Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study

Abstract Background Impairments of selective control of joint movements can have consequences for many activities of daily life, but there are only a few interventions to improve selective voluntary motor control (SVMC). We have developed a treatment option to specifically enhance SVMC exploiting th...

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Autores principales:	Annina Fahr, Andrina Kläy, Larissa S. Coka, Hubertus J. A. van Hedel
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Neurorehabilitation Single-case design Interactive computer play Cerebral palsy Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/d0f4d34ebd96454dbc07cecd3fb65633
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spelling	oai:doaj.org-article:d0f4d34ebd96454dbc07cecd3fb656332021-11-14T12:33:20ZGame-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study10.1186/s12887-021-02983-81471-2431https://doaj.org/article/d0f4d34ebd96454dbc07cecd3fb656332021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02983-8https://doaj.org/toc/1471-2431Abstract Background Impairments of selective control of joint movements can have consequences for many activities of daily life, but there are only a few interventions to improve selective voluntary motor control (SVMC). We have developed a treatment option to specifically enhance SVMC exploiting the advantages of interactive computer play technology. It targets SVMC by training selective activation of a muscle or a selective joint movement while it provides immediate feedback about involuntary muscle activations/movements at an (unwanted) joint. This study aims to investigate the effectiveness of this game-based intervention to enhance SVMC in children and youth with upper motor neuron lesions. Methods We will conduct a randomized, non-concurrent, multiple baseline design study. Patients aged between 6 and 20 years with reduced SVMC due to an upper motor neuron lesion will be included. During the baseline phase of random length, participants will attend their regular intensive rehabilitation program, and in the intervention phase, they will additionally complete 10 therapy sessions (à 40 min) of the game-based SVMC training. The primary outcome will be a short SVMC assessment conducted repeatedly throughout both phases, which quantifies movement accuracy and involuntary movements. Changes in clinical SVMC measures, muscle strength, cortical excitability, motor control of the inhibited/unwanted movement, and functional independence will be assessed as secondary outcomes. We will use a mixed-effect model to determine the change in the course of the primary outcome when the intervention is introduced, and we will compare changes between phases for secondary outcomes with paired tests. Discussion This study will provide first evidence whether SVMC can be improved with our game-based training. The single-case design takes into account the individualization required for this intervention, and it can help to address the challenges of intervention trials in our setting. Trial registration German Clinical Trials Register: DRKS00025184 , registered on 28.04.2021.Annina FahrAndrina KläyLarissa S. CokaHubertus J. A. van HedelBMCarticleNeurorehabilitationSingle-case designInteractive computer playCerebral palsyPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurorehabilitation Single-case design Interactive computer play Cerebral palsy Pediatrics RJ1-570
spellingShingle	Neurorehabilitation Single-case design Interactive computer play Cerebral palsy Pediatrics RJ1-570 Annina Fahr Andrina Kläy Larissa S. Coka Hubertus J. A. van Hedel Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
description	Abstract Background Impairments of selective control of joint movements can have consequences for many activities of daily life, but there are only a few interventions to improve selective voluntary motor control (SVMC). We have developed a treatment option to specifically enhance SVMC exploiting the advantages of interactive computer play technology. It targets SVMC by training selective activation of a muscle or a selective joint movement while it provides immediate feedback about involuntary muscle activations/movements at an (unwanted) joint. This study aims to investigate the effectiveness of this game-based intervention to enhance SVMC in children and youth with upper motor neuron lesions. Methods We will conduct a randomized, non-concurrent, multiple baseline design study. Patients aged between 6 and 20 years with reduced SVMC due to an upper motor neuron lesion will be included. During the baseline phase of random length, participants will attend their regular intensive rehabilitation program, and in the intervention phase, they will additionally complete 10 therapy sessions (à 40 min) of the game-based SVMC training. The primary outcome will be a short SVMC assessment conducted repeatedly throughout both phases, which quantifies movement accuracy and involuntary movements. Changes in clinical SVMC measures, muscle strength, cortical excitability, motor control of the inhibited/unwanted movement, and functional independence will be assessed as secondary outcomes. We will use a mixed-effect model to determine the change in the course of the primary outcome when the intervention is introduced, and we will compare changes between phases for secondary outcomes with paired tests. Discussion This study will provide first evidence whether SVMC can be improved with our game-based training. The single-case design takes into account the individualization required for this intervention, and it can help to address the challenges of intervention trials in our setting. Trial registration German Clinical Trials Register: DRKS00025184 , registered on 28.04.2021.
format	article
author	Annina Fahr Andrina Kläy Larissa S. Coka Hubertus J. A. van Hedel
author_facet	Annina Fahr Andrina Kläy Larissa S. Coka Hubertus J. A. van Hedel
author_sort	Annina Fahr
title	Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
title_short	Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
title_full	Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
title_fullStr	Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
title_full_unstemmed	Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
title_sort	game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/d0f4d34ebd96454dbc07cecd3fb65633
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_version_	1718429196602048512

Game-based training of selective voluntary motor control in children and youth with upper motor neuron lesions: protocol for a multiple baseline design study

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