Behavior During Tethered Kicking in Infants With Periventricular Brain Injury.

Pediatr Phys Ther

Department of Physical Therapy (Drs Campbell, Bulanda, and Madhavan), University of Illinois at Chicago, Chicago, Illinois; Center for Clinical and Translational Science (Dr Campbell), University of Illinois at Chicago, Chicago, Illinois; Department of Psychology (Dr Cole), New York University, New York, New York; Department of Physical Therapy (Dr Boynewicz), East Tennessee State University, Johnson City, Tennessee; Pediatric Physical Therapist (Ms Zawacki), Oak Park, Illinois; Physical Therapy Department (Dr Clark), University of Illinois Hospital and Health Sciences System, Chicago, Illinois; Departments of Pediatrics (Drs Gaebler-Spira and deRegnier), Northwestern University, Chicago, Illinois; Department of Physical Medicine and Rehabilitation (Drs Gaebler-Spira and Kuroda), Rehabilitation Institute of Chicago, Northwestern University, Chicago, Illinois; Rehabilitation Services (Dr Kale), Consonus Healthcare, Milwaukie, Oregon.

Published: December 2016

Purpose: To describe behavior of children with periventricular brain injury (PBI) in a tethered-kicking intervention.

Methods: Sixteen infants with PBI were randomly assigned to exercise or no-training in a longitudinal pilot study. Frequencies of leg movements and interlimb coordination were described from videos at 2 and 4 months' corrected age (CA).

Results: Eight of the 13 children (62%) with longitudinal data increased the frequency of leg movements while tethered to a mobile between 2 and 4 months' CA. Movement frequency was correlated with scores on the Test of Infant Motor Performance, but no differences between experimental groups were found. Children with typical development at 12 months' CA increased the proportion of leg movements that were synchronous between 2 and 4 months, as did a child with cerebral palsy in the experimental group.

Conclusions: The tethered-kicking intervention facilitates movement in infants with PBI, but effects on development remain to be demonstrated.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703037PMC
http://dx.doi.org/10.1097/PEP.0000000000000173DOI Listing

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