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This study was designed as a three-armed, single-blinded, randomized, controlled trial to examine the effectiveness of CO-OP and GDT interventions on occupational performance and functional status in children with CP compared with their usual care.
Cerebral palsy (CP) is a group of neurological disorders that affect movement, muscle tone, and posture, causing activity limitations that originated in the developing fetal or infant brain that are attributed to non-progressive disorders. Symptoms such as spasticity and contracture in CP cause a decrease in functional skill level with limitations in daily living activities such as learning a new skill or self-dressing and handwriting. In this disease, the simultaneous presence of sensory, cognitive, perceptual, and behavioral impairments significantly undermines the acquisition and execution of functional skills, autonomy in daily living, and active engagement in leisure activities. This study was planned to investigate and compare the impact of CO-OP and GDT on the occupational performance and functional status of children with CP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| coop plus traditional occupational therapy | Experimental | This group received the traditional occupational therapy plus CO-OP approach. |
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| GDT plus traditional occupational therapy | Experimental | This group received the traditional occupational therapy plus Goal directed training. |
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| traditional occupational therapy | Other | This group only received the traditional occupational therapy . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CO-OP | Other | With a task-specific and goal-focused CO-OP approach; it is aimed to increase one's skills, to teach to use self-generated cognitive strategies, and to encourage generalization and transfer to new situations and activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Canadian Occupational Performance Measure (COPM) | COPM is used to help individuals describe occupational performance problems and precedence in the areas of self-care, productivity, and leisure, in which they have difficulty performing. | "up to 12 weeks" |
| Pediatric Evaluation of Disability Inventory (PEDI): | PEDI is a measurement tool used to evaluate the functional status of children. | "up to 12 weeks" |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| zeynep kolit, MSc | Hacettepe University | Principal Investigator |
| Rüya gül temel, MSc | HATAY MUSTAFA KEMAL ÜNİVERSİTESİ | Principal Investigator |
| Gamze ekici, PhD | Hacettepe University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Sıhhiye | 06100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D000072458 | Orientation, Spatial |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| GDT | Other | Goal-directed training included the active implementation of task-specific activities related to the child's functional goals. Focusing on motor learning, GDT is an activity-based approach to therapy that uses meaningful, self-selected goals to provide opportunities for problem solving and indirectly guide the movements necessary to successfully meet task demands |
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| traditional occupational therapy | Other | The program included functional one-handed and two-handed training and consisted of advice and treatment aimed at reducing spasticity, improving hand function and activities of daily living, and providing appropriate orthoses. It also includes techniques aimed at improving impairment (e.g., stretching, sensory stimulation) and strengthening activities (e.g., motor training, environmental modification, performing specific target activities) to help participants achieve their individual goals. |
|
| D013037 | Spatial Behavior |
| D001519 | Behavior |