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October 15, 2012
CanChild Today
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This edition of CanChild Today features great new resources such as two 'In Briefs', a 'Keeping Current', as well as recently published articles by CanChild scientists and research associates that may be of interest to you!

 

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New Resources on CanChild's website (www.canchild.ca)!

The Motor Learning Strategy Rating Instrument 

Danielle Levac describes the Motor Learning Strategy Rating Instrument (MLSRI), an instrument that measures the extent to which physiotherapists use motor learning strategies during interventions for children with acquired brain injury, in this new 'In Brief'. The MLSRI can be used to describe the content of clinical practice, evaluate change in practice, and/or compare between different intervention methods. Click here to learn more.  

 

Ensuring Intervention Fidelity in Rehabilitation Research 

Intervention fidelity is the degree to which an intervention is conducted as planned in research. In this 'Keeping Current', Briano Di Rezze discusses why measuring intervention fidelity is important in research evaluating paediatric rehabilitation, and discusses various conceptual models. Click here to read more. 

 

Decision-making about Assistive Technology Interventions 

A significant number of children have 'complicated lives' because of complex developmental and functional challenges. Drs. Sanjay Mahant, Eyal Cohen, and Peter Rosenbaum suggest considerations in the decision-making process when assistive technology is required to optimize participation and function. Click here to read this new 'Keeping Current'.
 

CIHR Team in Optimal Environments for Severely Disabled Youth 

People learn and develop by interacting with their environments. Sometimes youth who have a disability miss out on these opportunities. The CIHR Team in Optimal Environments for Severely Disabled Youth at the Bloorview Research Institute wants to know more about these issues by hearing what youth think about their experiences in activity settings. They have developed new tools to measure the experiences of these youth, including a self-report questionnaire, interview techniques, and an instrument to measure physiological responses. In addition, they have developed an observer-rated measure of the qualities of activity settings. Click here to read more.   

Recent Publications by CanChild Scientists & Research Associates

Amount and focus of physical therapy and occupational therapy for young children with cerebral palsy
The aims of this study published in Physical & Occupational Therapy in Pediatrics were to describe physical therapy (PT) and occupational therapy (OT) services for a cohort of 399 children with cerebral palsy, 2-6 years old, living in the United States and Canada. These children were participants in the Move & PLAY study. Parents completed a services questionnaire by telephone interview. Findings included: the mean minutes per month of PT and OT were greater for children in Gross Motor Function Classification System (GMFCS) Levels IV-V than children in Level I and greater for children in the United States than children in Canada. Parents reported that interventions focused a moderate to great extent on primary impairments, secondary impairments, activity, and structured play activities, a moderate extent on environmental modifications and equipment; and a moderate to small extent on self-care routines. Authors: RJ Palisano, DM Begnoche, LA Chiarello, DJ Bartlett, SW McCoy, HJ Chang. Abstract.  

 

Medical and surgical procedures experienced by young children with cerebral palsy
Secondary analysis was conducted on the existing database from the Move & PLAY Study to determine the variation in medical and surgical procedures experienced by children with cerebral palsy (CP) by GMFCS levels and geographical region. Botulinum toxin A (Botox) injections, gastrostomies, shunts, and interventions involving the gastrointestinal tract, respiration, and eyes varied significantly by GMFCS level. No meaningful variations were detected across geographical region. This information is useful for therapists and parents when planning comprehensive services for young children with CP. Published in Pediatric Physical Therapy. Authors: A McLellan, C Cipparone, D Giancola, D Armstrong, D Bartlett. Abstract. 

  

Descriptive and factor analysis of the Developmental Coordination Disorder Questionnaire (DCDQ'07) in a population-based sample of children with and without Developmental Coordination Disorder
The Developmental Coordination Disorder Questionnaire (DCDQ'07) discriminates children with Developmental Coordination Disorder (DCD) from their peers. This article, published in Child: Care, Health & Development, describes its distributions in a population-based sample, and a sample of children with DCD; explores sex and age differences at important cut-points; and examines its factor structure. Parents of 3070 children completed the questionnaire. Significant sex differences were noted in both samples. Significant differences in proportions by sex, and DCDQ means by age were found in the population sample. When using DCDQ cut-offs it is important to consider sex and age. Authors: L Rivard, C Missiuna, D McCauley, J Cairney. Abstract. 

   

Transitions to Adulthood for Youth With Disabilities Through an Occupational Therapy Lens
There has been a shift in thinking in recent years towards addressing the multiple transitions that youth with disabilities experience as they enter adulthood. This new book edited by Debra Stewart explores an occupational therapy perspective of these important lifecourse transitions. In this text, an extensive review of current evidence about the transition to adulthood for youth with disabilities is provided, including theoretical concepts, models, and recent research findings.The book is framed by an occupational therapy lens, and chapters apply this unique lens to different transition experiences such as preparing for independent living, community participation through work experience, using assistive technology in education, employment, socialization and leisure. Contributing authors are from the Hamilton community and include: Andrea Morrison, Karen Margallo, Baljit Samrai, Kim Carey, Jan Burke-Gaffney, Linda Armour, Matt Freeman, Sandra Moll, Mary Forhan, Mary Law, Christy Taberner, Kevin Tregunno and Grace Herron. Transitions to Adulthood for Youth With Disabilities Through an Occupational Therapy Lens will be an important resource for students, faculty, researchers, and practicing clinicians working with adolescents and young adults. Read more.    

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