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LocomotorLower Limb Strategies in Children With Cerebral Palsy: A Promising Treadmill Gait Training With Ankle Loading
e70 Poster 211 Comparison of Two Participation Measures in Veterans With BlastRelated Mild Traumatic Brain Injury Pey-Shan Wen (Florida International University), J. Kay Waid-Ebbs Objective: To compare two measures of participation: the Community Reintegration of Service members (CRIS) and the Participation Assessment with Recombined Tools-Objective (PART-O) Design: Cross-sectional study Setting: Questionnaires were completed in person or mailers Participants: 63 Veterans with blast-related mild TBI Interventions: Not applicable Main Outcome Measure(s): PART-O and CRIS Results: We conducted Rasch analysis on the three domains of the PART-O (productivity, social relation, out and about) and three domains of the CRIS (extend of participation, perceived limitation, satisfaction). Results showed under usage of some rating scales for both measures. Person reliability of the PART-O ranged from 0.25 to 0.45 while person reliability of the CRIS ranged from 0.93 to 0.96. Person separation of the PART-O ranged from 0.58 to 0.9 while person separation of the CRIS ranged from 3.36 to 4.74. Cronbach’s Alpha were 0.29-0.47 for the PART-O and 0.95-0.97 for the CRIS. Conclusions: Rasch analyses indicated some issues on the rating scales for both measures. The CRIS demonstrates better psychometrics than the PART-O in many aspects: person reliability, person separation, internal consistency, etc. While the PART-O is recommended for use as a common data element, in Veterans with blast-related mTBI the psychometrics were poor.This may be due to the unique attributes of the Veterans or due to the difference in participation rates of individuals with mild TBI compared to individuals with moderate to severe TBI that the PART-O was developed for.To capture the unique participation of Veterans with blast-related mTBI, the CRIS is recommended over the PART-O. Key Words: participation, Traumatic brain injury, community integration, Rasch analysis Disclosure(s): None Disclosed. Poster 212 LocomotorLower Limb Strategies in Children With Cerebral Palsy: A Promising Treadmill Gait Training With Ankle Loading Camila Rocha Sima˜o, Tatiana Souza Ribeiro, Larissa Coutinho, Lucena Trigueiro, Daniel Oliveira Antunes, Louise Gabriella Lopes de Macedo Ferreira, Raquel Rodrigues Lindquist (Federal University of Rio Grande do Norte) Objective: To compare locomotor paretic (PLL) and non-paretic (NPLL) lower limb strategies adopted by children with spastic hemiparetic cerebral palsy (SHCP), as immediate response to treadmill gait training with ankle loads. Design: Quasi-experimental study. Setting: Laboratory of Intervention and Movement Analysis of UFRN - Brazil. Participants: 20 children of both sexes with SHCP (mean age Z 8.8 years 2.39), and independent walking (GMFCS I-II). Interventions: Children walked with ankle loading duringa single 5’ treadmill training session. Main Outcome Measure(s): Qualisys Motion Capture System provided PLL and NPLL angular variables In three phases: before training (PRE); immediately after training (POST); and 5’ after the end of training (RET). Results: Repeated measures ANOVA revealed that both limbs exhibited changes over time, with no difference between them for any angular variable. LLP and LLNP showed a significant increase inrange of motion of the knee (FZ 7.697; P Z .001) and hip (F Z 7.363; P Z .001), inmaximum flexion of the knee (FZ 11.896; P < .001) and hip (F Z 15.055; P < .001) and inmaximum height of the paretic foot (F Z
Brain Injury 15.144; P < .001). The Bonferroni test showed that these changes occurred between PRE and POST and between POST and RET phases. Conclusions: Results indicate that these children used the same strategy in response to load for both limbs. This finding suggests that this therapeutic approach may be suitable in promoting greater symmetry between the LLP and LLNP. Key Words: Lower limb, Cerebral palsy, Gait, Rehabilitation Disclosure(s): None Disclosed. Poster 213 Autobiographical Memory and Social Skills Performance in Adolescents with Fetal Alcohol Spectrum Disorder: Observational Study Sabrina Agnihotri (Holland-Bloorview Kids Rehabilitation Hospital; University of Toronto), Debra Cameron, Carmen Rasmussen, Jennifer Ryan, Joanne Rovet, Michelle Keightley Objective: (1) To compare autobiographical memory (AM) recall between adolescents living with a diagnosis of FASD and a group of typically developing control participants; (2) To determine whether AM recall could predict performance on tasks designed to measure social skills in these youth. Design: Observational two-group comparison study. Setting: Research laboratory in a local children’s hospital. Participants: Adolescents with a FASD diagnosis (nZ18) between the ages of 13 e 17 years and an age- and sex-matched control group. Interventions: Not applicable. Main Outcome Measure(s): The Children’s Autobiographical Memory Interview was conducted with all participants. Theory of Mind subtests of the Neuropsychological Assessment-Version II (NEPSY-II) and social problem solving scenarios from the Interpersonal Negotiation Strategies interview were also administered as measures of social skills. Results: Analysis of Covariance was used to compare the number and types of AM details recalled between groups, while controlling for demographic factors. Adolescents with FASD were found to exhibit specific AM weaknesses in recalling event details (e.g. who was there, sequencing of events) and perceptual/sensory details from past experiences. Regression analyses revealed AM recall to be a significant predictor of social skills performance. Conclusions: Youth with FASD demonstrate impairments with AM that can significantly affect social skills performance. We hope to use this information to inform the development of new AM and social skills interventions that are unique to the needs of adolescents with FASD and adapt effective treatments from other populations relating to AM. Key Words: prospective memory, Autobiographical memory, social behaviour, Fetal Alcohol Spectrum Disorders Disclosure(s): None disclosed. Poster 214 The Effects of Caloric Vestibular Stimulation (CVS) on Low Awareness States Serena Vanzan (University of Kent), Heather Ferguson, Mayur Bodani, Mohammed Sakel Objective: Existing treatments for individuals in Low Awareness State (LAS) are often ineffective. We assessed whether Caloric Vestibular Stimulation (CVS) might promote recovery from LAS. CVS involves thermal activation of the vestibular organs which, in turn, increases activity within the reticular activating system which is the target of other therapeutic interventions. Design: Multiple-single case, randomized, single-blind controlled, pilot study. Setting: Public/private in-patient neuro-rehabilitation clinics.
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Brain Injury 15.144; P < .001). The Bonferroni test showed that these changes occurred between PRE and POST and between POST and RET phases. Conclusions: Results indicate that these children used the same strategy in response to load for both limbs. This finding suggests that this therapeutic approach may be suitable in promoting greater symmetry between the LLP and LLNP. Key Words: Lower limb, Cerebral palsy, Gait, Rehabilitation Disclosure(s): None Disclosed. Poster 213 Autobiographical Memory and Social Skills Performance in Adolescents with Fetal Alcohol Spectrum Disorder: Observational Study Sabrina Agnihotri (Holland-Bloorview Kids Rehabilitation Hospital; University of Toronto), Debra Cameron, Carmen Rasmussen, Jennifer Ryan, Joanne Rovet, Michelle Keightley Objective: (1) To compare autobiographical memory (AM) recall between adolescents living with a diagnosis of FASD and a group of typically developing control participants; (2) To determine whether AM recall could predict performance on tasks designed to measure social skills in these youth. Design: Observational two-group comparison study. Setting: Research laboratory in a local children’s hospital. Participants: Adolescents with a FASD diagnosis (nZ18) between the ages of 13 e 17 years and an age- and sex-matched control group. Interventions: Not applicable. Main Outcome Measure(s): The Children’s Autobiographical Memory Interview was conducted with all participants. Theory of Mind subtests of the Neuropsychological Assessment-Version II (NEPSY-II) and social problem solving scenarios from the Interpersonal Negotiation Strategies interview were also administered as measures of social skills. Results: Analysis of Covariance was used to compare the number and types of AM details recalled between groups, while controlling for demographic factors. Adolescents with FASD were found to exhibit specific AM weaknesses in recalling event details (e.g. who was there, sequencing of events) and perceptual/sensory details from past experiences. Regression analyses revealed AM recall to be a significant predictor of social skills performance. Conclusions: Youth with FASD demonstrate impairments with AM that can significantly affect social skills performance. We hope to use this information to inform the development of new AM and social skills interventions that are unique to the needs of adolescents with FASD and adapt effective treatments from other populations relating to AM. Key Words: prospective memory, Autobiographical memory, social behaviour, Fetal Alcohol Spectrum Disorders Disclosure(s): None disclosed. Poster 214 The Effects of Caloric Vestibular Stimulation (CVS) on Low Awareness States Serena Vanzan (University of Kent), Heather Ferguson, Mayur Bodani, Mohammed Sakel Objective: Existing treatments for individuals in Low Awareness State (LAS) are often ineffective. We assessed whether Caloric Vestibular Stimulation (CVS) might promote recovery from LAS. CVS involves thermal activation of the vestibular organs which, in turn, increases activity within the reticular activating system which is the target of other therapeutic interventions. Design: Multiple-single case, randomized, single-blind controlled, pilot study. Setting: Public/private in-patient neuro-rehabilitation clinics.
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