medigraphic.com
Academia Mexicana de Neurología, A.C.

2010, Number 6

<< Back Next >>

Rev Mex Neuroci 2010; 11 (6)

Volitional level attendance at stake through technology in patients with cerebral palsy, type spastic quadriparesis of moderate degree

Mejía-Rosas F, Paz-Romero M, Rolón-Lacarriere ÓG, Bermúdez-Jiménez JA

Language: Spanish
References: 20
Page: 451-456
PDF size: 174.30 Kb.


ABSTRACT

Introduction: The Occupational Therapy, within its different approaches from treatment helps the development of the activity of the game in the children with cerebral palsy when using Assistive Technology. This is defined as all equipment or service that can be used to maintain or improve the functional capacities of the people with disability. Objective: To analyze the Volitional Level in the game obtained with the use of a switch adapted to a computer mouse in children with cerebral palsy quadriplegic spastic moderate cerebral palsy. Patients and methods: The investigation was made in the Occupational Therapy Department of the Infantile Rehabilitation, Teleton Center´s, State of Mexico. Twelve patients were included in the study, 7 male and 5 female, with an age between 8 to 12 years. This is an observational prospective, opened, case-control study whit related samples, where the Volitional Level of the patient was calculated by the Pediatric Volitional Questionnaire (CVP), there were taken an initial evaluation without adapted environment and a final one with modified environment (Assistive Technology). Results: The statistical analysis showed statistical significance between the initial and final evaluations in each one of the items, using a T of Wilcoxon Test was calculated. The following items were significant: Trining New Things p = 0,001; Remaining Involved p = 0.0008; Practices Abilities p = 0,002; Looks for Challenges p = 0,0002; Modifies the Environment p = 0,0035, and Using the Imagination p = 0.0003. Conclusion: The Assistive Technology impact in a positive way the volitional level of the children with Infantile Cerebral Palsy type quadriplegic spastic of moderate grade.


REFERENCES

  1. Fejerman FA. Neurología Pediátrica. 2a Ed. Madrid, España: Editorial Médica Panamericana; 1997, p. 258-72.

  2. Coutiño B. Daño Neurológico Encefálico por encefalopatía no progresiva. Aguascalientes, 2002.

  3. Steultjens E, Dekker J, Bouter L, Van de Nes J, Lambregts B, Occupational Therapy for children with cerebral palsy: a systematic review. Clinical Rehabilitation 2004; 18: 1-14.

  4. Valdés J. Enfoque Integral de la Parálisis Cerebral para su diagnóstico y tratamiento. 1a Ed. México: La Prensa Médica Mexicana, S.A. de C.V; 1988.

  5. Coutiño B. Implicaciones Bioéticas en el niño discapacitado. Temas de Pediatría. México: Asociación Mexicana de Pediatría, Editorial Mc Graw Hill Interamericana; 2001, p. 45-6.

  6. http://www.e-mexico.gob.mx/wb2/eMex/eMex_Paralisis_Cerebral3

  7. Aparicio J. Neurología Pediátrica. Madrid: ERGON; 2000. P. 53.

  8. Levitt, S. Tratamiento de Parálisis Cerebral. 3a Ed. España: Editorial Médica Panamericana; 2000, p.1, 15.

  9. Hopkins H, Smith H, Willard H, Spackman C. Terapia Ocupacional. 8a Ed. España: Editorial Médica Panamericana; 2001.

  10. Okimoto AM, Bundy A, Hanzlid J. Playfulness in Children with and without disability: Measurement and intervention. Can J Occup Ther 2000; 54: 73-82.

  11. Kerr C, Mcdowell B, Mcdonough S. The relationship between gross motor function and participation restriction in children with cerebral palsy: an exploratory analysis. Child care, health and development 2006; 33: 22-7.

  12. King G, Law M, King S, Hurley P. Measuring children’s participation in recreation and leisure activities: construct validation of the CAPE and PAC; Blackwell Publishing Ltd. Child: Care, Health and Development 2005; 33: 28-39.

  13. Ivanoff S, Iwarsson S, Ulla S. Occupational Therapy research on assistive Technology and physical environmental issues: A literature review. Can J Occup Ther 2006; 73: 109.

  14. Harris K, Reid D. The influence of virtual reality play on children’s motivation. Can J Occup Ther 2005; 72: 21-30.

  15. Hopkins H, Smith H, Willard H, Spackman C. Terapia Ocupacional, 10a Ed. España: Editorial Médica Panamericana; 2005, Hest Janet.

  16. West J. Terapia de juego centrado en el niño. 1a Ed. México: Manual Moderno; 1992, p. 14-7.

  17. Basu S, Kafkes A, Geist R, Kielhofner G. Cuestionario Volicional Pediátrico; 2002.

  18. Skylar A. Assistive Technology. JSET 2007; 22: 53-7.

  19. Polgar J. Assistive Technology as an enabler to occupation: What’s old is new again. Can J Occup Ther 2006; 73: 199.

  20. Olson D. Clinician’s Guide to Assistive Technology. U.S.A.: Mosby; 2002, p. 3, 18, 24, 93, 272.




2020     |     www.medigraphic.com