Advance of goals-activity-motor enrichment in early intervention of high-risk children with cerebral palsy

HAO Chao-li; WU Xi-xi; HAN Qing-mei; ZENG Pei; GUO Jin

doi:10.11852/zgetbjzz2021-1545

PDF(560 KB)

Chinese Journal of Child Health Care ›› 2022, Vol. 30 ›› Issue (10) : 1104-1107. DOI: 10.11852/zgetbjzz2021-1545

Review

Advance of goals-activity-motor enrichment in early intervention of high-risk children with cerebral palsy

HAO Chao-li, WU Xi-xi, HAN Qing-mei, ZENG Pei, GUO Jin

Author information +

History +

Abstract

Goals-activity-motor enrichment is a new early intervention therapy for children at high risk of cerebral palsy, which has been gradually applied in clinical practice. It focuses on early intervention for children at high risk of cerebral palsy through continuous enrichment of the peripheral environment with the active participation of the parents, using motor target as the main orientation. This paper discusses the main content of goals-activity-motor enrichment and the application of early intervention in children at high risk of cerebral palsy through literature review.

Key words

goals-activity-motor enrichment therapy / cerebral palsy / high risk infants / early intervention

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

HAO Chao-li, WU Xi-xi, HAN Qing-mei, ZENG Pei, GUO Jin. Advance of goals-activity-motor enrichment in early intervention of high-risk children with cerebral palsy[J]. Chinese Journal of Child Health Care. 2022, 30(10): 1104-1107 https://doi.org/10.11852/zgetbjzz2021-1545

References

[1] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,《中国脑性瘫痪康复指南》编委会.中国脑性瘫痪康复指南(2015):第二部分[J].中国康复医学杂志,2015,30(8):858-866.
[2] 林春,孟兆祥,任素伟,等.全身运动评估指导下的分级早期干预对脑瘫高危儿预后的影响[J].中国康复医学杂志,2021,36(2):161-165.
[3] Morgan C, Novak I, Dale RC,et al. GAME(Goals-Activity-Motor Enrichment):Protocol of a single blind randomised controlled trial of motor training, parent education and environmental enrichment for infants at high risk of cerebral palsy[J]. BMC Neurol, 2014, 14: 203.
[4] Brandão MB, Frota LMDCP, Miranda JL, et al. Family-centered early intervention program for Brazilian infants with congenital Zika virus syndrome: A pilot study[J]. Phys Occup Ther Pediatr, 2019, 39(6):642-654.
[5] Hadders-Algra M, Boxum AG, Hielkema T, et al. Effect of early intervention in infants at very high risk of cerebral palsy:A systematic review[J]. Dev Med Child Neurol, 2017, 59(3):246-258.
[6] Finch-Edmondson M, Morgan C, Hunt RW,et al. Emergent prophylactic, reparative and restorative brain interventions for infants born preterm with cerebral palsy[J]. Front Physiol, 2019, 10: 15.
[7] Hadders-Algra M. Early human brain development: Starring the subplate[J]. Neurosci Biobehav Rev, 2018, 92: 276-290.
[8] Hadders-Algra M. Early diagnostics and early intervention in neurodevelopmental disorders-age-dependent challenges and opportunities[J]. J Clin Med, 2021, 10(4):861.
[9] 洪永锋,徐军,沈显山,等. 不同时机开始康复干预对2岁前脑瘫高危儿粗大运动疗效的影响[J].中华物理医学与康复杂志,2017,39(9):686-691.
[10] 邓增稳,张欠,段晓丽,等.脑瘫高危儿早期综合干预效果观察[J].河北医药,2021,43(2):239-242.
[11] Morgan C, Novak I, Dale RC, et al. Single blind randomised controlled trial of GAME(Goals-Activity-Motor Enrichment) in infants at high risk of cerebral palsy[J]. Res Dev Disabil, 2016, 55:256-267
[12] 唐久来,方玲玲,杨李,等. 高危儿和特异性高危儿早期干预的进展[J]. 中华实用儿科临床杂志,2020,35(24):1841-1845.
[13] Byrne R, Noritz G,Maitre NL,et al. Implementation of early diagnosis and intervention guidelines for cerebral palsy in a high-risk infant follow-up clinic[J]. Pediatr Neurol, 2017, 76: 66-71.
[14] Spittle A, Orton J, Anderson PJ,et al. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants[J]. Cochrane Database Syst Rev,2015,11: CD005495.
[15] Löwing K, Bexelius A, Brogren Carlberg E. Activity focused and goal directed therapy for children with cerebral palsy-do goals make a difference?[J]. Disabil Rehabil, 2009, 31(22):1808-1816.
[16] Siegert RJ, McPherson KM, Taylor WJ. Toward a cognitive-affective model of goal-setting in rehabilitation:Is self-regulation theory a key step?[J]. Disabil Rehabil, 2004, 26(20):1175-1183.
[17] Hutchon B, Gibbs D, Harniess P, et al. Early intervention programmes for infants at high risk of atypical neurodevelopmental outcome[J]. Dev Med Child Neurol, 2019, 61(12):1362-1367.
[18] Valvano J. Activity-focused motor interventions for children with neurological conditions[J].Phys Occup Ther Pediatr, 2004, 24(1-2):79-107.
[19] Löwing K, Bexelius A, Carlberg EB. Goal-directed functional therapy:A longitudinal study on gross motor function in children with cerebral palsy[J]. Disabil Rehabil, 2010, 32(11):908-916.
[20] Provenzi L, Giusti L, Caglia M, et al. Evidence and open questions for the use of video-feedback interventions with parents of children with neurodevelopmental disabilities[J]. Front Psychol, 2020, 11: 1374.
[21] Guralnick MJ. Preventive interventions for preterm children:Effectiveness and developmental mechanisms[J]. J Dev Behav Pediatr, 2012, 33(4):352-364.
[22] Vanderveen JA, Bassler D, Robertson CM, et al. Early interventions involving parents to improve neurodevelopmental outcomes of premature infants:A Meta-analysis[J]. J Perinatol, 2009, 29(5):343-351.
[23] Feniger-Schaal R, Oppenheim D, Koren-Karie N. Parenting children with intellectual disability:Linking maternal insightfulness to sensitivity[J]. J Intellect Disabil Res, 2019, 63(10):1285-1289.
[24] Festante F, Antonelli C, Chorna O, et al. Parent-infant interaction during the first year of life in infants at high risk for cerebral palsy: A systematic review of the literature[J]. Neural Plast, 2019, 2019: 75-94.
[25] Morgan C, Novak I, Dale RC,et al. Optimising motor learning in infants at high risk of cerebral palsy:A pilot study[J]. BMC Pediatr, 2015, 15: 30.
[26] Morgan C, Novak I, Badawi N. Enriched environments and motor outcomes in cerebral palsy:Systematic review and meta-analysis[J]. Pediatrics, 2013, 132(3):e735-e746.
[27] Ferreira RC,Alves CRL, Guimarães MAP, et al. Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis[J]. J Pediatr(Rio J), 2020, 96(1):20-38.
[28] Gubert C, Hannan AJ. Environmental enrichment as an experience-dependent modulator of social plasticity and cognition[J]. Brain Res, 2019, 1717: 1-14.
[29] Sampedro-Piquero P, Begega A. Environmental enrichment as a positive behavioral intervention across the lifespan[J]. Curr Neuropharmacol, 2017, 15(4):459-470.
[30] Ohline SM, Abraham WC. Environmental enrichment effects on synaptic and cellular physiology of hippocampal neurons[J]. Neuropharmacology, 2019, 145(Pt A):3-12.
[31] Ball NJ, Mercado E,Orduña I. Enriched environments as a potential treatment for developmental disorders: A critical assessment[J]. Front Psychol, 2019, 10: 466.
[32] Suemaru K, Yoshikawa M, Aso H,et al. Environmental enrichment alleviates cognitive and behavioral impairments in EL mice[J]. Epilepsy Behav, 2018, 85: 227-223.
[33] 李转. 听觉统合训练联合家庭康复训练在儿童孤独症康复治疗中的应用效果[J]. 护理实践与研究,2019,16(14):132-134.
[34] 吴德,崔珍珍,朱静,等.目标-活动-运动强化疗法和神经发育学疗法对脑性瘫痪高风险儿早期干预效果的比较[J]. 中华实用儿科临床杂志,2019,11:832-836.
[35] 苑爱云,侯梅,王淑婷,等.目标-活动-丰富运动干预对轻、中度发育障碍婴儿运动功能的影响[J].中华物理医学与康复杂志,2020,42(9):808-812.
[36] 崔珍珍,刘乐,张学敏,等.目标-活动-运动强化疗法对全面性发育落后的疗效研究[J]. 中国康复医学杂志,2021,36(2):143-148.
[37] Graham D, Paget SP,Wimalasundera N. Current thinking in the health care management of children with cerebral palsy[J]. Med J Aust, 2019, 210(3):129-135.
[38] Novak I, Morgan C,Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment[J]. JAMA Pediatr, 2017, 171(9):897-907.
[39] Morgan C, Romeo DM,Chorna O, et al. The pooled diagnostic accuracy of neuroimaging, general movements, and neurological examination for diagnosing cerebral palsy early in high-risk infants: A case control study[J]. J Clin Med, 2019, 8(11):1879.
[40] World Health Organization. International classification of functioning, disability and health - children and youth version[R]. Geneva: WHO,2007.