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Raji P, Mehraban AH, Ahmadi M, Schiariti V. Assessment priorities in cerebral palsy using ICF core set by Iranian occupational therapists. The Canadian Journal of Occupational Therapy 2019; 86:289-298. [PMID: 31046435 DOI: 10.1177/0008417419833400] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND. International Classification of Functioning, Disability and Health (ICF) core set for cerebral palsy allows for the description of the levels of functioning in cerebral palsy. It is not exactly clear which of these levels is more important for evaluation from the perspective of occupational therapists in Iran. By identifying these priorities, we can establish a better plan for intervention. PURPOSE. This study defines assessment priorities in children with cerebral palsy (<6 years). METHOD. Sixty-two Iranian occupational therapists studied the priorities of assessment based on the Iranian ICF core set. The therapists were asked to rate the code categories from 1 to 3. The results are presented as mean values. FINDINGS. Occupational therapists first focus on body functions assessment, then activities/participation, and ultimately, environmental factors. IMPLICATIONS. Occupational therapists in Iran have a bottom-up approach toward clients with cerebral palsy. It may be necessary to revise the educational curriculum, prepare a training course, and provide more supervision for practising occupational therapists.
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Sá-Caputo DC, Costa-Cavalcanti R, Carvalho-Lima RP, Arnóbio A, Bernardo RM, Ronikeile-Costa P, Kutter C, Giehl PM, Asad NR, Paiva DN, Pereira HVFS, Unger M, Marin PJ, Bernardo-Filho M. Systematic review of whole body vibration exercises in the treatment of cerebral palsy: Brief report. Dev Neurorehabil 2016; 19:327-33. [PMID: 25826535 DOI: 10.3109/17518423.2014.994713] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
OBJECTIVE Whole body vibration (WBV) is increasingly being used to improve balance and motor function and reduce the secondary complications associated with cerebral palsy (CP). The purpose of this study was to systematically appraise published research regarding the effects of static and/or dynamic exercise performed on a vibrating platform on gait, strength, spasticity and bone mineral density (BMD) within this population. METHODS Systematic searches of six electronic databases identified five studies that met our inclusion criteria (2 at Level II and 3 at Level III-2). Studies were analysed to determine: (a) participant characteristics; (b) optimal exercise and WBV treatment protocol; (c) effect on gait, strength, spasticity and BMD; and (d) the outcome measures used to evaluate effect. As data was not homogenous a meta-analysis was not possible. RESULTS Several design limitations were identified and intervention protocols are poorly described. The effects on strength, gait, spasticity and BMD in persons with CP remain inconclusive with weak evidence that WBV may improve selected muscle strength and gait parameters and that prolonged exposure may improve BMD; there is currently no evidence that WBV can reduce spasticity. CONCLUSIONS The evidence for exercise performed on a vibrating platform on mobility, strength, spasticity and BMD in CP remains scant and further larger scale investigations with controlled parameters to better understand the effects of WBV exercises in this population is recommended.
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Affiliation(s)
- Danúbia C Sá-Caputo
- a Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Rebeca Costa-Cavalcanti
- a Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Rafaelle P Carvalho-Lima
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Adriano Arnóbio
- c Programa de Pós-graduação em Ciências Médicas , Rio de Janeiro , RJ , Brasil
| | - Raquel M Bernardo
- d Curso de Medicina, Universidade do Grande Rio , Duque de Caxias , RJ , Brasil
| | - Pedro Ronikeile-Costa
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Cristiane Kutter
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Paula M Giehl
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Nasser R Asad
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Dulciane N Paiva
- e Programa de Pós-Graduação em Promoção da Saúde da Universidade Santa Cruz do Sul , Santa Cruz do Sul , RS , Brasil
| | - Heloisa V F S Pereira
- f Departamento de Pediatria , Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
| | - Marianne Unger
- g Division of Physiotherapy, Faculty of Medicine and Health Sciences , Stellenbosch University , South Africa , and
| | - Pedro J Marin
- h Universidad Europea Miguel de Cervantes, Laboratorio de Fisiologia , Valladolid , Spain
| | - Mario Bernardo-Filho
- b Departamento de Biofísica e Biometria , Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro , Rio de Janeiro , RJ , Brasil
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Mendonça AP, Castro SS, Stone JH, Andrade PMO. Work process related to cerebral palsy of neurological rehabilitation centers. Dev Neurorehabil 2016; 18:252-9. [PMID: 23869698 DOI: 10.3109/17518423.2013.796418] [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: 11/13/2022]
Abstract
OBJECTIVE To evaluate the work process for CP cases in different rehabilitation centers according to Brazilian health policies and recommendations from the "World Report on Disability". METHODS A questionnaire - Evaluation Process of Rehabilitation of Children with CP was applied to the Coordinators of 13 services. This instrument has a maximum score of 108 points. RESULTS The results of the questionnaire varied from 28 to 64 points. The mean and SD were 43.5 and 10.9, respectively. The main administrative difficulties were: (a) presence of unmet demand, (b) patient absenteeism, (c) referral to primary care services, (d) inadequate physical facilities, (e) the scarce provision of prosthetics and orthotics, (f) insufficient financial resources, (g) human resources training, (h) difficulties with the use of the information system and (i) transportation difficulties for patients. CONCLUSION Administrative and clinical guidelines are needed for uniformity of the work process of the rehabilitation centers.
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Affiliation(s)
- Ana Paula Mendonça
- Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys (UFVJM) , Diamantina, MG , Brazil
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Bornbaum CC, Day AMB, Izaryk K, Morrison SJ, Ravenek MJ, Sleeth LE, Skarakis-Doyle E. Exploring use of the ICF in health education. Disabil Rehabil 2014; 37:179-86. [DOI: 10.3109/09638288.2014.910558] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Escorpizo R, Bemis-Dougherty A. Introduction to Special Issue: A Review of the International Classification of Functioning, Disability and Health and Physical Therapy over the Years. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2013; 20:200-9. [PMID: 24339331 DOI: 10.1002/pri.1578] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2013] [Revised: 08/28/2013] [Accepted: 11/10/2013] [Indexed: 11/06/2022]
Abstract
BACKGROUND AND PURPOSE The International Classification of Functioning, Disability and Health (ICF) of the World Health Organization was developed as a common framework to understand health and to describe the impact of health condition on functioning. The purpose of this paper is to summarize the literature on the use of the ICF in physical therapy practice and research. METHODS We performed a scoping-narrative review and searched for relevant English language articles from 2001 to 2012 in multiple databases that included MEDLINE, PsycINFO, PubMed and Physiotherapy Evidence Database. Our keywords for the search consisted of ['physical therapy' OR 'physiotherapy'] AND ['ICF']. All types of articles were considered. RESULTS We found 268 articles; out of which, 79 were reviewed. The years with most publications were 2011 (n = 16), 2008 (n = 15) and 2010 and 2012 (both with n = 13). Publications mostly came from the United States with 27% of the articles. The journal Physical Therapy leads with almost a third of ICF-related physical therapy publications. The ICF has been mostly used in studies of musculoskeletal and neuromuscular conditions. We found a wide array of application of the ICF in research, clinical practice and teaching (classroom and clinical education). Emerging topics included using the ICF in resource allocation and prevention and wellness. CONCLUSION The use of the ICF in physical therapy practice and research is promising and continues to evolve. With recent developments in ICF-based measurement and integration in assessment tools for use in the clinics, research and teaching, the need to show the added value of using the ICF in practice and research remains.
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Affiliation(s)
- Reuben Escorpizo
- Department of Physical Therapy, Louisiana State University Health Sciences Center, New Orleans, LA, USA.,ICF Research Branch in Cooperation with the WHO FIC CC in Germany (DIMDI), Nottwil, Switzerland.,Swiss Paraplegic Research, Nottwil, Switzerland
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Dourado M, Andrade PMO, Ramos-Jorge ML, Moreira RN, Oliveira-Ferreira F. Association between executive/attentional functions and caries in children with cerebral palsy. RESEARCH IN DEVELOPMENTAL DISABILITIES 2013; 34:2493-2499. [PMID: 23751295 DOI: 10.1016/j.ridd.2013.05.003] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Revised: 04/23/2013] [Accepted: 05/02/2013] [Indexed: 06/02/2023]
Abstract
The aim of the present study was to evaluate the existence of an association between attention/executive functions and the development of dental caries in individuals with cerebral palsy (CP). Seventy-six children with CP were selected from a physical rehabilitation center and a school serving children with disabilities. The control group was made up of 89 children without neurological impairment. Socioeconomic status, presence of teeth with cavities due to caries, degree of motor impairment and intellectual, executive and attentional functions were assessed. Mean age of participants was 8.9 years (SD=3.56). The CP group had a significantly lower performance (p<0.05, Mann-Whitney test) on the intelligence, attentional function and executive function tests in comparison to the control group. Controlling for the clinical diagnosis (CP or control group), motor impairment and intellectual function, the significant explanatory variables for the presence of teeth with cavities were performance on the Complex Rey figure test (OR=0.941) and the Digit Span subtest of the Wechsler Intelligence Scale for Children in backward order (OR=0.581). After controlling for intellectual function, clinical diagnosis and motor impairment, deficits in executive and attentional functions increased the odds of developing dental caries in children with cerebral palsy.
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Affiliation(s)
- M Dourado
- Departament of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri - UFVJM, Diamantina, MG 39100-000, Brazil.
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Andrade PMO, Haase VG, Oliveira-Ferreira F. An ICF-based approach for cerebral palsy from a biopsychosocial perspective. Dev Neurorehabil 2013; 15:391-400. [PMID: 23030598 DOI: 10.3109/17518423.2012.700650] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To integrate instruments to operationalize an ICF-based approach for cerebral palsy (CP); to assess differences in activity and participation among children with hemiplegia, diplegia and quadriplegia CP; to verify the facilitators or barriers to functioning; and to investigate the explanatory factors (cognitive and motor) for the type of school attended by children with CP (regular or special). METHODS Sixty children with CP were assessed using the Mini-Mental State Examination and an ICF-based instrument and their parents were interviewed. Data were analysed by Chi-Squared, Anova's and Kruskal-Wallis tests and multivariate logistic regression. RESULTS Significant differences between CP sub-groups were found for chewing, urinary function, cognitive function and activities and participation. Twelve environmental factors were identified as barriers. Multivariate regression identified cognitive function as a significant explanatory variable for the type of school attended, whereas motor function was not significant. CONCLUSIONS The ICF-based approach allows a comprehensive assessment, relevant for planning interventions.
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Affiliation(s)
- Peterson Marco O Andrade
- Department of Physical Therapy, Federal University of Jequitinhonha and Mucuri Valleys (UFVJM), Diamantina, Brazil.
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Andrade PMO, Oliveira Ferreira F, Mendonça AP, Haase VG. Content identification of the interdisciplinary assessment of cerebral palsy using the International Classification of Functioning, Disability and Health as reference. Disabil Rehabil 2012; 34:1790-801. [DOI: 10.3109/09638288.2012.662572] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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