Tag: cerebral palsy

The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim – The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study –  Fizjoterapia Polska 2024; 24(1); 297-303

DOI: https://doi.org/10.56984/8ZG2EF8iRS

Abstract
Introduction. The aim of this study is to investigate the feasibility and the effect of Robot-assisted gait training (RAGT) frequency on gait functions in children with diplegic cerebral palsy (CP). We hypothesized that RAGT with the increased frequency (4 times a week) will result in greater improvements than RAGT with the common frequency (2 times a week).
Material and methods. Fourteen participants with diplegic CP were assigned to two groups that received only RAGT at different frequencies. The treatment group (TG) received 24 sessions while the control group (CG) received only 12 sessions over 6 weeks. Gross motor function measure (GMFM) D, GMFM E, walking distance (6 minute-walk test), speed (10 meter-walk test), balance (Pediatric balance scale), and the quality of gait (Edinburgh visual gait score) were assessed. Data was collected twice, before and after RAGT intervention period. Also, the feasibility was assessed by the safety and the rates of recruitment, compliance, and adherence.
Result. There was significant improvement in GMFM D, GMFM E, walking distance, balance, and the quality of gait in both groups (p < 0.05). Walking speed has been significantly improved only in TG. The difference in the quality of gait is greater in TG (p < 0.01) compared to CG (p < 0.05). The recruitment rate was 70%. 100% of recruited participants complied with and adhered to the intervention. No adverse events were reported.
Conclusion. RAGT with the increased frequency could induce greater improvement in gait functions than RAGT with the common frequency in children with diplegic CP.
Keywords
rehabilitation, robotics, walking, cerebral palsy
Pobierz/Download/下載/Cкачиваете Download the article for free in English

Virtual reality versus balance beam on walking performance in children with spastic hemiplegic cerebral palsy: A randomized controlled comparative trial

Mohanad M. Madboly, Khaled A. Olama, Hamada E. Ayoub, Doha H. Al-Afify, Doaa Saeed, Walaa A. Abd El-Nabie

Mohanad M. Madboly, Khaled A. Olama, Hamada E. Ayoub, Doha H. Al-Afify, Doaa Saeed, Walaa A. Abd El-Nabie – Virtual reality versus balance beam on walking performance in children with spastic hemiplegic cerebral palsy: A randomized controlled comparative trial –  Fizjoterapia Polska 2024; 24(1); 222-228

DOI: https://doi.org/10.56984/8ZG2EF8E30

Abstract
Background. Virtual reality and balancing beam are widely acknowledged as a highly successful approach for improving balance as well as walking performance among children suffering from hemiplegic cerebral palsy (CP). Purpose. The aim of this study was to compare between the impact of virtual reality and balance beam on walking performance (balance and functional walking capacity) in children with hemiplegic CP. Subjects and methods. A total of seventy-five children with hemiplegic CP, comprising 31 boys and 44 girls, aged between 7 and 11 years of both genders, were included in this study. The participants were allocated randomly into three groups (n = 25), A (control group) and B, C (study groups). All children received designed physical therapy programs based on neurodevelopmental technique, in addition to balance and gait training exercises for control group A, virtual reality training for group B and balance beam training for group C. The treatment program was administered to each group three times weekly for three consecutive months, lasting one hour each session. All children were examined clinically pre- and post-treatment using HUMAC balance and tilt system, and 6- minutes walking test (6mWT) to assess balance, walking functional capacity respectively. Results. There was a significant improvement in balance and 6MWT of three groups post treatment when contrasted with that pretreatment (p < 0.001). Furthermore, group B and C’s measured variables showed a substantial improvement over group A’s when compared (p < 0.01), while group B and C did not differ significantly (p > 0.05). Conclusions. Virtual reality and balance beam training have an effective influence on the improvement of balance and walking performance.
Keywords
balance beam, cerebral palsy, functional walking capacity, hemiplegic, virtual reality
Pobierz/Download/下載/Cкачиваете Download the article for free in English

Sensory processing abilities in relation to motor capabilities in children with different types of cerebral palsy

Amal Abdelwahab Youssef, Amira Mohamed Eltohamy, Kamal Elsayed Shokry, Engi E.Sarhan, Nesma EM. Barakat

Amal Abdelwahab Youssef, Amira Mohamed Eltohamy, Kamal Elsayed Shokry, Engi E.Sarhan, Nesma EM. Barakat – Sensory processing abilities in relation to motor capabilities in children with different types of cerebral palsy –  Fizjoterapia Polska 2024; 24(1); 173-181

DOI: https://doi.org/10.56984/8ZG2EF88A7

Abstract
Background and purpose. Children with cerebral palsy have sensory processing issues as well as motor problems, which lead to severe developmental disability. In this study, we aimed to assess correlation between sensory processing abilities and motor capabilities in children with cerebral palsy and assess the effect of cerebral palsy types on sensory processing abilities and motor capabilities.
Materials and methods. One hundred cerebral palsy children of both sex were included in the study; their age ranged from 4-10 years old were selected from pediatric rehabilitation out clinic of faculty of Physical Therapy Cairo University, fulfilling inclusion criteria. All children were assessed by Short sensory profile: to measure sensory processing ability, Gross Motor Function Classification System: to measure the gross motor skills and Manual Ability Classification System: to measure the fine motor skills.
Result. there was a significant correlation between GMFCS, MACS and the total score of SSP as well as Low energy weak, tactile sensitivity score, taste smell sensitivity, Movement sensitivity, and Under-responsive seeks sensation (P ≤ 0.05*). There was no significant correlations between both auditory filtering and Visual-auditory sensitivity with GMFCS and MACS (P = 0.676 and 0.266, respectively). There was statistical variation among different CP types regarding SSP and motor assessment (P ≤ 0.05*).
Conclusion. the study showed: sensory processing abilities effect on motor capabilities in children with cerebral palsy.
Keywords
sensory processing abilities, motor capabilities, cerebral palsy
Pobierz/Download/下載/Cкачиваете Download the article for free in English

Improved hand muscle ability after 6 weeks of squeezing a tennis ball exercise in children with spastic cerebral palsy

Irmantara Subagio, Nengteng Manik, Rahmat Putra Perdana, Putra Sastaman B, Erna Yantiningsih, Raja Mohammed Firhad Raja Azidin, Slamet Raharjo

 

Irmantara Subagio, Nengteng Manik, Rahmat Putra Perdana, Putra Sastaman B, Erna Yantiningsih, Raja Mohammed Firhad Raja Azidin, Slamet Raharjo – Improved hand muscle ability after 6 weeks of squeezing a tennis ball exercise in children with spastic cerebral palsy –  Fizjoterapia Polska 2024; 24(1); 73-77

DOI: https://doi.org/10.56984/8ZG2EF8753

Abstract
Children with cerebral palsy tend to be less physically fit compared to typically developing peers. This is mainly due to the lack of physical activity and exercise during their childhood. If adolescents and adults with cerebral palsy don’t get enough exercise, it could result in reduced mobility and physical fitness. It is very important to start treatment for cerebral palsy when the child is young. The goal of this research was to investigate how children with spastic cerebral palsy might benefit from enhancing their hand muscle functioning by squeezing a sponge tennis ball during hand-strengthening exercises. The study implemented a true experimental design with a pre-and post-test control group. This methodology allowed for a rigorous and systematic investigation, ensuring reliable and valid results. Twelve boys between the ages of 15 and 17 who were all diagnosed with spastic cerebral palsy participated in sponge tennis ball gripping exercises as part of a program of intervention. A 30-minute workout of sponge tennis ball squeezing involves 4-6 sets of 15-20 repetitions with passive rests of 30 seconds. The prescribed regimen involves conducting the exercise four times per week for six weeks. Before and after the intervention, the Hand Grip Dynamometer was used to assess the hand muscle strength of children with spastic-type cerebral palsy. Data analysis techniques were applied using the independent samples t-test with a significant level of 5%. The results showed the average muscle strength of the right hand after the intervention between control vs. experiment (4.36 ± 1.35 kg vs. 34.16 ± 3.34 kg (p = 0.000)), the average muscle strength of the left hand after the intervention between control vs. experiment (2.31 ± 0.49 kg vs. 30.18 ± 2.08 kg (p = 0.000)). The findings of the research suggest that engaging in frequent tennis ball gripping exercises, conducted on a frequency of four sessions per week over a duration of six weeks, may yield notable improvements in the hand muscle functionality of children diagnosed with spastic-type cerebral palsy. The findings suggest that including these activities in treatment, procedures may provide significant value for persons with this particular illness.
Keywords
cerebral palsy, children, spastic type, tennis ball exercise
Pobierz/Download/下載/Cкачиваете Download the article for free in English

Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study

Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy


Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy – Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study. Fizjoterapia Polska 2022; 22(3); 170-178

Abstract
Purpose. To investigate the effect of Minds in Motion (MiM) program on vestibular function and dynamic balance in children with hemiplegia.
Methods. Thirty children with hemiplegic cerebral palsy (CP) of both genders with age ranged from 6-12 years were randomly assigned into two groups of equal number; Group (A) (control group), received specially designed physical therapy program for 3 months, Group (B) (study group), received MiM vestibular exercise program in addition to the specially designed physical therapy program given to the control group for 3 months. Vestibular functions and stability indices were assessed for all children before and after treatment using cervical vestibular evoked myogenic potentials (cVEMPs) device and biodex balance system (BBS) respectively.
Results. The results of the present study showed statistically significant improvement within both groups when comparing their pre and post-treatment mean values of stability indices and VEMP amplitude. Post-treatment significant improvement was also observed in the amplitude asymmetry ratio (AAR) in the study group compared with the pre-treatment mean values while no significant change was detected in the control group. Also, no significant changes were detected in P1, and N1 latencies in both groups after treatment. Statistically significant differences were observed in all measured variables between both groups in favor of the study group while there was no significant difference between both groups when comparing the post-treatment mean values of P1 and N1 latencies.
Conclusion. Minds in motion program is an effective modality that can be used for improving the vestibular functions and balance capabilities in children with hemiplegic CP.

Key words:
cerebral palsy, hemiplegia, minds in motion, vestibular function, balance

Pobierz/Download/下載/Cкачиваете Download for free (English)

Body composition and spasticity in children with bilateral cerebral palsy

Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa


Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa – Body composition and spasticity in children with bilateral cerebral palsy. Fizjoterapia Polska 2022; 22(2); 174-185

Abstract
Objective. The objective of this study was to identify the correlation between body composition of children with cerebral palsy and the degree of spasticity in the muscles of the lower limbs.
Material and methods. The study included a group of 59 independently walking children aged 8 to 16 with spastic diplegia. The control group included 59 children without central movement disorders – students at Primary School No. 25 in Sosnowiec. The research included: 1) assessment of body composition and its components using the TANITA MC-780 S MA scale; 2) assessment of the degree of spasticity according to the modified Ashworth scale; 3) calculations of BMI indices in accordance with the recommendations of the World Health Organization (WHO) and BMI OLAF developed by the Children’s Memorial Health Institute in Warsaw.
Results. The most severe spasticity, both in the right and left lower limbs, was observed in the extensors of the ankle joint. In turn, the mildest spasticity was observed in the group of flexors of the knee joint of the right and left lower limbs. The greater the degree of spasticity in the muscles of the lower limbs, the greater the deficit in fat-free mass and muscle mass in the lower limbs.
Conclusions. Children with CP have deficits in terms of muscle mass. The deficit of muscle tissue depends on the degree of spasticity of the proximal muscle groups of the lower limbs.
Key words:
body composition, spasticity, cerebral palsy
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Online-based versus photos-based home programs on upper extremity functions for children with hemiplegic cerebral palsy following botulinum toxin injection

Eslam E. Hassan, Khaled A. Mamdouh, Samia A. Abdel Rahman, Tarek E.I. Omar

Eslam E. Hassan, Khaled A. Mamdouh, Samia A. Abdel Rahman, Tarek E.I. Omar – Online-based versus photos-based home programs on upper extremity functions for children with hemiplegic cerebral palsy following botulinum toxin injection. Fizjoterapia Polska 2021; 21(5); 112-116

Abstract
Background. Online-based home program allows continuous care at any time controls the economic demand and is considered as a perfect method for infection control. This study was conducted to study the effect of adding online-based versus photos-based home program to the traditional physical therapy program, on hand grasping skills and range of motion of wrist extension and forearm supination of the affected upper extremity for children with hemiplegic cerebral palsy following botulinum toxin A injection. Materials and methods. Thirty children with hemiplegic cerebral palsy were classified into two equal groups (A and B). Both groups received traditional physical therapy program in clinic in addition to online-based home program for group (A) and conventional photos-based home program for group (B). The measured variables were the grasp domains of Quality of Upper Extremity Skills Test and range of motion of wrist extension and forearm supination using electronic digital goniometer for the affected upper extremity before as well as after three successive months of treatment. Results. The study revealed significant improvement of all measured variables in both groups in post treatment compared to pretreatment values. Regarding between groups comparison, there was significant improvement in group (A) post treatment regarding grasp domain score compared to group (B), while there was non-significant difference regarding the range of motion of wrist extension and forearm supination. Conclusion. Adding online-based home program is more effective than adding photos-based home program to the traditional physical therapy program in improving hand grasping skills in children with hemiplegic cerebral palsy.
Key words:
botulinum toxin A, cerebral palsy, online-based home program, upper extremity functions
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys – An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy. Fizjoterapia Polska 2003; 3(2); 189-196

Abstract
Cerebral palsy (CP) belongs to the group of dysfunctions in which impairment of the gait function is a constant element. The goal in rehabilitation is to steer the process of compensation in such a way that the gait pattern produces a minimum of disturbances and limitations in locomotion. Objective evaluation is essential for purposes of planning rehabilitation and monitoring outcome. Since the evaluation of gait can be parameterized, the authors have presenting methods for making such an evaluation, concentrating on two types of tests. The possibility of evaluating gate symmetry is presented, based on the use of the Parotec® system, along with evaluation based on analysis of particular gate markers, using the Zebris system. Certain practical remarks are given in the conclusion, essential for planning and managing the course of rehabilitation for children with cerebral palsy.

Key words:
Cerebral Palsy, evaluation of gait disturbances, rehabilitation

Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Some possibilities for alleviating gait disturbances in children undergoing rehabilitation for cerebral palsy, in the light of baropedographic tests: a preliminary report

Janusz Nowotny, Krzysztof Czupryna, Jerzy Pietruszewski, Małgorzata Matyja

Janusz Nowotny, Krzysztof Czupryna, Jerzy Pietruszewski, Małgorzata Matyja – Some possibilities for alleviating gait disturbances in children undergoing rehabilitation for cerebral palsy, in the light of baropedographic tests: a preliminary report. Fizjoterapia Polska 2003; 3(3); 217-223

Abstract

Background. A pathological gait stereotype often occurs in children with cerebral palsy. The effort is made during rehabilitation to alleviate some of the symptoms, but this requires a precise survey of the component factors involved in the abnormal gait pattern that can be remedied. Atypical methods are sometimes used in rehabilitation, and their suitability also needs objective verification. Material and methods. Our study presents the possibilities for objective gait evaluation using baropedographic tests based on the Parotec® system. The possibilities of improving gait symmetry are also presented, using the example of children undergoing rehabilitation for cerebral palsy who have also been receiving botulin injections or the so-called inhibitive plaster casts. Results and Conclusions. These additional therapeutic devices facilitate further treatment and have a positive impact on improving the symmetry of gait in these children. We also found that this testing can be a valuable source of information for the therapist, pointing out which parameters of abnormal gait should be focused on during further rehabilitation.

Key words:
Cerebral Palsy, evaluation of gait disturbances, botulin, inhibitive plaster casts
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Comparison of motoric activity of American and Polish children with cerebral palsy during rehabilitation

Iwona Kasior-Szerszeń, Wanda Stryła

Iwona Kasior-Szerszeń, Wanda Stryła – Comparison of motoric activity of American and Polish children with cerebral palsy during rehabilitation. Fizjoterapia Polska 2006; 6(1); 7-12

Abstract

Background. Common features of cerebral palsy in children are movement and posture disorders. The most disturbed sphere is motorics. Movement disorders include spastic limb paresis, unvoluntary movements, coordination and balance disturbances. The aim of this report was to compare motor efficiency concerning manual and locomotive functions as well as life activities in Polish and American children. Material and methods. Study material involved 100 Polish children and 107 children from USA. Survey method was used. Results. The results were compared with respect to locomotor and manual functions in Polish and American children. Statistically significant differences were obtained. Conclusions. 1. The level of disability was higher in American children than in Polish children. 2. Manual and locomotive functions in American children were more limited. 3. Everyday child care concerning basic life activities leads to chronic fatigue, frustration, depression and in consequence to disturbances in normal family life.

Key words:
cerebral palsy, rehabilitation, motoric activity
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim
1 2 3