Tag: cerebral palsy

Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib – Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy. Fizjoterapia Polska 2012; 12(2); 141-146

Abstract
Background. The parents’ satisfaction with life and their acceptance of their child’s illness are important factors that directly and / or indirectly influence the process of rehabilitation of children with cerebral palsy. The aim of this study was to evaluate the effect of hippotherapy on the level of satisfaction with life and acceptance of illness among parents of children with cerebral palsy. Material and methods. The study was conducted in 2008-2010 among 94 parents of cerebrally palsied (CP) children partici­pating in hippotherapy sessions in Warsaw. The study used an original questionnaire with questions dealing with the effect of hippotherapy on selected psychological factors in the parents. The questionnaire was completed by the parents twice: before and after a one-year hippotherapy course. Two psychometric scales: the Satisfaction with Life Scale (SWLS) and the Acceptance of Illness Scale (AIS), were also used, both adapted for Polish by Juczyński. The results were analyzed statistically.Results. Overall satisfaction with life among the parents increased significantly (p<0.05) during the year-long hippotherapy course. There was also a statistically significant increase in the parents’ acceptance of their children’s condition. Conclusion. Hippotherapy in CP children significantly increases their parents’ satisfaction with life and acceptance of their children’s illness.
Key words:
hippotherapy, Satisfaction with Life, acceptance of illness, Cerebral Palsy, Parents
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ffect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran – Effect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 94-101

Abstract
Background. Studying of robotic-assisted locomotor training (lokomat) in spasticity modulation on cerebral palsied hemiplegic children is a strategy for determining its efficacy in reducing spasticity.
Objective. To investigate the efficacy of robotic-assisted locomotor training (lokomat) in spasticity modulation. Methods. Thirty spastic hemiplegic cerebral palsied children of both genders ranged in age from 7 to 14 years contributed in this study, they were being randomly selected from comprehensive rehabilitation center and assigned into two equal groups (15 children each). Control group (A) underwent traditional exercise treatment, while Study group (B) underwent lokomat gait training in addition to traditional exercise program. Lokomat training was performed 3 days/week for 4 weeks with up to 45 minutes of training per session. The 3-D kinematics gait analysis was carried out before and after intervention and used as an indicator for improvement and reduction of spasticity.
Results. there was a statistically significant improvement in the study group in comparison to control group. Conclusion. Lokomat gait training is an effective additional tool for physical therapy program in treatment of hemiparetic C.P. children as it plays an important role in decreasing spasticity and improving patient gait pattern.

Key words:
cerebral palsy, spasticity, 3-D measurement, Lokomat gait training

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Home-based therapy programmes for children with cerebral palsy aimed at improving spastic hand function

Weronika Cyganik, Jolanta Taczała, Piotr Majcher

W. Cyganik, J. Taczała, P. Majcher – Home-based therapy programmes for children with cerebral palsy aimed at improving spastic hand function. Fizjoterapia Polska 2020; 20(3); 24-31

Abstract
Aim of the study. Presentation of the current state of knowledge regarding the possibility of using home-based therapy to improve spastic hand function in children with cerebral palsy (cp).
Basic assumptions. In current literature we can find descriptions of many methods which are useful in spastic hand therapy at home. The most important of them are: CIMT (Constraint Induced Movement Therapy), H- HABIT (Hand-arm bimanual intensive therapy), Mitii (Move It Improve It), Wii Sports Resort training, You Grabber system, AOT system (Action observation training), Tele UPCAT platform (the UPper Limb Children Action Observation Training) and Tele Reh. Despite methodological differences, all studies have high lighted the importance of the caregiver’s role in home training of children with CP. Continuous support of therapists is vital in ensuring the credibility of the improvement process. Home interventions have a positive impact on mobility and functioning of children in everyday life, and strengthen the bond between the parent/caregiver and the child. The possibility of continuing therapy at home is often of great convenience to families living far from rehabilitation centres.

Key words:
spastic hand, home training, cerebral palsy

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Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada

Amr A. Abo Gazya, Abdel Aziz A. Serief, Ayman Gouda Matar, Wael Shendy, Hamada Ahmed Hamada – Impact of Hand-Arm Bimanual Intensive Therapy Versus Shock Wave Therapy on Hand Function and Grip Strength in Children with Hemiplegic Cerebral Palsy. Fizjoterapia Polska 2020; 20(1); 92-98

Abstract
Background and purpose. Children with hemiplegic cerebral palsy have impairments in fine motor skills above and beyond their unilateral impairments. The current study was conducted to compare the effect of hand-arm bimanual intensive therapy (HABIT) versus shock wave therapy on the affected upper extremity in children with hemiplegic cerebral palsy. Materials and methods. Thirty hemiplegic children ranged in age from 4 to 8 years with hand spasticity ranged between 1 and 1+ grades according to the Modified Ashworth Scale participated in this study. They were assigned randomly into two equal study groups. Group A received a designed physical therapy program and shock wave therapy one session 2000 shock, while the group B received the same physical therapy program in addition to bimanual arm therapy. Both groups received treatment sessions three times per week for three successive moths. Each child in the two groups was evaluated before and after the suggested treatment duration for detecting the level of hand performance using the Peabody Developmental Test of Motor Proficiency while, hand grip strength by a hand held dynamometer and active abduction and external rotation range of motion were measured by a standard universal goniometer. Results. The results revealed non-significant differences when comparing the pre-treatment mean values of all measuring variables for the two groups (p > 0.05), while significant improvement was observed in the two groups when comparing their pre and post treatment mean values. Also, significant differences were observed when comparing the post treatment results of the two groups in favor of the group B (p < 0.05). Conclusion. The results suggested that, hand-arm bimanual intensive therapy appears to have a positive impact on hand function in children with hemiplegic cerebral palsy.

Key words:
Cerebral palsy, Hemiplegic, Hand-arm bimanual intensive therapy, shock wave therapy

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The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research

Anna Kosiecz, Agnieszka Zdzienicka-Chyła, Jolanta Taczała, Krzysztof Krasowicz, Marta Kuśmierz, Jarosław Napiórkowski

A. Kosiecz, A. Zdzienicka-Chyła, J. Taczała, K. Krasowicz, M. Kuśmierz, J. Napiórkowski – The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research. Fizjoterapia Polska 2020; 20(1); 86-91

Abstract
Introduction. Soft orthopaedic equipment is increasingly used in therapy of children with cerebral palsy. The primary goal of using soft orthoses is to improve the patient’s functioning – their contribution to central stabilization and postural control is emphasized. The principal aim of applying soft orthotics is to enhance the patient’s functioning in everyday life.
Objective. Examination of the influence of using soft torso orthoses on motor skills of children with cerebral palsy.
Material and methods. Four children with cerebral palsy who could walk independently – level I or II according to the Gross Motor Function Classification System (GMFCS) – were qualified for the preliminary research. Motor skills were evaluated in accordance with the Gross Motor Function Measure (GMFM). Evaluation of the functional condition was repeated every 3 months for half a year. The children used soft torso orthoses for about 4 hours a day and participated in rehabilitation exercises with the same frequency as before the study.
Results: Improvement on motor functions, confirmed with an increase in GMFM score by 2.5% on average, was observed in all the children during 6 months.
Conclusions. A positive influence of using soft torso orthoses on improvement in the patients’ functional condition was observed, confirmed with higher GMFM scores.

Key words:
soft orthoses, cerebral palsy, gross motor skills, GMFM

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Effect of Functional Trunk Training Program on Gait Harmony in Children with Spastic Diplegia: A Randomized Controlled Trial

Rasha Atef Saad El Metwally, Kamal El Sayed Shoukry, Amira El Sayed El Bagalaty

Rasha Atef Saad El Metwally, Kamal El Sayed Shoukry, Amira El Sayed El Bagalaty – Effect of Functional Trunk Training Program on Gait Harmony in Children with Spastic Diplegia: A Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(4); 162-170

DOI: https://doi.org/10.56984/8ZG1A35D2

Abstract
Purpose. To determine the effect of functional trunk training on gait harmony in children with spastic diplegic CP by using the core stability and gait training program through strengthen the core area and the modified walker tool. Design. Single blind randomized controlled trial. Methods. Thirty children with CP spastic diplegia participated in this study with ages between four to seven years. They were randomly and equally divided into two groups (A and B), the control and study group respectively. Group A received selected physical therapy program for two hours aiming to improve functional gait ability while group B received the same as group A for only one hour plus the intervention program. The intervention program which is aiming to improve gait harmony consists of two fundamental parts. Firstly, core training and mobility exercises for half an hour. Secondly, gait training on different surfaces by using Modified walker for half an hour. Treatment was conducted for 3 times per week for a successive 3 months for both groups (control A & study B). Modified Ashworth scale (MAS) was used for sample selection. Gait harmony was measured by golden ratio equations which determine the spatiotemporal data from tracker motion analysis program version 5.0.6. Results. By using descriptive analysis to show mean ± standard deviation (SD) for all comparative variables, non-parametric test (chi square) to express the MAS values pretreatment for selection, paired t-test for measuring the pre and post treatment results within group and independent t-test between both groups (control and study) for measuring the results of Gross Motor Function Measure score (GMFM) for walking domain that showed a significant difference between both groups (A & B) post treatment. Usage of multivariate analysis (MANOVA) multivariate to determine the effect of independent variables (side, time and the intervention in both groups A&B) on the dependent variables equation (a, b, and the difference between both equations). There was a significant difference in the following: the proportion of stance/ swing phase time (equation a), the proportion of gait cycle/ stance phase time (equation b) and the difference between the values of both proportions (equation a and b) between both groups. Conclusion. It can be concluded that functional trunk training program in conjunction with a selected physical therapy program improved the gait harmony significantly in children with spastic diplegic CP. Which is obvious in gait harmony equations.

Key words:
cerebral palsy, spastic diplegia, gait harmony, golden ratio, GMFM, MAS

 

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Kinezyteraphy in the cerebral palsy – clinical aspects

Włodzisław Kuliński, Barbara Dulnik

W. Kuliński, B. Dulnik – Kinezyteraphy in the cerebral palsy – clinical aspects. Fizjoterapia Polska 2019; 19(3); 106-116

Abstract
Background. Cerebral palsy (CP) is a motor and postural disorder resulting from permanent brain damage that occurred at an early stage of development. It is the most common cause of disability in children, who grow up to become adults, but their functional performance decreases over time.
Aim. To present the importance of kinesiotherapy in CP patients.
Material and methods. The study included 20 patients (12 women and 8 men aged 20 to 60 years) with CP who participated in motor rehabilitation sessions conducted at the Occupational Therapy Workshop in Sędek and the Comprehensive Rehabilitation and Health Promotion Centre in Raków. Their clinical presentation was dominated by manifestations of motor and postural abnormalities caused by upper motor neuron and corticospinal tract damage. A diagnostic survey was used as the research method. The study used a survey questionnaire that collected information about problems associated with everyday life and functioning of the study patients and assessed their rehabilitation programme.
Results. The results emphasise the role of kinesiotherapy in the rehabilitation of patients with CP. Systematic motor rehabilitation contributed to an improvement in their physical fitness and everyday functioning.
Conclusions. Physiotherapy allows patients to achieve their maximum functional level and prevents the development of complications associated with CP.

Key words:
cerebral palsy, kinesitherapy

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Evaluation of functional status of children with cerebral palsy using selected scales and tests

Małgorzata Kilon, Martyna Ruszkiewicz, Jan W. Raczkowski

M. Kilon, M. Ruszkiewicz, J. W. Raczkowski – Evaluation of functional status of children with cerebral palsy using selected scales and tests. Fizjoterapia Polska 2018; 18(4); 86-93

Abstract
Objective. The aim of the study was to assess the functional status of children with Cerebral Palsy (CP) using selected scales and tests and to analyze the factors affecting the results.
Material and methods. The study involved 33 children diagnosed with CP, aged 4 to 18 years, attending selected rehabilitation centers in the Lodz region. The research tools included: an original questionnaire, the Gross Motor Function Measure (GMFM) and the Gross Motor Function Classification System (GMFCS) to evaluate the gross motor skills and the Manual Ability Classification System (MACS) for fine motor skills.
In the statistical analysis, the influence of quantitative variables on the scale results was determined on the basis of Pearson and Spearman correlation coefficient depending on the distribution. The one-way ANOVA or the non-parametric Kruskal-Wallis test was used to assess the effect of qualitative variables on the functional efficiency of children.
Results. Seven children showed none or extremely low physical fitness. They were children with paralysis of four limbs – tetraparesis. The results of the tests were influenced by the length of pregnancy, birth weight, age and height and verbal-logical contact. No correlation was found between qualitative variables such as gender and coexisting epilepsy. A strong correlation was observed between fine and gross motor activity.
Conclusions. The examined children presented varying levels of functional fitness in the used scales and tests. The number of scores obtained by them was strictly related to the type of CP. Children in better verbal and logical contact achieved better scores in the assessed scales. Subjective assessment of children’s performance according to parents was in compliance with the test results.

Key words:
cerebral palsy, MACS, GMFM, GMFCS

 

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A Current Approach to Postural Care for Patients with Cerebral Palsy

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski – A Current Approach to Postural Care for Patients with Cerebral Palsy. Fizjoterapia Polska 2018; 18(3); 102-112

 

Abstract
Introduction. Rehabilitation is an essential component of therapeutic treatment in cerebral palsy (CP). One of its objectives is to prevent secondary musculoskeletal deformities. The use of various techniques to minimize postural abnormalities and enhance functions is defined as postural care (or postural management). It encompasses proper patient positioning in the lying, sitting and standing positions combined with physical therapy.
Purpose. The purpose of the study is to present a current approach to postural care based on the review of source literature.
Conclusions. No generally accepted recommendations on supporting lying, sitting and standing positions have not been developed under the postural management programme so far. The majority of studies related to this field are conducted on not very numerous groups, with short periods of observations only. Thence it is difficult to assess the effectiveness of the postural management programme, although some study results indicate it as the promising method of neurogenic hip dislocation prevention. Appropriate postural support is deemed to facilitate CP patients’ activity and participation, improve their sense of competency and motivate them to act. Due to changes in equipment designs and new solutions launched, there is an urgent need to continue related research.

Key words:
postural managment, cerebral palsy

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