@article{
 title = {Home based computer-assisted upper limb exercise for young children with cerebral palsy: a feasibility study investigating impact on motor control and functional outcome.},
 type = {article},
 year = {2011},
 identifiers = {[object Object]},
 keywords = {Activities of Daily Living,Adolescent,Cerebral Palsy,Cerebral Palsy: physiopathology,Cerebral Palsy: rehabilitation,Child,Computer-Assisted,Computer-Assisted: instrumentation,Computer-Assisted: methods,Exercise Therapy,Exercise Therapy: instrumentation,Exercise Therapy: methods,Feasibility Studies,Female,Humans,Male,Motor Skills,Motor Skills: physiology,Outcome Assessment (Health Care),Pilot Projects,Preschool,Program Evaluation,Robotics,Self Care,Software,Therapy,Treatment Outcome,Upper Extremity,Upper Extremity: physiopathology,User-Computer Interface},
 pages = {359-63},
 volume = {43},
 websites = {http://www.ncbi.nlm.nih.gov/pubmed/21347508},
 id = {5aec9a28-b006-3b11-b87a-f389583e18e8},
 created = {2016-01-12T14:11:15.000Z},
 file_attached = {false},
 profile_id = {d5b53108-91c5-30b8-8e6c-dd027f636bcd},
 last_modified = {2017-03-16T06:19:45.131Z},
 read = {false},
 starred = {false},
 authored = {true},
 confirmed = {true},
 hidden = {false},
 abstract = {OBJECTIVE: We developed a home-based rehabilitation exercise system incorporating a powered joystick linked to a computer game, to enable children with arm paresis to participate in independent home exercise. We investigated the feasibility and impact of using the system in the home setting.\n\nMETHODS: Eighteen children with cerebral palsy (median age 7.5 years, age range 5-16 years) were recruited from local National Health Service and the exercise system was installed in their home for approximately 4 weeks. Baseline and post-intervention assessments were taken: Canadian Occupational Performance Measure (COPM); kinematic measurement of movement quality (indexed by duration and smoothness) measured using a motion tracking system when performing a standardized computer task.\n\nRESULTS: The system was used for a median time of 75 min (interquartile range (IQR) 17-271), equating to 606 outward and 734 inward movements. Pre-COPM, (median 4.2); post-COPM (median 6.0); obs=34; z=3.62, p<0.01). Kinematic analysis of pre- and post-intervention movements on the standardized task showed decreased duration and increased smoothness.\n\nCONCLUSION: Some improvements in self-reported function and quality of movement are observed. This pilot study suggests that the system could be used to augment home-based arm exercise in an engaging way for children with cerebral palsy, although a controlled clinical trial is required to establish clinical efficacy. The feasibility of this technology has been demonstrated.},
 bibtype = {article},
 author = {Weightman, A and Preston, N and Levesley, M. C. and Holt, R. J. and Mon-Williams, M. A. and Clarke, M and Cozens, A. J. and Bhakta, B},
 journal = {Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine},
 number = {4}
}

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We investigated the feasibility and impact of using the system in the home setting.\\n\\nMETHODS: Eighteen children with cerebral palsy (median age 7.5 years, age range 5-16 years) were recruited from local National Health Service and the exercise system was installed in their home for approximately 4 weeks. Baseline and post-intervention assessments were taken: Canadian Occupational Performance Measure (COPM); kinematic measurement of movement quality (indexed by duration and smoothness) measured using a motion tracking system when performing a standardized computer task.\\n\\nRESULTS: The system was used for a median time of 75 min (interquartile range (IQR) 17-271), equating to 606 outward and 734 inward movements. Pre-COPM, (median 4.2); post-COPM (median 6.0); obs=34; z=3.62, p<0.01). Kinematic analysis of pre- and post-intervention movements on the standardized task showed decreased duration and increased smoothness.\\n\\nCONCLUSION: Some improvements in self-reported function and quality of movement are observed. This pilot study suggests that the system could be used to augment home-based arm exercise in an engaging way for children with cerebral palsy, although a controlled clinical trial is required to establish clinical efficacy. The feasibility of this technology has been demonstrated.","bibtype":"article","author":"Weightman, A and Preston, N and Levesley, M. C. and Holt, R. J. and Mon-Williams, M. A. and Clarke, M and Cozens, A. J. and Bhakta, B","journal":"Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine","number":"4","bibtex":"@article{\n title = {Home based computer-assisted upper limb exercise for young children with cerebral palsy: a feasibility study investigating impact on motor control and functional outcome.},\n type = {article},\n year = {2011},\n identifiers = {[object Object]},\n keywords = {Activities of Daily Living,Adolescent,Cerebral Palsy,Cerebral Palsy: physiopathology,Cerebral Palsy: rehabilitation,Child,Computer-Assisted,Computer-Assisted: instrumentation,Computer-Assisted: methods,Exercise Therapy,Exercise Therapy: instrumentation,Exercise Therapy: methods,Feasibility Studies,Female,Humans,Male,Motor Skills,Motor Skills: physiology,Outcome Assessment (Health Care),Pilot Projects,Preschool,Program Evaluation,Robotics,Self Care,Software,Therapy,Treatment Outcome,Upper Extremity,Upper Extremity: physiopathology,User-Computer Interface},\n pages = {359-63},\n volume = {43},\n websites = {http://www.ncbi.nlm.nih.gov/pubmed/21347508},\n id = {5aec9a28-b006-3b11-b87a-f389583e18e8},\n created = {2016-01-12T14:11:15.000Z},\n file_attached = {false},\n profile_id = {d5b53108-91c5-30b8-8e6c-dd027f636bcd},\n last_modified = {2017-03-16T06:19:45.131Z},\n read = {false},\n starred = {false},\n authored = {true},\n confirmed = {true},\n hidden = {false},\n abstract = {OBJECTIVE: We developed a home-based rehabilitation exercise system incorporating a powered joystick linked to a computer game, to enable children with arm paresis to participate in independent home exercise. We investigated the feasibility and impact of using the system in the home setting.\\n\\nMETHODS: Eighteen children with cerebral palsy (median age 7.5 years, age range 5-16 years) were recruited from local National Health Service and the exercise system was installed in their home for approximately 4 weeks. Baseline and post-intervention assessments were taken: Canadian Occupational Performance Measure (COPM); kinematic measurement of movement quality (indexed by duration and smoothness) measured using a motion tracking system when performing a standardized computer task.\\n\\nRESULTS: The system was used for a median time of 75 min (interquartile range (IQR) 17-271), equating to 606 outward and 734 inward movements. Pre-COPM, (median 4.2); post-COPM (median 6.0); obs=34; z=3.62, p<0.01). 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