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  1. Article ; Online: Kindy Moves: a protocol for establishing the feasibility of an activity-based intervention on goal attainment and motor capacity delivered within an interdisciplinary framework for preschool aged children with cerebral palsy.

    Pool, Dayna / Elliott, Catherine

    BMJ open

    2021  Volume 11, Issue 8, Page(s) e046831

    Abstract: Introduction: Preschool aged children with cerebral palsy (CP) and like conditions are at risk of performing below their peers in key skill areas of school readiness. Kindy Moves was developed to support school readiness in preschool aged children with ... ...

    Abstract Introduction: Preschool aged children with cerebral palsy (CP) and like conditions are at risk of performing below their peers in key skill areas of school readiness. Kindy Moves was developed to support school readiness in preschool aged children with CP and like conditions that are dependent on physical assistance and equipment throughout the day. The primary aims are to determine the feasibility of motor-based interventions that are functional and goal directed, adequately dosed and embedded into a play environment with interdisciplinary support to optimise goal-driven outcomes.
    Methods and analysis: Forty children with CP and like conditions aged between 2 and 5 years with a Gross Motor Function Classification System (GMFCS) level of III-V or equivalent, that is, dependent on physical assistance and equipment will be recruited in Western Australia. Participants will undertake a 4-week programme, comprised three, 2-hour sessions a week consisting of floor time, gross motor movement and play (30 min), locomotor treadmill training (30 min), overground walking in gait trainers (30 min) and table-top activities (30 min). The programme is group based with 3-4 children of similar GMFCS levels in each group. However, each child will be supported by their own therapist providing an interdisciplinary and goal directed approach. Primary outcomes of this feasibility study will be goal attainment (Goal Attainment Scale) and secondary outcomes will include Canadian Occupational Performance Measure, 10 metre walk test, Children's Functional Independence Measure, Sleep Disturbance Scale, Infant and Toddler Quality of Life Questionnaire, Peabody Developmental Motor Scale and Gross Motor Function Measure. Outcomes will be assessed at baseline, post intervention (4 weeks) and retention at the 4-week follow-up.
    Ethics and dissemination: Ethical approval was obtained from Curtin University Human Ethics Committee (HRE2019-0073). Results will be disseminated through published manuscripts in peer-reviewed journals, conference presentations and public seminars for stakeholder groups.
    Trial registration number: Australian New Zealand Clinical Trials Registry (ACTRN12619000064101p).
    MeSH term(s) Australia ; Canada ; Cerebral Palsy ; Child, Preschool ; Feasibility Studies ; Goals ; Humans ; Infant ; Motor Skills ; Quality of Life
    Language English
    Publishing date 2021-08-13
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-046831
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Use of Serious Gaming to Improve Sensorimotor Function and Motivation in People with Cerebral Palsy: A Systematic Review.

    Crebbin, Kayley / Grisbrook, Tiffany / Elliott, Catherine / Thornton, Ashleigh

    Games for health journal

    2022  Volume 12, Issue 3, Page(s) 169–197

    Abstract: The aim of this systematic review was to review the evidence for serious gaming interventions in improving sensorimotor function in children and adults with cerebral palsy (CP). Seven databases were searched with terms related to serious gaming and CP. ... ...

    Abstract The aim of this systematic review was to review the evidence for serious gaming interventions in improving sensorimotor function in children and adults with cerebral palsy (CP). Seven databases were searched with terms related to serious gaming and CP. Articles were evaluated according to the Downs and Black rating scale and important principles of serious gaming defined by Whyte et al. Extracted data included the population, intervention, serious gaming elements, outcomes, and authors' conclusions. Fifty-seven articles were identified for inclusion. Participants' ages ranged from 3 to 57 years. Interventions tested included commercial videogames as well as specially designed games. Most interventions had themed content, short-term goals, rewards, feedback, and multiple games. Outcome measures and study designs were inconsistent between studies. Sensorimotor function results of noncomparative studies were positive or neutral overall, but results of comparative studies were more mixed. We concluded that serious gaming interventions may be a useful adjunct to treatment as they are noninvasive, were not associated with deterioration in most cases, and may improve compliance. More comparative studies need to be completed to assess compliance and treatment outcomes. Future games should also aim to adhere more closely to the principles of serious gaming.
    MeSH term(s) Adolescent ; Adult ; Child ; Child, Preschool ; Humans ; Middle Aged ; Young Adult ; Cerebral Palsy/rehabilitation ; Motivation ; Treatment Outcome ; Video Games ; Neurological Rehabilitation/methods
    Language English
    Publishing date 2022-09-26
    Publishing country United States
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 2650543-5
    ISSN 2161-7856 ; 2161-783X
    ISSN (online) 2161-7856
    ISSN 2161-783X
    DOI 10.1089/g4h.2022.0112
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  3. Article ; Online: Antenatal assessment of cardiac defects in the foetus.

    Elliott, Catherine

    European heart journal

    2015  Volume 36, Issue 18, Page(s) 1062–1063

    MeSH term(s) Early Diagnosis ; Echocardiography/methods ; Female ; Fetus/abnormalities ; Heart Defects, Congenital/diagnostic imaging ; Humans ; Pregnancy ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Ultrasonography, Prenatal/methods
    Language English
    Publishing date 2015-05-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehv058
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  4. Article ; Online: Assessing foetal cardiac anomalies using echocardiography.

    Elliott, Catherine

    European heart journal

    2015  Volume 36, Issue 18, Page(s) 1063–1064

    MeSH term(s) Echocardiography/methods ; Female ; Fetus/abnormalities ; Heart Defects, Congenital/diagnostic imaging ; Humans ; Pregnancy ; Pregnancy Trimester, First ; Ultrasonography, Prenatal/methods
    Language English
    Publishing date 2015-05-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
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  5. Article ; Online: Kindy Moves: the feasibility of an intensive interdisciplinary programme on goal and motor outcomes for preschool-aged children with neurodisabilities requiring daily equipment and physical assistance.

    Haddon, Matthew / West, Loren / Elliott, Catherine / Walmsley, Corrin / Valentine, Jane / Bear, Natasha / Pool, Dayna

    BMJ open

    2023  Volume 13, Issue 5, Page(s) e068816

    Abstract: Objectives: To determine the feasibility of an intensive interdisciplinary programme in improving goal and motor outcomes for preschool-aged children with non-progressive neurodisabilities. The primary hypothesis was that the intervention would be ... ...

    Abstract Objectives: To determine the feasibility of an intensive interdisciplinary programme in improving goal and motor outcomes for preschool-aged children with non-progressive neurodisabilities. The primary hypothesis was that the intervention would be feasible.
    Design: A single group feasibility study.
    Setting: An Australian paediatric community therapy provider.
    Participants: Forty children were recruited. Inclusion criteria were age 2-5 years with a non-progressive neurodisability, Gross Motor Function Classification System (GMFCS) levels III-V or equivalent, and goals relating to mobility, communication and upper limb function. Exclusion criteria included orthopaedic surgery in the past 6 months, unstable hip subluxation, uncontrolled seizure disorder or treadmill training in the past month.
    Intervention: A goal-directed programme of three 2-hour sessions per week for 4 weeks (24 hours total). This consisted of treadmill and overground walking, communication practice, and upper limb tasks tailored by an interdisciplinary team.
    Primary and secondary outcome measures: Limited-efficacy measures from preintervention (T1) to postintervention (T2) and 4-week follow-up (T3) included the Goal Attainment Scaling (GAS), Canadian Occupational Performance Measure (COPM), Gross Motor Function Measure (GMFM-66) and 10-Metre Walk Test (10MWT). Acceptability, demand, implementation and practicality were also explored.
    Results: There were improvements at T2 compared with T1 for all limited-efficacy measures. The GAS improved at T2 (mean difference (MD) 27.7, 95% CI 25.8 to 29.5) as well as COPM performance (MD 3.2, 95% CI 2.8 to 3.6) and satisfaction (MD 3.3, 95% CI 2.8 to 3.8). The GMFM-66 (MD 2.3, 95% CI 1.0 to 3.5) and 10MWT (median difference -2.3, 95% CI -28.8 to 0.0) improved at T2. Almost all improvements were maintained at T3. Other feasibility components were also demonstrated. There were no adverse events.
    Conclusions: An intensive interdisciplinary programme is feasible in improving goal and motor outcomes for preschool children with neurodisabilities (GMFCS III-V or equivalent). A randomised controlled trial is warranted to establish efficacy.
    Trial registration number: ACTRN12619000064101.
    MeSH term(s) Humans ; Child ; Child, Preschool ; Feasibility Studies ; Goals ; Australia ; Canada ; Walking ; Cerebral Palsy
    Language English
    Publishing date 2023-05-11
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2022-068816
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Profiling the Longitudinal Development of Babbling in Infants with Cerebral Palsy: Validation of the Infant Monitor of Vocal Production (IMP) Using the Stark Assessment of Early Vocal Development-Revised (SAEVD-R).

    Ward, Roslyn / Hennessey, Neville / Barty, Elizabeth / Cantle Moore, Robyn / Elliott, Catherine / Valentine, Jane

    Diagnostics (Basel, Switzerland)

    2023  Volume 13, Issue 23

    Abstract: Aim: We compared early vocal development in children "at risk" for cerebral palsy (CP) with typically developing (TD) infants aged 6 to 15 months using the SAEVD-R, investigating potential pre-linguistic markers of communication impairment. Additionally, ...

    Abstract Aim: We compared early vocal development in children "at risk" for cerebral palsy (CP) with typically developing (TD) infants aged 6 to 15 months using the SAEVD-R, investigating potential pre-linguistic markers of communication impairment. Additionally, we sought to examine the agreement between the SAEVD-R and IMP, which uses parent report, in identifying departure from typical vocal development in at-risk infants.
    Method: Utilising a longitudinal cohort study, >10,000 vocalisations of 33 infants (15 at risk for CP and 18 TD) were assessed at 6, 9, 12, and 15 months using the SAEVD-R. Generalised linear mixed models (GLMMs) compared groups, and Spearman correlations explored IMP ceiling scores and SAEVD-R measures.
    Results: At 6 months, both TD and CP groups reached SAEVD-R vocalisation level 3 (expansion). By 9 months, 51% of TD infants progressed to advanced babbling (levels 4 and 5), while 80% of at-risk infants remained at level 3. At 12 and 15 months, over 90% of TD children advanced, compared to 67% at 12 months and 53% at 15 months for at-risk infants, who stayed at the pre-canonical stage. Strong correlations were found between IMP scores and vocalisation levels at 9 and 12 months. Remaining at the pre-canonical stage at 12 months correlated with delayed vocal development as per IMP scores.
    Interpretation: TD infants achieved higher SAEVD-R levels than at-risk infants. At 12 months, IMP scores effectively identified infants with speech-like vocalisation difficulties, demonstrating its clinical utility in identifying atypical vocal development in infants at risk for CP.
    Language English
    Publishing date 2023-11-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics13233517
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  7. Article ; Online: The Experience of Locomotor Training From the Perspectives of Therapists and Parents of Children With Cerebral Palsy.

    Pool, Dayna / Elliott, Catherine / Willis, Claire / Thornton, Ashleigh

    Frontiers in rehabilitation sciences

    2021  Volume 2, Page(s) 740426

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2021-12-02
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2673-6861
    ISSN (online) 2673-6861
    DOI 10.3389/fresc.2021.740426
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  8. Article ; Online: The Neurological Hand Deformity Classification: Construct validity, test-retest, and inter-rater reliability.

    Garbellini, Simon / Randall, Melinda / Steele, Michael / Elliott, Catherine / Imms, Christine

    Journal of hand therapy : official journal of the American Society of Hand Therapists

    2021  Volume 35, Issue 4, Page(s) 581–589

    Abstract: Background: The Neurological Hand Deformity Classification (NHDC) is an impairment-based tool that classifies hand deformity into one of two ordinal scales: flexion or extension deformities. Classification is made from live observation or from recorded ... ...

    Abstract Background: The Neurological Hand Deformity Classification (NHDC) is an impairment-based tool that classifies hand deformity into one of two ordinal scales: flexion or extension deformities. Classification is made from live observation or from recorded video footage. Differentiation between the levels is determined by wrist position and wrist and finger movement.
    Purpose: To examine aspects of validity and reliability of the NHDC.
    Study design: A measurement study design.
    Methods: Data from a convenience sample of 127 children with cerebral palsy, 66 males: 61 females, ranging in age from 8 months to 15 years, across all Manual Ability Classification System levels I to V, were analyzed. Construct validity was assessed by testing predetermined hypotheses of relationships between the NHDC and measures of body function and activity measures with observed performance using the Chi Squared Test of Independence and Spearman Correlation Coefficient. Test-retest and inter-rater reliability were assessed by calculating agreement between repeated measures and paired raters using weighted kappa and Cohen's kappa with 95% confidence intervals.
    Results: Predicted hypotheses for the NHDC were met in nine of 10 Spearman's rho correlations with body structure measures and in 2 of 7 correlations with activity measures. Test-retest for flexion deformities: κw = 0.84; 95% CI 0.70-0.98; and extension deformities: κ = 1.0; 95% CI 1.0-1.0 was good to excellent; inter-rater reliability for flexion deformities: κw = 0.76; 95% CI 0.67-0.85; and extension deformities κ = 0.75; 95% CI 0.43-1.0 was moderate to excellent.
    Conclusion: Expected relationships between the NHDC and other measures, stability between repeated measures and acceptable between-rater agreement supports confidence classifying hand deformity in children with cerebral palsy with the NHDC.
    MeSH term(s) Male ; Child ; Female ; Humans ; Reproducibility of Results ; Cerebral Palsy/diagnosis ; Hand Deformities ; Upper Extremity ; Fingers
    Language English
    Publishing date 2021-03-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639284-2
    ISSN 1545-004X ; 0894-1130
    ISSN (online) 1545-004X
    ISSN 0894-1130
    DOI 10.1016/j.jht.2021.03.005
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  9. Article ; Online: Severity of Food Insecurity among Australian University Students, Professional and Academic Staff.

    Kent, Katherine / Visentin, Denis / Peterson, Corey / Ayre, Ian / Elliott, Catherine / Primo, Carmen / Murray, Sandra

    Nutrients

    2022  Volume 14, Issue 19

    Abstract: Assessments of the severity of food insecurity within Australian university students are lacking, and the experience of food insecurity in Australian university staff is unknown. A cross-sectional online survey in March 2022 aimed to characterize the ... ...

    Abstract Assessments of the severity of food insecurity within Australian university students are lacking, and the experience of food insecurity in Australian university staff is unknown. A cross-sectional online survey in March 2022 aimed to characterize the severity of food insecurity in students, professional and academic staff at the University of Tasmania (UTAS). The Household Food Security Survey Module six-item short form assessed food security status in addition to seven demographic and education characteristics for students and six demographic and employment characteristics for staff. Participants were categorized as having high, marginal, low, or very low food security. Multivariate binary logistic regression identified students and staff at higher risk of food insecurity. Among student respondents (
    MeSH term(s) Australia ; Cross-Sectional Studies ; Food Insecurity ; Food Supply ; Humans ; Socioeconomic Factors ; Students ; Universities
    Language English
    Publishing date 2022-09-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14193956
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  10. Article ; Online: Implications of providing wrist-hand orthoses for children with cerebral palsy: evidence from a randomised controlled trial.

    Imms, Christine / Wallen, Margaret / Elliott, Catherine / Hoare, Brian / Greaves, Susan / Randall, Melinda / Orsini, Francesca

    Disability and rehabilitation

    2022  Volume 45, Issue 12, Page(s) 2046–2056

    Abstract: Purpose: To investigate the effects of providing rigid wrist-hand orthoses plus usual multidisciplinary care, on reducing hand impairments in children with cerebral palsy.: Methods: A pragmatic, multicentre, assessor-blinded randomised controlled ... ...

    Abstract Purpose: To investigate the effects of providing rigid wrist-hand orthoses plus usual multidisciplinary care, on reducing hand impairments in children with cerebral palsy.
    Methods: A pragmatic, multicentre, assessor-blinded randomised controlled trial aimed to enrol 194 children aged 5-15 years, with wrist flexor Modified Ashworth Scale score ≥1. Randomisation with concealed allocation was stratified by study site and passive wrist range. The treatment group received a rigid wrist-hand orthosis, to wear ≥6 h per night for 3 years. Analysis included repeated measures mixed-effects linear regression models, using intention-to-treat principles.
    Results: The trial stopped early due to insufficient recruitment: 74 children, across all Manual Ability Classification System levels, were randomised (
    Conclusion: The study provided detailed data about short- and long-term effects of the wrist-hand orthosis and highlighted challenges in conducting large randomised controlled trials with this population.
    MeSH term(s) Humans ; Child ; Wrist ; Cerebral Palsy/therapy ; Orthotic Devices ; Hand ; Upper Extremity ; Randomized Controlled Trials as Topic
    Language English
    Publishing date 2022-06-01
    Publishing country England
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1104775-6
    ISSN 1464-5165 ; 0963-8288
    ISSN (online) 1464-5165
    ISSN 0963-8288
    DOI 10.1080/09638288.2022.2079734
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