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Research papers

Action Observation Treatment in a tele-rehabilitation setting: a pilot study in children with cerebral palsy

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Pages 1107-1112 | Received 22 Oct 2019, Accepted 03 Jul 2020, Published online: 17 Aug 2020
 

Abstract

Objective

Action Observation Treatment is a novel rehabilitation approach exploiting a neurophysiological mechanism that allows one to recruit the neural structures sub-serving action execution during the mere observation of those same actions. Action Observation Treatment is effective in the rehabilitation of several neurological diseases. In this pilot study, we used Action Observation Treatment in a telerehabilitation setting in children with Cerebral Palsy.

Materials and methods

Ten children with Cerebral Palsy, aged 5–12 years, entered the study. They followed the Action Observation Treatment rehabilitation program at home with remote supervision by a child neurologist located at the hospital. Outcome measures were the scores at the Melbourne Assessment of Unilateral Upper Limb Function Scale and the Assisting Hand Assessment.

Results

Scores obtained after treatment and at a two months’ follow-up significantly differed from baseline and overlapped those obtained in randomized controlled studies carried out in a conventional setting.

Conclusions

Action Observation Treatment is therefore a promising approach that can be used on a large scale in a telerehabilitation setting.

    IMPLICATIONS FOR REHABILITATION

  • Tele-rehabilitation has the potential to enhance early intervention service provision for children with Cerebral Palsy.

  • Action Observation Treatment has the potential to become a routine approach in a telerehabilitation setting.

Acknowledgements

The authors are grateful to Anna Alessandrini and Maria Fezzardi for their valuable help in collecting data.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This project was supported by a grant from Fondazione Telecom Italia, now Fondazione TIM.

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