Knowledge Hub

This is an excellent presentation about how incorporating participation into physiotherapy interventions and a framework for doing this. In addition the presenter’s research of this approach is presented.

Enhancing participation for children with cerebral palsy: a paradigm shift

Knowledge Hub

This is an excellent presentation about how incorporating participation into physiotherapy interventions and a framework for doing this. In addition the presenter’s research of this approach is presented.

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Synopsis of resource

This material is a video of a lecture by Professor Boyd given at the 2018 EACD annual meeting in Tbilisi, Georgia.  It covers:

  • Defining participation and intervention for the purposes of the study.
  • Seeing the context of participation and physical activity as far reaching beyond the individual; need to consider environmental and societal aspects – linked to ICF-CY
  • Participation is often assumed but not always assumed – what is a participation intervention?
  • Recap of psychological needs theories that discuss autonomy, competence and relatedness
  • Use of coaching theories to support participation interventions
  • Use of outcome measures that support collaborative approach to facilitate participation; COPM and GAS
  • Use of Motivational Interviewing framework to enable collaboration, explore barriers and facilitators
  • Clinical Implications; participation need to me multimodal and have a participation focus in order to obtain a participation outcome.
  • Consider how you can facilitate a change in health behavior as well physical outcome as key to ongoing participation.
  • Defines what is important in a participation focused intervention; Focus on intervention, consider environment and personal factors but critically look at behavior modification.

Key learning outcomes

  • Describe the RCT for the purposes of the study and explain method and reasoning; ParticiPate CP Trial; use of case studies to explain and demonstrate methods and outcomes.
  • Conclude that physical skills training cannot increase participation on their own; need to include behavior component to increase physical activity
  • Skills based therapy is not enough to increase participation, there needs to be a participation outcome.
  • PartciPate CP model effective to improve participation in physical activity with CP (GMFCS I-III) based on performance, satisfaction and self-efficacy based scores.
Roslyn Boyd

Author

Professor Boyd has primary training in Physiotherapy with post graduate training in Biomechanics (Pgrad) and Neuroscience (PhD). She has an international track record in conducting randomized clinical trials in the field of cerebral palsy. Dr Boyd’s studies have combined clinical outcomes with an understanding of the mechanisms underpinning response to intervention with novel use of Advanced Brain Imaging (functional MRI, Diffusion Imaging, Functional Connectivity, CP connectome). Her strong collaborations in neuroscience have enabled the development of novel rehabilitation trials in Action Observation training, multi-modal web based training and environmental enrichment for infants, children and youth with Cerebral Palsy. She is passionate about training the next generation of researchers and in 2014 received the research supervision excellence award. Dr Boyd has been on the scientific board of the 3rd International Cerebral Palsy conference (2009), 4th (Italy 2012) and 5th ICP (June, Sweden, 2016).

Lecture recorded at the 30th EACD conference in Tbilisi, Georgia, May 28-31, 2018.