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Usefulness of Toys in Neurodevelopmental disorders-A
Survey amongst Physiotherapists
Rucha R Gadgil
1
and Isha S Akulwar
2
*
1
Student of M.P.Th. in Neurosciences, Institute: K. J. Somaiya college of Physiotherapy, Mumbai, India
2
M.P.Th. in Neurosciences, Associate Professor in Neurosciences Physiotherapy Institute: K. J. Somaiya college of Physiotherapy, Mumbai, India
Received Date: October 01, 2019
Published Date: October 10, 2019
Research Article
Copyright © All rights are reserved by Isha S Akulwar
ISSN: 2641-1911 DOI: 10.33552/ANN.2019.05.000606
Archives in
Neurology & Neuroscience
*Corresponding author: Isha S Akulwar, M.P.Th.Neurosciences Physiotherapy,
Associate Professor, K.J. Somaiya College of Physiotherapy, Mumbai, India.
Introduction
Currently, there are more than 150 million children in the world
known to have a disability [1]. Neurodevelopmental disorders are
defined as a group of heterogeneous conditions characterized by
a delay or disturbance in the acquisition of skills in a variety of
developmental domains, including motor, social, language, and
cognition with severity ranging from mild to most severe [2]. It is
unknown if the child’s mental delays are due to his own incapability
or a merely lack of tools to help him learn and express himself.
These disorders are also known to have an influence on the quality
of life in children and may completely change their functional and
cognitive abilities and further: life attitude [3]. Physical therapy
and occupational therapy efforts in the pediatric population target
reshaping of the nervous system, which is capable of reorganization
and change through a variety of neural plasticity mechanisms,
especially in the developing brain [4].
However, the key concerns of any therapeutic program especially
in the pediatric population are maintaining patient motivation, level
of engagement, and adherence. Children with neurodevelopmental
delays have limited opportunities to explore their physical and
social environment. These children are usually more passive
than children without disabilities, when playing with objects
and become more actively engaged if provided with appropriate
stimuli (e.g., suitable toys, other objects and materials) that are
fostered through social interactions and play [5]. Recent studies
on constraint-induced movement therapy (CIMT) and robotic
therapy have shown that intensive, goal-directed rehabilitation
therapies substantially improve patients’ motor function and their
participation in the community. However, such therapies are time-
intensive or institution-based, and hence costly. Thus, there is a
need for an engaging, inexpensive approach to neuro-muscular
therapy [6]. Similarly, new rehabilitation techniques based on
recent neuro-scientific advances have been suggested to enhance
recovery and to promote brain plasticity in patients following brain
damage. These techniques, however, have not focused on children
nor have emerging methods, capitalized upon the primary learning
avenue for children – playing. Play is a child’s natural need [7]. The
role of play in the development of children has been extensively
studied and it has already been proven that play plays an important
and large part in childhood [8]. A large body of work exists to
This work is licensed under Creative Commons Attribution 4.0 License ANN.MS.ID.000606.
Abstract
Background: Neuromuscular disorders create profound movement disorders in children affecting their development physically and mentally.
Considering the challenging circumstances of pediatric population with developmental disorders therapeutic toys can prove to be beneficial in
therapy in achieving both functional goals and psychological goals. This study aimed to assess Physiotherapists’ knowledge of use of therapeutic toys
as an approach in therapy of children with developmental disabilities.
Method: A semi-structured, self-administered questionnaire prepared on Google Forms was circulated among physiotherapists having
experience in pediatric physiotherapy via social media. Data analysis was done by Google spreadsheet.
Results: 102 physiotherapists responded. 99% were using toys with 80% using them constructively. 38% reported they did not know the
impairments that can be targeted and properties that could be useful. 56% said there was no evidence of toys in therapy.
Conclusion: Awareness regarding therapeutic use of toys is required in pediatric physiotherapists.