Response-contingent auditory and visual therapy device for children with hemiplegia
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1
Goodwin College of Professional Studies, Drexel University, United States
This paper describes a response-contingent auditory and visual therapy device for infants and children with hemiplegic cerebral palsy (CP). Children diagnosed with hemiplegic cerebral palsy may benefit by self-generated motor activity produced when they are reinforced to use their affected limb by constraining their unaffected limb and applying a variety of standard reinforcement techniques. Such "Constraint-Induced Movement Therapy" has shown promise when applied to adults with stroke and more recently to infants diagnosed with hemiplegia. Behaviorally, these children hold their affected arms flexed at the elbow, and tend to clench the fist. Presently, effective procedures for training young infants to use their affected arm have relied only on behavioral reinforcement techniques. These techniques facilitate to grasp skills only, which may lead to significant impairment of hand opening. The described device, will allow the child to receive multimodal feedback (mainly auditory and visual) when s/he self-produces proprioceptive feedback and moves the affected arm or extends the fingers of the affected hand. This manipulation should produce a richer coordinated information feedback from self-produced activity generated by multimodal sources. The developed device would optimize the spatial and temporal dimensions of stimulation and associated packages that can be used on young children from 7 to 25 months old. Three modifications of the proposed device will be developed for a similar (but slightly different) training, such as extending the fingers, lifting the affected arm, and clapping. The results of this work will be used for future clinical investigations of the developed device to verify effectiveness and safety for young children with hemiplegic CP consistent with FDA requirements.
Conference:
10th International Conference on Cognitive Neuroscience, Bodrum, Türkiye, 1 Sep - 5 Sep, 2008.
Presentation Type:
Poster Presentation
Topic:
Abstracts
Citation:
Genis
V
(2008). Response-contingent auditory and visual therapy device for children with hemiplegia.
Conference Abstract:
10th International Conference on Cognitive Neuroscience.
doi: 10.3389/conf.neuro.09.2009.01.167
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Received:
08 Dec 2008;
Published Online:
08 Dec 2008.
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Correspondence:
Vladimir Genis, Goodwin College of Professional Studies, Drexel University, Philadelphia, United States, USA.genisv@drexel.edu