Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions
Intensive therapies have become increasingly popular for children with hemiparesis in the last two decades and are specifically recommended because of high levels of scientific evidence associated with them, including multiple randomized controlled trials and systematic reviews. Common features of m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/13/6/484 |
| _version_ | 1797596136486207488 |
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| author | Stephanie C. DeLuca Mary Rebekah Trucks Dorian Wallace Sharon Landesman Ramey |
| author_facet | Stephanie C. DeLuca Mary Rebekah Trucks Dorian Wallace Sharon Landesman Ramey |
| author_sort | Stephanie C. DeLuca |
| collection | DOAJ |
| description | Intensive therapies have become increasingly popular for children with hemiparesis in the last two decades and are specifically recommended because of high levels of scientific evidence associated with them, including multiple randomized controlled trials and systematic reviews. Common features of most intensive therapies that have documented efficacy include: high dosages of therapy hours; active engagement of the child; individualized goal-directed activities; and the systematic application of operant conditioning techniques to elicit and progress skills with an emphasis on success-oriented play. However, the scientific protocols have not resulted in guiding principles designed to aid clinicians with understanding the complexity of applying these principles to a heterogeneous clinical population, nor have we gathered sufficient clinical data using intensive therapies to justify their widespread clinical use beyond hemiparesis. We define a framework for describing moment-by-moment therapeutic interactions that we have used to train therapists across multiple clinical trials in implementing intensive therapy protocols. We also document outcomes from the use of this framework during intensive therapies provided clinically to children (7 months–20 years) from a wide array of diagnoses that present with motor impairments, including hemiparesis and quadriparesis. Results indicate that children from a wide array of diagnostic categories demonstrated functional improvements. |
| first_indexed | 2024-03-11T02:46:19Z |
| format | Article |
| id | doaj.art-f153fce5014a4e82958ca7e9d067c70b |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-03-11T02:46:19Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-f153fce5014a4e82958ca7e9d067c70b2023-11-18T09:19:40ZengMDPI AGBehavioral Sciences2076-328X2023-06-0113648410.3390/bs13060484Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic InteractionsStephanie C. DeLuca0Mary Rebekah Trucks1Dorian Wallace2Sharon Landesman Ramey3The Fralin Biomedical Research Institute’s Neuromotor Clinic, Roanoke, VA 24016, USAThe Fralin Biomedical Research Institute’s Neuromotor Clinic, Roanoke, VA 24016, USAThe Fralin Biomedical Research Institute’s Neuromotor Clinic, Roanoke, VA 24016, USAThe Fralin Biomedical Research Institute’s Neuromotor Clinic, Roanoke, VA 24016, USAIntensive therapies have become increasingly popular for children with hemiparesis in the last two decades and are specifically recommended because of high levels of scientific evidence associated with them, including multiple randomized controlled trials and systematic reviews. Common features of most intensive therapies that have documented efficacy include: high dosages of therapy hours; active engagement of the child; individualized goal-directed activities; and the systematic application of operant conditioning techniques to elicit and progress skills with an emphasis on success-oriented play. However, the scientific protocols have not resulted in guiding principles designed to aid clinicians with understanding the complexity of applying these principles to a heterogeneous clinical population, nor have we gathered sufficient clinical data using intensive therapies to justify their widespread clinical use beyond hemiparesis. We define a framework for describing moment-by-moment therapeutic interactions that we have used to train therapists across multiple clinical trials in implementing intensive therapy protocols. We also document outcomes from the use of this framework during intensive therapies provided clinically to children (7 months–20 years) from a wide array of diagnoses that present with motor impairments, including hemiparesis and quadriparesis. Results indicate that children from a wide array of diagnostic categories demonstrated functional improvements.https://www.mdpi.com/2076-328X/13/6/484cerebral palsytraumatic brain injuryhemispherectomyhemiparesisquadriparesisintensive therapy |
| spellingShingle | Stephanie C. DeLuca Mary Rebekah Trucks Dorian Wallace Sharon Landesman Ramey Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions Behavioral Sciences cerebral palsy traumatic brain injury hemispherectomy hemiparesis quadriparesis intensive therapy |
| title | Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions |
| title_full | Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions |
| title_fullStr | Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions |
| title_full_unstemmed | Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions |
| title_short | Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions |
| title_sort | evidence for using acquire therapy in the clinical application of intensive therapy a framework to guide therapeutic interactions |
| topic | cerebral palsy traumatic brain injury hemispherectomy hemiparesis quadriparesis intensive therapy |
| url | https://www.mdpi.com/2076-328X/13/6/484 |
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