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Case Report  |   February 1998
Eliciting Functional Extension in Prone Through the Use of a Game
Author Affiliations
  • Lisa M. Sakemiller, OTR/L, is Occupational Therapist, St. Rita’s Medical Center, Lima, Ohio 45801. At the time of the study, she was Occupational Therapy Student, Medical College of Ohio, Toledo, Ohio
  • David L. Nelson, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, School of Allied Health, Medical College of Ohio, Toledo, Ohio
Article Information
Complementary/Alternative Approaches / Neurologic Conditions / Pediatric Evaluation and Intervention / Departments / Case Report
Case Report   |   February 1998
Eliciting Functional Extension in Prone Through the Use of a Game
American Journal of Occupational Therapy, February 1998, Vol. 52, 150-157. doi:10.5014/ajot.52.2.150
American Journal of Occupational Therapy, February 1998, Vol. 52, 150-157. doi:10.5014/ajot.52.2.150
Abstract

Objective. Although occupationally embedded exercise is becoming a recognized topic in occupational therapy research, study of this phenomenon in children has been limited. The present study examined whether play elicits therapeutic patterns of movement through the use of two ABA single-case experiments. It was predicted that in two children with hypotonic cerebral palsy, the addition of a favorite game to the occupational form, or treatment environment, would increase functional vertical neck and back extension.

Method. Each subject was positioned in prone on a wedge. During the A phases, each was given verbal directions to hold her head up. During the B phase, a favorite game was introduced. It was predicted that each subject would extend her back and neck in a functional way in order to manipulate and observe the game. The dependent variables were the mean range of neck extension and the mean range of back extension, which were measured by a videotaped, two-dimensional kinematic analysis.

Results. The addition of a favorite game to the occupational form improved vertical neck and back extension while discouraging nonfunctional neck hyperextension and fixing postures in both children.

Conclusion. Embedding exercise within a play occupation enhanced the prone extension of two children with hypotonic cerebral palsy.