Primary objective of the study is to compare and evaluate the impact of intensive care of rehabilitation of psychomotor vs. the standard care on adaptive behaviour of children with polyhandicap at 12 months after randomization.
Children between 4 and 13 years;
Causal brain injury occurred before the age of 3 years
Severe or deep mental deficiency as defined by IQ < 40, or no evaluable by the psychometric tests
Motor impairment: para / tetraparesis, hemiparesis, ataxia, or extrapyramidal motor disorders
Patient with progressive encephalopathies including metabolic origin, epileptic, or neurodegenerative diseases;
Planned to move in another clinical setting;
Foreseeable difficulty in the following up in the study.
Parallel
Intentive rehabilitation
BehavioralIntervention included: * psychomotor 5 hours/week ±30 minutes * kinesitherapy 1.5 hour/week ±20 minutes during 12 months.
Routine care
BehavioralIntervention included: * kinesitherapy 0.5 hour/week ±10 minutes * psychomotor 30 min/week ±10 minutes during 12 months.
Evolution of adaptative behaviour
Vineland II Scale will be used to evaluate the evolution of adaptative behaviour.
Evolution of adaptative behaviour
Vineland II Scale will be used to evaluate the evolution of adaptative behaviour.
Evolution of development
Brunet-Lézine Scale will be used to evaluate the evolution of development.
Pain evaluation
Scale named Echelle Douleur Enfant San Salvadour (EDESS, in French language) will be used to evaluate the pain.
Durability of acquired cognitive-motor abilities
Vineland Adaptativ Behavior Scales will be used to evaluate durability of acquired cognitive-motor abilities.
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