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Head Control Changes After Headpod Use in Children With Poor Head Control: A Feasibility Study.

Julie E Brown1, Mary Thompson, Kelli Brizzolara

  • 1Fort Worth Independent School District (Dr Brown), Fort Worth, Texas; School of Physical Therapy (Drs Thompson and Brizzolara), Texas Woman's University, Dallas, Texas.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
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Summary

Headpod use for children with cerebral palsy (CP) significantly improved head control. Six months of daily use showed apparent positive changes, suggesting it

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Area of Science:

  • Pediatric Rehabilitation
  • Neuromotor Impairments
  • Assistive Technology

Background:

  • Cerebral palsy (CP) often involves impaired head control, particularly in individuals with severe motor deficits (Gross Motor Function Classification System level V).
  • Effective interventions are needed to enhance functional independence and quality of life for these children.

Purpose of the Study:

  • To assess the feasibility and effectiveness of the Headpod device in improving head control for children with CP (GMFCS level V).
  • To quantify changes in head control metrics following a 6-month Headpod intervention.

Main Methods:

  • A prospective study involving children aged 3-11 years with CP and poor head control.
  • Video analysis measured active head upright time and head bobs before and after 3 and 6 months of daily Headpod use.
  • Parental feedback was collected to gauge perceived changes.

Main Results:

  • Fourteen children enrolled, with a 43% attrition rate.
  • Significant improvements were observed in active head upright time, with greater gains at 6 months compared to baseline and 3 months.
  • A decrease in head bobs was noted, though not statistically significant. Parents reported noticeable positive changes.

Conclusions:

  • Six months of daily Headpod use (45 minutes/day) is feasible for children with CP (GMFCS level V).
  • The Headpod demonstrates a large effect on improving active head control.
  • Further investigation via a larger randomized controlled trial is warranted.