Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review

Auld, Megan L., Russo, Remo, Moseley, G. Lorimer and Johnston, Leanne M. (2014) Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review. Developmental Medicine and Child Neurology, 56 9: 815-832. doi:10.1111/dmcn.12439


Author Auld, Megan L.
Russo, Remo
Moseley, G. Lorimer
Johnston, Leanne M.
Title Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2014-09-01
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1111/dmcn.12439
Volume 56
Issue 9
Start page 815
End page 832
Total pages 18
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Aim
This study reviewed interventions suitable for treating tactile dysfunction in children with cerebral palsy (CP).

Method
A systematic review was conducted of six databases, searched for population: (‘brain injury’ OR ‘cerebral palsy’ OR ‘stroke’ OR ‘cerebrovascular accident’) and intervention: (‘tactile’ OR ‘sensation’). Inclusion criteria were: (1) published after 1950 in English; (2) participants older than 4 years with brain injury; (3) upper limb intervention; and (4) examined tactile registration or perception.

Results
Of 2938 studies identified, 30 met the inclusion criteria. Results from included studies indicated that tactile function improved in adults with stroke after transfer enhanced training (t[47]=2.75, p=0.004), stimulus specific training (p<0.001), ice therapy (F=5.71, p=0.028), mirror therapy (F=7.7, p=0.009), and functional deafferentation using an anaesthetic cream (t=3.76; p<0.01). No intervention reported improvement in tactile dysfunction for children with CP.

Interpretation
Research is required to develop tactile interventions for children with CP that integrate methodology from effective approaches for adults after stroke. Stimulus specific training, transfer enhanced training, and mirror therapy are promising. Other approaches are less suitable for children because of invasiveness (electrical stimulation), safety (ice therapy), or limitation of bimanual function (eutectic mixture of local anaesthetics, pneumatic cuff).
Keyword Tactile impairment
Cerebral palsy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 6 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 26 Aug 2014, 14:37:58 EST by System User on behalf of School of Health & Rehabilitation Sciences