April 12, 2008 AOTA It’s Time to Take a Stand and Move References Christine
Wright-Ott, MPA, OTR/L chriswrightott@sbcglobal.net
www.mobilityfordiscovery.com
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1. Raine, A., Reynolds, C.,
Venables, P., Mednick, S., (2002) Stimulation Seeking and Intelligence: A Prospective Longitudinal Study. Journal of Personality and Social Psychology,
Vol. 82, No. 4, 663-674.
“Increased stimulation seeking
at age 3 years is associated with increased cognitive, scholastic and
neuropsychological test performance at age 11 years. We hypothesize an
environmental enrichment explanation of the stimulation seeing-IQ relationship,
which argues that young children who physically explore their environment,
engage socially with other children and verbally interact with adults create
for themselves an enriched, stimulating, varied and challenging
environment. This environmental
enrichment in turn is hypothesized to result in enhanced cognitive ability and
better school performance”.
2. Stanton, D., Wilson PN.
Foreman N., Effects of early mobility on shortcut performance in a simulated
maze. Behavioral Brain Research. (2002) Oct 17; 136 (1): 61-6.
“Early independent exploration is important in the development of spatial knowledge and suggests that the
detrimental effects of early exploratory experience may persist into the
teenage years”.
3. Foreman N. Foreman D.
Cummings A. Owens S., Locomotion, active choice, and spatial memory in children. Journal of General Psychology (1990)
Jul; 117 (3) 354-5.
“Children between 4 and 6 years
old were tested on a radial sequencing test requiring non-redundant sampling of
eight identically labeled positions in a room. Children made free choices by walking between positions, were passively
transported in a pushchair, actively directed in their own route from a push
chair or were led on foot to positions selected by the experimenter. When tested, whether walking or directed
while seated in a pushchair, children who had either walked independently or
directed the experimenter while being pushed performed competently, while those
led on foot without spatial choice performed almost as well. Only the children who had neither independent
locomotor experience nor autonomous choice performed very poorly. The results are related to neurobiological
models of spatial cognition and may have implications for the transportation of children with mobility problems”.
5. Joseph Campos and David
Anderson from UC Berkeley are presently studying postural responsiveness to
peripheral optic flow. A developmental
shift occurs between 4 and 9 months of age in responsiveness to spatially delimited portions of the optic flow field. 8.5 months infants without locomotor experience, showed no systematic
postural compensation to peripheral optic flow caused by side wall movement in
a moving room. In contrast those with
hands-knee crawling experienced or walker experience showed reliable
compensation to side wall movement.
6. McBurney H., Taylor, NF, Dodd
KJ, Graham, HK (2003) A qualitative analysis of the benefits of strength
training for young people with cerebral palsy. Developmental Medicine and Child Neurology, Oct: 45 (10): 658-63.Key Finding…This qualitative study investigated outcomes of a home
based strength training program for young people with spastic diplegic cerebral
palsy. GMFCS scores ranged from I to
III. Benefits included perceptions that strength, flexibility, posture, walking
and negotiating steps had improved as well as an increased well being in school and leisure activities.
7. Fowler, EG., Ho TW., Nwigwe,
LI., Dore FJ. (2001) The effect of quadriceps femoris muscle strengthening
exercises on spasticity in children with cerebral palsy.Phys They. June:80 (6):1215-23. “The Bobath treatment approach
advises against the use of resistive exercise as proponents felt that increased
effort would increase spasticity. The purpose of this study was to test the premise that the performance of exercises
with maximum efforts will increase spasticity in people with cerebral palsy. Results indicated there were no changes in
spasticity following exercise between the groups of subjects and the results do
not support the premise that exercise with maximum effort increases spasticity
in people with cerebral palsy”.
8. Blundell SW, Shepherd RB,
Dean CM, Adams RD, Cahill BM, Functional strength training in cerebral palsy: a
pilot study of a group circuit training class for children aged 4-8 years. Clinical Rehabilitation (2003) Feb: 17
(1) 48-57. “A short program of task
specific strengthening exercise and training for children with cerebral palsy
using treadmill walking, step ups, sit to stands and leg presses resulted in
improved strength and functional performance that was maintained over time”.
9. Anderesson, C. Grooten W.
Hellstn M. Kaping K. Mattsson E. Adults with cerebral palsy: walking ability
after progressive strength training. Developmental Medicine Child Neurology (2003). Apr; 45 (40: 220-8. “The purpose of this study was to evaluate
effects of a progressive strength training program on walking ability in adults
with cerebral palsy. Findings suggest a
10 week progressive strength training program improves muscle strength and
walking ability without increasing spasticity”.
Damiano DL, Activity activity activity;
rethinking our physical therapy approach to cerebral palsy. Physical Therapy
2006; Nov 86 (11) 1534-40.Department of Neurology, Washington University,
St Louis, MO
63110, USA.
damianod@neuro.wustl.edu “This perspective outlines the theoretical
basis for the presentation with the same name as the second part of this title,
which was given at the III STEP conference in July 2005. It elaborates on the
take-home message from that talk, which was to promote activity in children and
adults with cerebral palsy and other central nervous system disorders. The
author proposes that the paradigm for physical therapist management of cerebral
palsy needs to shift from traditional or "packaged" approaches to a
more focused and proactive approach of promoting activity through more intense
active training protocols, lifestyle modifications, and mobility-enhancing
devices. Increased motor activity has been shown to lead to better physical and
mental health and to augment other aspects of functioning such as cognitive
performance, and more recently has been shown to promote neural and functional
recovery in people with damaged nervous systems.”