The Effectiveness of MOVE Rehabilitation Methodology on Rehabilitation Outcome of Movement dysfunction among Palestinian Children - A Descriptive Retrospective study

Siba Khaled Salame Dawani Balian
صبا خالد دواني بليان
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Al-Quds University
Introduction. Movement dysfunction is referring to more than one specific diagnosis, including cerebral palsy, head injuries, Down syndrome, Spina Bifada and other movement related disorders. Move (movement opportunity via education) is a rehabilitation method based on motor learning aiming to train movement disorder patients to gain their basic movements and motor abilities , the Aim of this study was to evaluate the effect of MOVE methodology in Rehabilitation on rehabilitation outcome of Movement dysfunction children . Methods: Retrospective analytical observational study was used to investigate and review all the rehabilitation files (n=80) from MOVE three centers, Jericho, Yatta and Idna (2012 – 0202) in west Bank. Baseline and follow up assessments were investigated and analyzed, using MOVE assessment form that includes 16 functional items, scores are based on points scale, and 4 functional categories, representing the different functional abilities of the children at baseline and follow up. Results: Eighty files were detected. 50 files had pre and post assessments, 36.3% were spastic quadriplegia CP, 27.5% were Psychomotor delay, 17.5% Diplegia, 6.3% were Microcephaly, 5% Downsyndrome,2.5% were Spina bifida and 1.3% had Brain atrophy. 52.5% were males and 47.5 % were females, average age of participants was 11.26, average length of stay in the rehabilitation program was 26.38 months. All domains of the 16 functional tasks showed a statistically significant improvement between baseline and follow up (p <0.05) Most improved domains were sitting to standing and standing to sit and walking forward. Least improvement was standing still, pivoting during walking, and movement in sitting position. Most improved diagnosis was Traumatic brain injuries, Down syndrome, microcephaly, and Diplegia, and least improved diagnosis were Spina Bifida and brain atrophy. Improvement was positively associated with the age and the IV length of stay in rehabilitation. Other variables like gender and demography were not a significantly associated variable with improvement (P >0.05). Conclusion MOVE is an effective functional rehabilitation approach in movement disorders children, further research is needed to investigate a comprehensive measurement that covers all areas of physical function & ADL‟s (activities of daily living). and compare MOVE efficacy versus other rehabilitation techniques. Keywords Movement disorder, Cerebral palsy,, MOVE, outcome measures, school age, functional activity