversityİstanbulTurkey
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Babik I, B Cunha A, Choi D, Koziol NA, T Harbourne R, C Dusing S, W McCoy S, A Bovaird J, L Willett S, Lobo MA. The Effect of START-Play Intervention on Reaching-Related Exploratory Behaviors in Children with Neuromotor Delays: A Secondary Analysis of a Randomized Controlled Trial. Phys Occup Ther Pediatr 2022; 43:321-337. [PMID: 36221306 DOI: 10.1080/01942638.2022.2131501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
AIMS Children with neuromotor delays are at risk for reaching and object exploration impairments, which may negatively affect their cognitive development and daily activity performance. This study evaluated the effectiveness of the Sitting Together And Reaching To Play (START-Play) intervention on reaching-related exploratory behaviors in children with neuromotor delays. METHODS In this randomized controlled clinical trial, 112 children (Mean = 10.80, SD = 2.59 months old at baseline) with motor delays were randomly assigned to receive START-Play intervention or usual care-early intervention. Performance for ten reaching-related exploratory behaviors was assessed at baseline and 1.5, 3, 6, 12 months post-baseline. Piecewise linear mixed-effects modeling was used to evaluate short- and long-term effects of the intervention. RESULTS Benefits of START-Play were observed for children with significant motor delays, but not for those with mild delays. START-Play was especially beneficial for children with significant motor delays who demonstrated early mastery in the reaching assessment (i.e., object contact ≥65% of the time within 3 months after baseline); these children showed greater improvements in manual, visual, and multimodal exploration, as well as intensity of exploration across time. CONCLUSIONS START-Play advanced the performance of reaching-related exploratory behaviors in children with significant motor delays.
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Affiliation(s)
- Iryna Babik
- Department of Psychological Science, Boise State University, Boise, ID, USA
| | - Andrea B Cunha
- Munroe Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA
| | - Dongho Choi
- Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Natalie A Koziol
- Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Regina T Harbourne
- Department of Physical Therapy, Duquesne University, Pittsburgh, PA, USA
| | - Stacey C Dusing
- Department of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, USA
| | - Sarah W McCoy
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - James A Bovaird
- Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Sandra L Willett
- Munroe Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA
| | - Michele A Lobo
- Department of Physical Therapy, Biomechanics and Movement Science Program, University of Delaware, Newark, DE, USA
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Babik I, Cunha AB, Lobo MA. A model for using developmental science to create effective early intervention programs and technologies to improve children's developmental outcomes. ADVANCES IN CHILD DEVELOPMENT AND BEHAVIOR 2022; 62:231-268. [PMID: 35249683 DOI: 10.1016/bs.acdb.2021.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Children born with a variety of environmental or medical risk factors may exhibit delays in global development. Very often, such delays are identified at preschool or school age, when children are severely overdue for effective early interventions that can alleviate the delays. This chapter proposes a conceptual model of child development to inform the creation of interventions and rehabilitative technologies that can be provided very early in development, throughout the first year of life, to optimize children's future developmental outcomes. The model suggests that early sensorimotor skills are antecedent and foundational for future motor, cognitive, language, and social development. As an example, this chapter describes how children's early postural control and exploratory movements facilitate the development of future object exploration behaviors that provide enhanced opportunities for learning and advance children's motor, cognitive, language, and social development. An understanding of the developmental pathways in the model can enable the design of effective intervention programs and rehabilitative technologies that target sensorimotor skills in the first year of life with the goal of minimizing or ameliorating the delays that are typically identified at preschool or school age. Specific examples of early interventions and rehabilitative technologies that have effectively advanced children's motor and cognitive development by targeting early sensorimotor skills and behaviors are provided.
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Affiliation(s)
- Iryna Babik
- Department of Psychological Science, Boise State University, Boise, ID, United States
| | - Andrea B Cunha
- Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE, United States
| | - Michele A Lobo
- Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE, United States.
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5
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From Hemispheric Asymmetry through Sensorimotor Experiences to Cognitive Outcomes in Children with Cerebral Palsy. Symmetry (Basel) 2022. [DOI: 10.3390/sym14020345] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Recent neuroimaging studies allowed us to explore abnormal brain structures and interhemispheric connectivity in children with cerebral palsy (CP). Behavioral researchers have long reported that children with CP exhibit suboptimal performance in different cognitive domains (e.g., receptive and expressive language skills, reading, mental imagery, spatial processing, subitizing, math, and executive functions). However, there has been very limited cross-domain research involving these two areas of scientific inquiry. To stimulate such research, this perspective paper proposes some possible neurological mechanisms involved in the cognitive delays and impairments in children with CP. Additionally, the paper examines the ways motor and sensorimotor experience during the development of these neural substrates could enable more optimal development for children with CP. Understanding these developmental mechanisms could guide more effective interventions to promote the development of both sensorimotor and cognitive skills in children with CP.
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Spatial, But Not Temporal, Kinematics of Spontaneous Upper Extremity Movements Are Related to Gross and Fine Motor Skill Attainment in Infancy. JOURNAL OF MOTOR LEARNING AND DEVELOPMENT 2021. [DOI: 10.1123/jmld.2020-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Spontaneous upper extremity movements in infancy provide insight on neuromotor development. Spatiotemporal kinematics have been used to evaluate typical development of reaching, a foundational motor skill in infancy. This study evaluates the relationship between spontaneous upper extremity movements, not elicited by a toy, and motor skill attainment. Methods: N = 12 healthy infants (2–8 months) participated in this longitudinal study (one to four sessions). Motor skills were assessed with the Bayley Scales of Infant and Toddler Development, 3rd Edition: gross motor subtest (GM) and fine motor subtest. Spontaneous upper extremity movements were collected using 3D motion capture technology. Infants were placed in supine for three to twelve 30-s trials, and their movements were recorded. Repeated measure correlation coefficients (Rmcorr) were used to evaluate relationships between variables. Results: There were significant, moderate, positive relationships between the straight distance from start to end of a movement and (a) fine motor score (Rmcorr = .55, p = .03), (b) GM score (Rmcorr = .63, p = .01), and (c) age (Rmcorr = .56, p = .02). There was a significant, moderate, negative relationship between straightness ratio and GM score (Rmcorr = −.52, p = .047). Discussion: Fine and GM skills are related to the straight distance from start to end of a movement and the straightness ratio of underlying spontaneous upper extremity movements.
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Pietruszewski L, Burkhardt S, Yoder PJ, Heathcock J, Lewandowski DJ, Maitre NL. Protocol and Feasibility-Randomized Trial of Telehealth Delivery for a Multicomponent Upper Extremity Intervention in Infants With Asymmetric Cerebral Palsy. Child Neurol Open 2020; 7:2329048X20946214. [PMID: 33015220 PMCID: PMC7517997 DOI: 10.1177/2329048x20946214] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/19/2020] [Accepted: 07/02/2020] [Indexed: 11/15/2022] Open
Abstract
Background: Past work showed that an in-person, therapist-guided, parent-implemented multicomponent intervention increased the motor functioning of the more affected upper extremity (UE) in infants with asymmetric cerebral palsy. The authors document treatment fidelity and provide initial testing of telehealth intervention delivery in a new subject sample. Methods: The authors adapted the intervention manual used in the previous trial for telehealth. Infants (6-24 months) were randomly assigned to intervention (n = 7) or waitlist (n = 6). The intervention prescribed soft-constraint wear on the less affected UE for 6 hours, 5 d/wk, and exercises. After an initial in-person training session, three 15- to 45-minute telehealth sessions were performed. Results: Median weekly constraint wear was 21 hours (interquartile range = 10.3-29.7); average parent-treatment fidelity was 95.7% (SD 11.2). A significant large (Cohen d = 0.92) between-group differences occurred on fine motor functioning of more affected UEs. Conclusion: The telehealth intervention was feasible and potentially effective, but a larger trial is needed to evaluate efficacy.
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Affiliation(s)
- Lindsay Pietruszewski
- Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA
| | - Stephanie Burkhardt
- Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA
| | - Paul J Yoder
- Department of Special Education, Peabody College of Education, Vanderbilt University, Nashville, TN, USA
| | - Jill Heathcock
- School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, OH, USA
| | - Dennis J Lewandowski
- Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA
| | - Nathalie L Maitre
- Center for Perinatal Research at the Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, USA.,Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA
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Graessle E. Infant crawling orthosis and home program to strengthen a neurologically impaired upper extremity. J Hand Ther 2019; 31:411-415. [PMID: 28673444 DOI: 10.1016/j.jht.2017.05.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 05/25/2017] [Indexed: 02/03/2023]
Affiliation(s)
- Eileen Graessle
- Department of Occupational Therapy, Rehabilitation Services, Shriners Hospitals for Children-St. Louis, St. Louis, MO, USA.
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Kubicek C, Gehb G, Jovanovic B, Schwarzer G. Training of 7-month-old infants' manual object exploration skills: Effects of active and observational experience. Infant Behav Dev 2019; 57:101353. [PMID: 31499397 DOI: 10.1016/j.infbeh.2019.101353] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Revised: 06/21/2019] [Accepted: 08/12/2019] [Indexed: 10/26/2022]
Abstract
In the present study, a fine motor training was developed and evaluated in which infants were trained to manually explore objects in an advanced manner. Fifty 7-month-old infants were randomly assigned to three different training conditions: (1) to an active manual exploration training, in which they learned to explore objects efficiently, (2) to an observational manual exploration training, in which they observed how an adult performed sophisticated actions on objects, or (3) to a control group receiving no training. The results impressively indicate that infants with a low level of object exploration skill prior to the training showed the most training effects as compared to infants with proficient object exploratory actions. Interestingly, this differential training effect was true for both the active and observational training, highlighting the role of social learning in infancy. Importantly, our study shows for the first time the impact of normal individual variation in infants' manual object exploration skills on the effects of a fine motor training.
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Affiliation(s)
- Claudia Kubicek
- Developmental Psychology, Justus-Liebig-University, Giessen, Germany.
| | - Gloria Gehb
- Developmental Psychology, Justus-Liebig-University, Giessen, Germany
| | - Bianca Jovanovic
- Developmental Psychology, Justus-Liebig-University, Giessen, Germany
| | - Gudrun Schwarzer
- Developmental Psychology, Justus-Liebig-University, Giessen, Germany
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Babik I, Cunha AB, Moeyaert M, Hall ML, Paul DA, Mackley A, Lobo MA. Feasibility and Effectiveness of Intervention With the Playskin Lift Exoskeletal Garment for Infants at Risk. Phys Ther 2019; 99:666-676. [PMID: 31155661 PMCID: PMC6545275 DOI: 10.1093/ptj/pzz035] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 01/01/2019] [Indexed: 11/14/2022]
Abstract
BACKGROUND Infants born preterm and/or with brain injury often exhibit delays in the development of reaching and object exploration, increasing their risk of associated delays in cognitive development. OBJECTIVE The objective of this study was to longitudinally evaluate feasibility of use of the novel Playskin Lift exoskeletal garment (Playskin; developed and trademarked by Dr. Lobo's Super Suits FUNctional Fashion and Wearable Technology Program at the University of Delaware, Newark, DE, USA), the assistive and rehabilitative effects of intervention with the garment on reaching and object exploration ability, and to relate changes in reaching and object exploration to changes in cognition during intervention for infants at risk for developmental delays. DESIGN A multiple baseline single-case design with 1- to 2-month Baseline, 4-month Intervention, and 1-month Postintervention phases was implemented. METHODS Ten infants born preterm and/or with brain injury, mean [SD] age 2.2 [1.3] months at the beginning of the study, were assessed biweekly throughout the study both with and without the Playskin Lift. Assessments included a Reaching Assessment and the cognitive subscale of the Bayley Scales of Infant and Toddler Development. Reaching and object exploration behaviors were coded from videos of the Reaching Assessment. Results were analyzed using multilevel modeling in SAS. RESULTS The Playskin Lift improved infants' reaching ability, hand orientation for grasp and object exploration, and multimodal object exploration when worn within sessions, especially during the Intervention phase. The garment also improved independent reaching and object exploration across time during the Intervention phase, with retention of gains in the Postintervention phase. Improvement in reaching ability was positively related to changes in cognitive outcomes during the Intervention phase. LIMITATIONS Limitations included modest sample size and the potential confounds of development and experience with time. CONCLUSIONS The Playskin Lift can serve as a feasible, effective, and accessible assistive and rehabilitative device to advance reaching, object exploration, and cognition for infants at risk for future delays.
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Affiliation(s)
- Iryna Babik
- Biomechanics & Movement Science Program, Department of Physical Therapy, University of Delaware, Newark, Delaware
| | - Andrea B Cunha
- Biomechanics & Movement Science Program, Department of Physical Therapy, University of Delaware
| | - Mariola Moeyaert
- Division of Educational Psychology & Methodology, State University of New York at Albany, Albany, New York
| | - Martha L Hall
- Biomechanics & Movement Science Program, Department of Physical Therapy, University of Delaware
| | - David A Paul
- Departments of Pediatrics and Neonatology, Christiana Care Health System, Newark, Delaware
| | - Amy Mackley
- Departments of Pediatrics and Neonatology, Christiana Care Health System
| | - Michele A Lobo
- Biomechanics & Movement Science Program, 210K CHS Building, 540 S. College Avenue, University of Delaware, Newark, DE 19713 (USA),Address all correspondence to Dr Lobo at:
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Infant motor skill predicts later expressive language and autism spectrum disorder diagnosis. Infant Behav Dev 2019; 54:37-47. [DOI: 10.1016/j.infbeh.2018.11.003] [Citation(s) in RCA: 71] [Impact Index Per Article: 14.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2018] [Revised: 11/18/2018] [Accepted: 11/18/2018] [Indexed: 11/18/2022]
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Nascimento AL, Toledo AM, Merey LF, Tudella E, Soares-Marangoni DDA. Brief reaching training with "sticky mittens" in preterm infants: Randomized controlled trial. Hum Mov Sci 2018; 63:138-147. [PMID: 30537626 DOI: 10.1016/j.humov.2018.11.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 11/28/2018] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To examine whether a brief reaching training with sticky mittens was effective to improve reaching behavior in newly reaching preterm infants. METHODS In this randomized controlled trial, twenty four 5-month-old (±16-week-old corrected age) preterm infants were randomly allocated into experimental or control groups. Infants were assessed three times in a single session: pretraining (immediately before training), posttraining (immediately after training), and retention (4 min after the posttraining). During training, infants in the experimental group wore open fingers Velcro covered mittens. Training consisted of one 4-minute session of stimulated reaching using Velcro covered toys. Controls did not receive the training. During assessments, infants were placed in a baby chair and toys without Velcro were offered at their midline for 2 min. Number of total reaches, proximal adjustments and distal adjustments of reaching were primary outcomes. Grasping was a secondary outcome. RESULTS Groups were similar in the pretraining. In the posttraining, trained infants performed greater amount of total reaches and bimanual reaches than untrained infants. Greater amount of bimanual reaches in trained infants was maintained in the retention test. Distal adjustments and grasping outcome were not influenced by the training. CONCLUSIONS A brief-term training with open fingers sticky mittens benefited reaching behavior and favored retention of increased bimanual reaches in newly reaching late preterm infants. However, it was not sufficient to influence hand openness and early grasping.
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Affiliation(s)
| | | | - Leila Foerster Merey
- Physical Therapy Section, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil
| | - Eloisa Tudella
- Departament of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, SP, Brazil
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JIANG Q, LU S, ZHANG Q, WANG Z. 母亲鼓励自主与学步儿的探索行为:依恋的调节作用. ACTA PSYCHOLOGICA SINICA 2018. [DOI: 10.3724/sp.j.1041.2018.00750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Sørvoll M, Obstfelder A, Normann B, Øberg GK. How physiotherapists supervise to enhance practical skills in dedicated aides of toddlers with cerebral palsy: A qualitative observational study. Physiother Theory Pract 2018; 35:427-436. [PMID: 29558237 DOI: 10.1080/09593985.2018.1453003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Physiotherapy from an early age is considered important for children with cerebral palsy (CP). In preschool, dedicated aides are responsible for the daily follow-up and training under the supervision of a physiotherapist (PT). Knowledge is sparse regarding what is created and achieved in clinical practice involving triads (i.e. the PT, aide, and child) with respect to the enhancement of practical skills in dedicated aides. The study purpose was to explore form and content in supervision. METHODS Nonparticipating observations were performed on a purposive sample of seven triads, including seven PTs, seven dedicated aides, and seven preschool toddlers with CP with function level III-IV of the Gross Motor Function Classification System. Each triad was video-recorded once. Data consisted of 371 minutes of video recordings analyzed using content analysis and enactive theory on participatory sense-making. RESULTS From the analysis, three supervision approaches emerged: (1) the Cognitive Supervision approach; (2) the Joint Action Supervision approach; and (3) the Embodied Supervision approach. Each approach gives rise to different types of sense-making processes, ranging from merely reflective ways of knowing through verbal and visual conveyance to mutual embodied ways of knowing through joint actions and physical interplay. To make use of all approaches, PTs require incorporated handling skills and action competence. CONCLUSION Supervision is an emergent process where knowledge is transformed through interactions and shared sense-making processes. IMPLICATIONS Clinicians should be aware of the context-dependent and interactional factors that drive the supervision process.
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Affiliation(s)
- Marit Sørvoll
- a Department of Health and Care sciences , UIT - The Artic University of Norway , Tromsø , Norway
| | - Aud Obstfelder
- a Department of Health and Care sciences , UIT - The Artic University of Norway , Tromsø , Norway.,b Centre of Care research , NTNU - Norwegian University of Science and Technology , Gjøvik , Norway
| | - Britt Normann
- a Department of Health and Care sciences , UIT - The Artic University of Norway , Tromsø , Norway.,c Department of Physiotherapy , Nordland Hospital Trust , Bodø , Norway
| | - Gunn Kristin Øberg
- a Department of Health and Care sciences , UIT - The Artic University of Norway , Tromsø , Norway
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Zuccarini M, Guarini A, Savini S, Iverson JM, Aureli T, Alessandroni R, Faldella G, Sansavini A. Object exploration in extremely preterm infants between 6 and 9 months and relation to cognitive and language development at 24 months. RESEARCH IN DEVELOPMENTAL DISABILITIES 2017; 68:140-152. [PMID: 28779627 DOI: 10.1016/j.ridd.2017.06.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Revised: 05/03/2017] [Accepted: 06/03/2017] [Indexed: 06/07/2023]
Abstract
Although early object exploration is considered a key ability for subsequent achievements, very few studies have analyzed its development in extremely low gestational age infants (ELGA- GA <28 weeks), whose early motor skills are delayed. Moreover, no studies have examined its developmental relationship with cognitive and language skills. The present study examined developmental change in Motor Object Exploration (MOE) and different types of MOE (Holding, Oral, Manual and Manual Rhythmic Exploration) in 20 ELGA and 20 full term (FT) infants observed during mother-infant play interaction at 6 and 9 months. It also explored whether specific types of MOE were longitudinally related to 24-month language and cognitive abilities (GMDS-R scores). ELGA infants increased MOE duration from 6 to 9 months, eliminating the initial difference with FT infants. In addition, ELGA infants showed a different pattern of Oral Exploration, that did not increase at 6 months and decrease at 9 months. Oral and Manual Exploration durations at 6 months were longitudinally related to 24-month GMDS-R language and cognitive performance scores respectively. We discuss the relevance of assessing early exploratory abilities in ELGA infants in order to implement customized intervention programs for supporting the development of these skills.
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Affiliation(s)
- Mariagrazia Zuccarini
- Department of Psychology, University of Bologna, Via Berti Pichat, 5-40127 Bologna, Italy.
| | - Annalisa Guarini
- Department of Psychology, University of Bologna, Via Berti Pichat, 5-40127 Bologna, Italy.
| | - Silvia Savini
- Department of Psychology, University of Bologna, Via Berti Pichat, 5-40127 Bologna, Italy.
| | - Jana M Iverson
- Department of Psychology, University of Pittsburgh, USA.
| | - Tiziana Aureli
- Department of Neuroscience, Imaging and Clinical Sciences, University of Chieti-Pescara, Italy.
| | - Rosina Alessandroni
- Neonatology and Neonatal Intensive Care Unit - S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences, University of Bologna, Italy.
| | - Giacomo Faldella
- Neonatology and Neonatal Intensive Care Unit - S. Orsola-Malpighi Hospital, Department of Medical and Surgical Sciences, University of Bologna, Italy.
| | - Alessandra Sansavini
- Department of Psychology, University of Bologna, Via Berti Pichat, 5-40127 Bologna, Italy.
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Kubicek C, Jovanovic B, Schwarzer G. How Manual Object Exploration is Associated with 7- to 8-Month-Old Infants’ Visual Prediction Abilities in Spatial Object Processing. INFANCY 2017. [DOI: 10.1111/infa.12195] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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