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Home-based behavioural therapy effective for children with complex motor stereotypies

04 Nov 2018

Home-based behavioural therapy, administered by parents with over-the-phone assistance with a therapist, effectively reduces complex motor stereotypies (CMS) in children, a new study has found.

The study included 38 children. The corresponding families received video and written instructions, and had scheduled telephone contacts with a therapist at baseline, and at 1, 3 and 8 weeks later. Outcome scales included the Stereotypy Severity Scale (SSS) and the Stereotypy Linear Analogue Scale (SLAS).

At the end of the study period, 14 children were lost to follow-up. The remaining 24 (mean age 5.96±0.81 years) comprised the intention-to-treat cohort, in which there were significant reductions from baseline in the mean Motor (10.67±1.88 to 8.21±1.91 points; p<0.001) and Impairment (17.50±11.51 to 12.08±8.84; p=0.001) subscale scores in the SSS at the final follow-up assessment.

Notably, researchers also showed progressive improvement over time. For example, scores in the SSS Motor scale dropped from 10.67±1.88 at baseline to 10.17±2.10 and 9.00±2.43 at the second and third phone call follow-ups, respectively, before reaching the final value.

The same was true for scores in the SSS Impairment scale: findings decreased from 17.50±11.51 at baseline to 16.09±10.33 and 13.91±9.41 at the second and third phone calls, respectively.

Nineteen parents completed the post-treatment evaluation of the intervention and reported having watched the video a mean of 2.16±0.83 times. All respondents (100 percent; n=19) found the video useful and would recommend it to others.

“Although only confirmed in a younger population, we would now advocate for the use of a combined home-based therapist-assisted therapy for all age groups,” said researchers.

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Most Read Articles
08 Nov 2018
Infants born through caesarean delivery appear to be at higher risk of food allergies, while those born very preterm have lower risks, a recent study has found.
04 Nov 2018
Home-based behavioural therapy, administered by parents with over-the-phone assistance with a therapist, effectively reduces complex motor stereotypies in children, a new study has found.
Jairia Dela Cruz, 15 Oct 2018
Infants treated with phototherapy are at increased risk of developing seizures in childhood, with the risk more pronounced in boys and independent of bilirubin levels, a study has found.
28 Oct 2018
Schoolchildren with severe eczema are at heightened risk of mental health problems including emotional symptoms, conduct problems, hyperactivity/inattention and peer problems, a study has found.