We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Evidence for Using ACQUIRE Therapy in the Clinical Application of Intensive Therapy: A Framework to Guide Therapeutic Interactions.
- Authors
DeLuca, Stephanie C.; Trucks, Mary Rebekah; Wallace, Dorian; Ramey, Sharon Landesman
- Abstract
Intensive therapies have become increasingly popular for children with hemiparesis in the last two decades and are specifically recommended because of high levels of scientific evidence associated with them, including multiple randomized controlled trials and systematic reviews. Common features of most intensive therapies that have documented efficacy include: high dosages of therapy hours; active engagement of the child; individualized goal-directed activities; and the systematic application of operant conditioning techniques to elicit and progress skills with an emphasis on success-oriented play. However, the scientific protocols have not resulted in guiding principles designed to aid clinicians with understanding the complexity of applying these principles to a heterogeneous clinical population, nor have we gathered sufficient clinical data using intensive therapies to justify their widespread clinical use beyond hemiparesis. We define a framework for describing moment-by-moment therapeutic interactions that we have used to train therapists across multiple clinical trials in implementing intensive therapy protocols. We also document outcomes from the use of this framework during intensive therapies provided clinically to children (7 months–20 years) from a wide array of diagnoses that present with motor impairments, including hemiparesis and quadriparesis. Results indicate that children from a wide array of diagnostic categories demonstrated functional improvements.
- Subjects
CLINICAL medicine; OPERANT conditioning; GASTROPARESIS; RANDOMIZED controlled trials; CONSTRAINT-induced movement therapy; HEMIPARESIS
- Publication
Behavioral Sciences (2076-328X), 2023, Vol 13, Issue 6, p484
- ISSN
2076-328X
- Publication type
Article
- DOI
10.3390/bs13060484