Flashcards in 2015. Morgan + Novak. Optimising Motor Learning In Infants At High Risk Of CP: Pilot Study Deck (6)
What does recent neuroplasticity literature suggest is needed for neuro-rehabilitation for children with CP?
Intensive, task-specific intervention ought to commence
as early as possible
and in an enriched environment
during the CP of neural development
What is the GAS (goal attainment scaling) useful for?
For detecting incremental change in functional abilities that might not be detected on norm-referenced tools such as Bailey scales of toddler development.
But was not appropriate in the GAME study as not sensitive enough, and too much inaccurate on of predicting by therapist and family
What was the protocol for the GAME study?
1. Goal-oriented intensive motor training
2. Parent education
3. Enriched environment
What was involved in the first part “1. Goal-oriented intensive motor training” step for GAME protocol?
(Hint: 3 parts, relates to motor learning theory)
1.Parent identified goal areas were targeted in practice in session, then developed in home program
2. therapist scaffolded all motor tasks, as infant could always actively complete as least a part of the task, and challenge then increase
3. once motor skill was learned, variability of practice was introduced to increase complexity and generalisation of the skill
What was the focus of ‘environmental enrichement’ in the GAME study?
-Parents encouraged to set up motor enriched play environments that promote child self-generated movements, exploration, and task success
-included careful toy selection
-physical set ups of areas for practicing and repeating activities