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Improving Upper Extremity Functionality in Children with Unilateral Cerebral Palsy with Action Observation Therapy

Year 2022, Issue: 18, 1052 - 1069, 31.12.2022
https://doi.org/10.38079/igusabder.1094792

Abstract

Action Observation Therapy (AOT) is a neurorehabilitation-based treatment approach that supports the restoration of the central nervous system by imitating the same movements after monitoring the movements. It is known as a new rehabilitation approach that utilizes the neurophysiological mechanism to activate the neural structures that perform the function in many diseases such as cerebral palsy, Parkinson's, stroke, orthopedic injuries, Alzheimer's and speech disorders. Studies in healthy individuals and individuals with neurological or orthopedic effects; it is known that AOT application induces facilitation in the observer's motor system and supports the action-perception matching mechanism. This narrative review was planned to look through the available information on the use and effectiveness of AOT programs for the upper extremity in children with Cerebral Palsy (CP). The use of AOT is appropriate in the upper extremity rehabilitation of children with CP, since it can be easily adapted to different conditions, facilitates motor learning by supporting neural plasticity, and is economical; however, it is thought that more detailed studies are needed to determine the optimal application principles in terms of protocol, duration and application method.

References

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Eylem Gözlem Terapisi ile Unilateral Serebral Palsili Çocuklarda Üst Ekstremite Fonksiyonelliğinin Geliştirilmesi

Year 2022, Issue: 18, 1052 - 1069, 31.12.2022
https://doi.org/10.38079/igusabder.1094792

Abstract

Eylem Gözlem Terapisi (EGT) hareketlerin izlenmesi sonrası aynı hareketlerin taklit edilmesi ile merkezi sinir sistemi restorasyonunu destekleyen nörorehabilitasyon temelli bir tedavi yaklaşımıdır. Serebral palsi, parkinson, inme, ortopedik yaralanmalar, alzheimer ve konuşma bozuklukları gibi pek çok hastalıkta, fonksiyonu gerçekleştiren nöral yapıları aktive etmek için nörofizyolojik mekanizmadan yararlanan yeni bir rehabilitasyon yaklaşımı olarak bilinir. Sağlıklı bireylerde ve nörolojik veya ortopedik etkilenimi olan bireylerde yapılan araştırmalar; EGT uygulamasının gözlemcinin motor sisteminde kolaylaştırmayı indüklediği ve eylem-algı eşleştirme mekanizmasını desteklediği bilinir. Bu derleme, Serebral Palsi (SP) tanılı çocuklarda üst ekstremiteye yönelik uygulanan EGT programlarının kullanımı ve etkinliği ile ilgili mevcut bilgileri gözden geçirmek amacıyla planlanmıştır. EGT kullanımının farklı koşullara kolayca adapte edilebilmesi, nöral plasitisiteyi destekleyerek motor öğrenmeyi fasilite etmesi ve ekonomik olması nedeniyle, SP’li çocukların üst ekstremite rehabilitasyonunda kullanımının uygun olduğu; ancak protokol, süre ve uygulama şekli açısından optimal uygulama prensiplerinin belirlenebilmesi için daha detaylı çalışmalara ihtiyaç olduğu düşünülmektedir.

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  • Serdaroǧlu A, Cansu A, Özkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Developmental Medicine and Child Neurology. 2006;48(6):413-416.
  • Cans C, De-la-Cruz J, Mermet M-A. Epidemiology of cerebral palsy. Paediatrics and Child Health. 2008;18(9):393-398.
  • Himmelmann K, Hagberg G, Uvebrant P. The changing panorama of cerebral palsy in Sweden. X. Prevalence and origin in the birth-year period 1999-2002. Acta Paediatr. 2010;99(9):1337-1343.
  • Ferrari A, Cioni G. The Spastic Forms of Cerebral Palsy: A Guide To The Assessment of Adaptive Functions: Springer; 2009.
  • Eliasson A-C, Bonnier B, Krumlinde-Sundholm L. Clinical experience of constraint induced movement therapy in adolescents with hemiplegic cerebral palsy–a day camp model. Developmental Medicine and Child Neurology. 2003;45(5):357-360.
  • Boxum AG, La Bastide‐Van Gemert S, Dijkstra LJ, Hamer EG, Hielkema T, Reinders‐Messelink HA, et al. Development of the quality of reaching in infants with cerebral palsy: a kinematic study. Developmental Medicine & Child Neurology. 2017;59(11):1164-1173.
  • Sakzewski L, Ziviani J, Boyd R. Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia. Pediatrics. 2009;123(6):e1111-e1122.
  • Keeratisiroj O, Thawinchai N, Siritaratiwat W, Buntragulpoontawee M. Prognostic predictors for ambulation in Thai children with cerebral palsy aged 2 to 18 years. Journal of Child Neurology. 2015;30(13):1812-1818.
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  • Novak I, Morgan C, Fahey M, et al. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020;20(2):3.
  • Shi YX, Tian JH, Yang KH, Zhao Y. Modified constraint-induced movement therapy versus traditional rehabilitation in patients with upper-extremity dysfunction after stroke: A systematic review and meta-analysis. Arch Phys Med Rehabil. 2011;92(6):972-982.
  • Gordon AM, Schneider JA, Chinnan A, Charles JR. Efficacy of a hand–arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: A randomized control trial. Developmental Medicine & Child Neurology. 2007;49(11):830-838.
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  • Chen Y-P, Howard AM. Effects of robotic therapy on upper-extremity function in children with cerebral palsy: A systematic review. Developmental Neurorehabilitation. 2016;19(1):64-71.
  • Gilliaux M, Renders A, Dispa D, et al. Upper limb robot-assisted therapy in cerebral palsy: A single-blind randomized controlled trial. Neurorehabilitation and Neural Repair. 2015;29(2):183-192.
  • Lo K, Stephenson M, Lockwood C. The economic cost of robotic rehabilitation for adult stroke patients: A systematic review. JBI Database System Rev Implement Rep. 2019;17(4):520-547.
  • Ramachandran VS, Altschuler EL. The use of visual feedback, in particular mirror visual feedback, in restoring brain function. Brain. 2009;132(7):1693-1710.
  • Buccino G. Action observation treatment: A novel tool in neurorehabilitation. Philosophical Transactions of the Royal Society B: Biological Sciences. 2014;369(1644):20130185.
  • Bhasin A, Srivastava MP, Kumaran SS, Bhatia R, Mohanty S. Neural interface of mirror therapy in chronic stroke patients: a functional magnetic resonance imaging study. Neurology India. 2012;60(6):570-6.
  • Buccino G, Lui F, Canessa N, et al. Neural circuits involved in the recognition of actions performed by nonconspecifics: an FMRI study. J Cogn Neurosci. 2004;16(1):114-126.
  • Buccino G, Solodkin A, Small SL. Functions of the mirror neuron system: implications for neurorehabilitation. Cogn Behav Neurol. 2006;19(1):55-63.
  • Lacourse MG, Orr EL, Cramer SC, Cohen MJ. Brain activation during execution and motor imagery of novel and skilled sequential hand movements. Neuroimage. 2005;27(3):505-519.
  • Munzert J, Lorey B, Zentgraf K. Cognitive motor processes: the role of motor imagery in the study of motor representations. Brain Research Reviews. 2009;60(2):306-326.
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There are 98 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Articles
Authors

Sinem Erturan 0000-0002-3135-5248

Mustafa Burak 0000-0002-2372-0102

Bülent Elbasan 0000-0001-8714-0214

Publication Date December 31, 2022
Acceptance Date December 12, 2022
Published in Issue Year 2022 Issue: 18

Cite

JAMA Erturan S, Burak M, Elbasan B. Eylem Gözlem Terapisi ile Unilateral Serebral Palsili Çocuklarda Üst Ekstremite Fonksiyonelliğinin Geliştirilmesi. IGUSABDER. 2022;:1052–1069.

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