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Efficacy of parent-delivered behavioral therapy for primary complex motor stereotypies.
- Source :
- Developmental Medicine & Child Neurology; Feb2017, Vol. 59 Issue 2, p168-173, 6p
- Publication Year :
- 2017
-
Abstract
- <bold>Aim: </bold>Primary complex motor stereotypies (CMS) are persistent, patterned, repetitive, rhythmic movements in young people with typical development. This study evaluated the efficacy of an instructional DVD as a home-based, parent-administered, behavioral therapy for primary CMS.<bold>Method: </bold>Eighty-one children with primary CMS were enrolled. Primary outcome measures included the Stereotypy Severity Scale (SSS) - Motor and Impairment scores, and Stereotypy Linear Analog Scale (SLAS). Mean CMS onset was 13.4 months (SD 13.1). Eligibility required observed CMS. Psychiatric disorders were not exclusionary and a stable medication regimen was required. Intellectual disability, neurological disorder, autism spectrum disorder, and tics were exclusionary. Initial assessments were completed via REDCap before receipt of the DVD. Fifty-four of the 81 children (34 male, 20 female; mean age 8y 2mo, SD 1.42, range 7-14y) completed assessments at 1, 2, or 3 months after receiving the DVD.<bold>Results: </bold>Reductions (baseline to last assessment) in SSS Motor, SSS Impairment, and SLAS scores (all p<0.001) represented change ratios of -15%, -24%, and a -20% respectively. Greatest relative treatment benefit was observed by younger children (ages 7-8y), and by 1 month after receipt of DVD, while a parent global assessment scale showed progressive improvement throughout the study.<bold>Interpretation: </bold>An instructional DVD for parent-delivered behavioral therapy was a safe, effective intervention for primary CMS. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00121622
- Volume :
- 59
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Developmental Medicine & Child Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 120497446
- Full Text :
- https://doi.org/10.1111/dmcn.13164