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Portnoy S, Mimouni-Bloch A, Rosenberg L, Offek H, Berman T, Kochavi M, Orman G, Friedman J. Graphical Product Quality and Muscle Activity in Children With Mild Disabilities Drawing on a Horizontally or Vertically Oriented Tablet. Am J Occup Ther 2019; 72:7206205040p1-7206205040p7. [PMID: 30760396 DOI: 10.5014/ajot.2018.027532] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE We compared performance level and muscle activity patterns during shape copying and tracing in two positions, while sitting at a desk and while standing in front of a wall, between typically developing (TD) preschool children and children with mild disabilities (MD). METHOD Twenty-two TD children (8 boys, 14 girls; mean [M] age = 5.2 yr, standard deviation [SD] = 0.1) and 13 children with MD (9 boys, 4 girls; M age = 4.9 yr, SD = 0.5) participated in this study. RESULTS The children performed faster and smoother movements when copying shapes on the vertical surface, with no reduction of accuracy, than on the horizontal surface. Children with MD exerted their upper trapezius while performing the short tasks on the vertical surface compared with their muscle activity on the horizontal surface. CONCLUSION Incorporating short copying or drawing tasks on a vertical surface may increase the control of proximal muscles and ease graphomotor performance in children with MD.
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Affiliation(s)
- Sigal Portnoy
- Sigal Portnoy, PhD, is Lecturer, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;
| | - Aviva Mimouni-Bloch
- Aviva Mimouni-Bloch, MD, is Director, Pediatric Neurology and Developmental Unit, Loewenstein Rehabilitation Hospital, Raanana, Israel, and Senior Lecturer, Department of Pediatrics, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Limor Rosenberg
- Limor Rosenberg, PhD, OT, is Senior Teacher, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Hagar Offek
- Hagar Offek, MSc, is Researcher, Pediatric Neurology and Developmental Unit, Loewenstein Rehabilitation Hospital, Raanana, Israel
| | - Tamar Berman
- Tamar Berman is Occupational Therapy Student, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Michal Kochavi
- Michal Kochavi is Occupational Therapy Student, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Gal Orman
- Gal Orman is Occupational Therapy Student, Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Jason Friedman
- Jason Friedman, PhD, is Senior Lecturer, Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Sabel M, Sjölund A, Broeren J, Arvidsson D, Saury JM, Gillenstrand J, Emanuelson I, Blomgren K, Lannering B. Effects of physically active video gaming on cognition and activities of daily living in childhood brain tumor survivors: a randomized pilot study. Neurooncol Pract 2016; 4:98-110. [PMID: 31385977 DOI: 10.1093/nop/npw020] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Background Physical activity can enhance cognitive functions in both animals and humans. We hypothesized that physically active video gaming could: i) improve cognitive functions and ii) improve the execution of activities of daily living among survivors of childhood brain tumors. Methods Children 7 to 17 years old who completed treatment, including radiotherapy, for a brain tumor 1 to 5 years earlier were randomized to either intervention or waiting list. After 10 to 12 weeks the groups crossed over. The intervention consisted of active video gaming, using a motion-controlled video console (Nintendo Wii), for a minimum of 30 minutes a day, 5 days a week and weekly Internet-based coaching sessions. Evaluations before and after each period included tests of the execution of activities of daily living, using the Assessment of Motor and Process Skills (AMPS) and cognitive tests. Test scores before and after the intervention were compared. A parallel group comparison was performed as a sensitivity analysis. Results All 13 children enrolled completed the program. Compared to baseline, the motor (P= .012) and process (P=.002) parts of AMPS improved significantly after active video gaming. In the parallel group analysis the improvement in the process part of AMPS remained statistically significant (P= .029), but not the change in AMPS motor score (P= .059). No significant change was found in cognitive tests although there were trends for improvement in sustained attention (P = .090) and selective attention (P = .078). Conclusion In this pilot study, active video gaming used as a home-based intervention for childhood brain tumor survivors improved motor and process skills in activities of daily living.
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Affiliation(s)
- Magnus Sabel
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Anette Sjölund
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Jürgen Broeren
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Daniel Arvidsson
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Jean-Michel Saury
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Jonas Gillenstrand
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Ingrid Emanuelson
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Klas Blomgren
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
| | - Birgitta Lannering
- Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden (M.S., K.B., I.E., B.L.); Queen Silvia Children's Hospital, Sahlgrenska University hospital, S-416 85 Gothenburg, Sweden (M.S., A.S., J.G., K.B., B.L.); Centre for Brain Repair and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden (J.B., K.B.); Department of Translational Medicine, Lund University, Sweden (D.A.); Department of Clinical Sciences, Karolinska Institutet, and Danderyd University Hospital, Stockholm, Sweden (J.-M.S.); Department of Psychology, Faculty of Social Science, University of Gothenburg, Sweden (J.G.); Department of Women's and Children's Health, Karolinska Institutet, and Department of Pediatric Oncology, Karolinska University Hospital, SE-171 76 Stockholm, Sweden (K.B.)
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Gantschnig BE, Nilsson I, Fisher AG, Künzle C, Page J. Feasibility study of a single-blind randomised controlled trial of an occupational therapy intervention. Scand J Occup Ther 2015; 23:260-71. [PMID: 26609766 DOI: 10.3109/11038128.2015.1115548] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Several factors facilitate or hinder efficacy research in occupational therapy. Strategies are needed, therefore, to support the successful implementation of trials. AIM To assess the feasibility of conducting a randomised controlled trial (RCT). The main feasibility objectives of this study were to assess the process, resources, management, and scientific basis of a trial RCT. MATERIAL AND METHODS A total of 10 occupational therapists, between the ages of 30 and 55 (M 43.4; SD 8.3) with seven to 26 years' (M 14.3; SD 6.1) experience, participated in this study. Qualitative data collected included minutes of meetings, reports, and field notes. The data were analysed based on the principles of content analysis, using feasibility objectives as the main categories. RESULTS Data analysis revealed strengths in relation to retention and inclusion criteria of participants, the study protocol, study organisation, and the competence of researchers. Weaknesses were found related to recruitment, randomisation, data collection, time for training and communication, commitment, and design. CONCLUSION The findings indicated that there are several factors which had a considerable impact on the implementation of an RCT in practice. However, it was useful to assess methods and procedures of the trial RCT as a basis to refine research plans.
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Affiliation(s)
- Brigitte E Gantschnig
- a Zurich University of Applied Sciences, School of Health Professions, Institute of Occupational Therapy , Winterthur , Switzerland ;,e Department of Rheumatology, Immunology and Allergology , Bern University Hospital , Bern , Switzerland
| | - Ingeborg Nilsson
- b Faculty of Medicine, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy , Umeå University , Sweden
| | - Anne G Fisher
- b Faculty of Medicine, Department of Community Medicine and Rehabilitation, Division of Occupational Therapy , Umeå University , Sweden ;,c Department of Occupational Therapy , Colorado State University, College of Health and Human Sciences , Fort Collins , USA
| | | | - Julie Page
- a Zurich University of Applied Sciences, School of Health Professions, Institute of Occupational Therapy , Winterthur , Switzerland
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