Short- and long-term effects of timing training in young people with cerebral palsy: a kinematic approach
2010 (English)In: Developmental Medicine and Child Neurology, 52 (Suppl. 4) Brussles, Belgium May 27-29, 2010, Wiley Online library , 2010, 23-24 p.Conference paper (Refereed)
Interactive Metronomea (IM) is a multi-modal integration training method based on rhythmic activation of movements in synchronization with a tone where error feedback is provided via auditory and visual cues. However, there is a need for detailed evaluations of this method to verify functional improvements inCP.Here we explored individual effects of IM in five young individuals with cerebral palsy (CP) of different severity. IM training consisted of a 4-week (12 sessions) individually customised program including bilateral and unilateral movements of upper- and lower-extremities. To establish short- and long-term effects, goal-directed upper-limb movements were examined by using a six optoelectronic camera system (240Hz, ProReflex, Qualisys Inc.) at three time points, before and at two following occasions (post-test I; post-test II) after IM training. At post-test I, timing ability was improved in the majority of participants. Kinematic analyses revealed shorter total task durations for all but one individual. Reduced segmentation ofmovements and increased velocity, especially on the more distal parts of the upper extremities, were also observed. No effects were evident on cumulative distance, primarily indicating training effects on temporal movement properties. At post-test II, 6 months after post-test I, most of the participantsmaintained their improved timing ability. The observed changes in kinematic properties suggests that timing training is promising for improving motor control in young individuals with CP. Further studies involving larger samples are required to corroborate and extend the present findings, particularly regarding the neural mechanisms involved in mediating motor improvements following IMtraining.
Place, publisher, year, edition, pages
Wiley Online library , 2010. 23-24 p.
, Developmental Medicine & Child Neurology, 52 (Suppl. 4), ISSN 0419-0238 ; 52 (Suppl. 4)
Research subject Psychology
IdentifiersURN: urn:nbn:se:umu:diva-44059DOI: 10.1111/j.1469-8749.2010.03682.xOAI: oai:DiVA.org:umu-44059DiVA: diva2:417941
Developmental Medicine and Child Neurology, Brussles, Belgium May 27-29, 2010