Weight-supported training of the upper extremity in children with cerebral palsy: a motor learning study

• Published in: Journal of neuroengineering and rehabilitation 2017-08, Vol.14 (1), p.87-87, Article 87
• Main Authors: Keller, Jeffrey W, van Hedel, Hubertus J A
• Format: Article
• Language: English
• Subjects: Adolescent; Analysis; Arm; Armeo spring; Biomechanical Phenomena; Care and treatment; Cerebral palsy; Cerebral Palsy - rehabilitation; Child; Child health; Exergame; Female; Health aspects; Humans; Learning; Male; Motor Skills - physiology; Neurorehabilitation; Psychomotor Performance; Retention; Skill acquisition; Skill learning; Study and teaching; Transfer; Transfer (Psychology); Treatment Outcome; Upper Extremity; Weight training
• ISSN: 1743-0003; 1743-0003
• DOI: 10.1186/s12984-017-0293-3

Novel neurorehabilitation technologies build upon treatment principles derived from motor learning studies. However, few studies have investigated motor learning with assistive devices in children and adolescents with Cerebral Palsy (CP). The aim of this study was to investigate whether children with CP who trained with weight support in a playful, virtual environment would improve upper extremity task performance (i.e. skill acquisition), transfer, and retention, three aspects that indicate whether motor learning might have occurred or not. Eleven children with CP (mean age 13.3 years, standard deviation 3.4 years), who were mildly to moderately impaired, participated. They played in the Armeo® Spring the exergame Moorhuhn with their more affected arm during 3 days (70 min pure play time). For this within-subject design, kinematic assessments, the Box and Block Test, and five items of the Melbourne Assessment were administered twice during a baseline week (one week before the intervention), directly before and after the intervention, and one day after the training phase (retention). The average exergame score improved from 209.55 to 339.73 (p