Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation
There is growing evidence of the positive effects of constraint-induced movement therapy (CIMT) for infants at high risk of unilateral cerebral palsy (UCP) when provided by parents with in-person coaching/supervision from occupational therapists during home visits. The aim of this study is to invest...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/1/101 |
| _version_ | 1797344362272653312 |
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| author | Katarina Svensson Heléne Sundelin Ann-Christin Eliasson |
| author_facet | Katarina Svensson Heléne Sundelin Ann-Christin Eliasson |
| author_sort | Katarina Svensson |
| collection | DOAJ |
| description | There is growing evidence of the positive effects of constraint-induced movement therapy (CIMT) for infants at high risk of unilateral cerebral palsy (UCP) when provided by parents with in-person coaching/supervision from occupational therapists during home visits. The aim of this study is to investigate whether Baby-mCIMT (modifiedCIMT) can be as effective if parents are coached/supervised remotely. In this case-control study, we recruited 20 infants and re-used 18 controls, 4–8-month-old infants in both groups at high risk of UCP. The same protocol regarding inclusion criteria, data collection, and training volume was used in both groups. The training was conducted for two 6-week periods, separated by a 6-week break, consisting of daily 30 min sessions conducted by parents, supported by therapist coaching once a week. The primary outcome was measured using the Hand Assessment for Infants (HAI). There was no difference in the change of HAI units (<i>p</i> = 0.803) or that of the affected-hand raw score (<i>p</i> = 0.942) between the two groups. The remote coaching method was well received by parents. In conclusion, this demonstrates that remote coaching/supervision is as effective as the in-person approach, requiring less time and effort for both families and healthcare providers. |
| first_indexed | 2024-03-08T11:01:16Z |
| format | Article |
| id | doaj.art-86b3e58db5314c8bb789cb9015728a20 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-08T11:01:16Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-86b3e58db5314c8bb789cb9015728a202024-01-26T15:49:02ZengMDPI AGChildren2227-90672024-01-0111110110.3390/children11010101Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in TelerehabilitationKatarina Svensson0Heléne Sundelin1Ann-Christin Eliasson2Division of Children’s and Women’s Health, Department of Biomedical and Clinical Sciences, Linkoping University, 58183 Linkoping, SwedenNeuropediatric Unit, Department of Women’s and Children’s Health, Karolinska Institute, 17177 Stockholm, SwedenNeuropediatric Unit, Department of Women’s and Children’s Health, Karolinska Institute, 17177 Stockholm, SwedenThere is growing evidence of the positive effects of constraint-induced movement therapy (CIMT) for infants at high risk of unilateral cerebral palsy (UCP) when provided by parents with in-person coaching/supervision from occupational therapists during home visits. The aim of this study is to investigate whether Baby-mCIMT (modifiedCIMT) can be as effective if parents are coached/supervised remotely. In this case-control study, we recruited 20 infants and re-used 18 controls, 4–8-month-old infants in both groups at high risk of UCP. The same protocol regarding inclusion criteria, data collection, and training volume was used in both groups. The training was conducted for two 6-week periods, separated by a 6-week break, consisting of daily 30 min sessions conducted by parents, supported by therapist coaching once a week. The primary outcome was measured using the Hand Assessment for Infants (HAI). There was no difference in the change of HAI units (<i>p</i> = 0.803) or that of the affected-hand raw score (<i>p</i> = 0.942) between the two groups. The remote coaching method was well received by parents. In conclusion, this demonstrates that remote coaching/supervision is as effective as the in-person approach, requiring less time and effort for both families and healthcare providers.https://www.mdpi.com/2227-9067/11/1/101infantunilateral CPconstraint-induced movement therapyearly interventiontelerehabilitationinternet-based training |
| spellingShingle | Katarina Svensson Heléne Sundelin Ann-Christin Eliasson Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation Children infant unilateral CP constraint-induced movement therapy early intervention telerehabilitation internet-based training |
| title | Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation |
| title_full | Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation |
| title_fullStr | Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation |
| title_full_unstemmed | Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation |
| title_short | Outcomes of a Parent-Delivered Baby-mCIMT Model for Infants at High Risk of Unilateral Cerebral Palsy Using Remote Coaching in Telerehabilitation |
| title_sort | outcomes of a parent delivered baby mcimt model for infants at high risk of unilateral cerebral palsy using remote coaching in telerehabilitation |
| topic | infant unilateral CP constraint-induced movement therapy early intervention telerehabilitation internet-based training |
| url | https://www.mdpi.com/2227-9067/11/1/101 |
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