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Training to Enhance Walking in Children With Cerebral Palsy: Are We Missing the Window of Opportunity?
The objective of this paper is to (1) identify from the literature a potential critical period for the maturation of the corticospinal tract (CST) and (2) report pilot data on an intensive, activity-based therapy applied during this period, in children with lesions to the CST. The best estimate of the CST critical period for the legs is when the child is younger than 2 years of age. Previous interventions for walking in children with CST damage were mainly applied after this age. Our preliminary results with training children younger than 2 years showed improvements in walking that exceeded all previous reports. Further, w...
Source: Seminars in Pediatric Neurology - June 1, 2013 Category: Neurology Authors: Jaynie F. Yang, Donna Livingstone, Kelly Brunton, Dasom Kim, Barbara Lopetinsky, Francois Roy, Ephrem Zewdie, Susan K. Patrick, John Andersen, Adam Kirton, Joe-Man Watt, Jerome Yager, Monica Gorassini Source Type: research

The GestureTek virtual reality system in rehabilitation: a scoping review.
Conclusions: This literature provides preliminary evidence for the technology's efficacy for rehabilitation. Identified research gaps relate to study quality and design, treatment characteristics, populations and outcomes of interest, including transfer across ICF levels. Implications for Rehabilitation There is limited high-level evidence to support the use of the GestureTek virtual reality system for rehabilitation. Moderate to strong quality evidence exists primarily for the stroke and cerebral palsy populations, and primarily for balance, mobility and upper extremity outcomes. A lack of consistent outcome measures in t...
Source: Disability and Rehabilitation. Assistive Technology. - May 29, 2013 Category: Rehabilitation Authors: Glegg SM, Tatla SK, Holsti L Tags: Disabil Rehabil Assist Technol Source Type: research

Training to walk amid uncertainty with Re-Step: measurements and changes with perturbation training for hemiparesis and cerebral palsy.
Conclusions: This pilot trial reveals the feasibility and applicability of this unique measurement and perturbation system for evaluating functional disabilities and changes with interventions to improve walking. Implication for Rehabilitation Walking, of individuals with cerebral palsy and hemiparesis following stroke, can be viewed in terms of a rigid motor behavior that prevents adaptation to changing environmental conditions. Re-Step system (a) measures and records linear and non-linear gait parameters during free walking to provide a detailed evaluation of walking disabilities, (b) is an intervention training mo...
Source: Disability and Rehabilitation. Assistive Technology. - January 16, 2013 Category: Rehabilitation Authors: Bar-Haim S, Harries N, Hutzler Y, Belokopytov M, Dobrov I Tags: Disabil Rehabil Assist Technol Source Type: research

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