Outcomes following inhibiting casts treatment in a 5 years old child with spastic hemplegic cerebral palsy – a case report

Małgorzata Domagalska–Szopa,  Andrzej Szopa,
Weronika Gallert–Kopyto, Krzysztof Bąk, Anna Dawczyk, Ryszard Plinta

M. Domagalska–Szopa,  A. Szopa, W. Gallert–Kopyto, K. Bąk, A. Dawczyk, R. Plinta – Outcomes following inhibiting casts treatment in a 5 years old child with spastic hemplegic cerebral palsy – a case report. FP 2015; 15(1); 24-34

Abstract

In children with Cerebral palsy (CP), according to the definition, motor disorders occur.
The primary aim of the rehabilitation in this group of children is to support the development of the best quality of motor and posture patterns. Presented study describes the effects of non-invasive physical therapy, based on Neurodevelopmental Treatment (NDT) connected with serial inhibiting casts application, on postural control and gait pattern improvement in 5 years old child with spastic hemiplegia.
Functional assessment, before and after treatment, included: clinical measures of spasticity, weight – bearing distribution between body sides, posturography testing and gait analysis. Applied therapy influenced on: reduction of spasticity in the affected limb and improvement in postural control and gait parameters. Both range of movement (ROM) deficit and spasticity angle (AOS) in knee and ankle decreased and effected on postural control and gait improvement.
Obtained results demonstrate that non-invasive procedures of physical intervention, connected with serial inhibiting casts application, can be successful method of spasticity reduction, postural control and gait improvement in young children with spastic unilateral CP. Early detection of spasticity of triceps contracture and proper physical intervention may eliminate the need for invasive intervention and its associated risks in this population.

Key words:
spasticity, dynamic assessment of range of movement, distribution of pressure forces of body weight on support plane, posturography, three-dimensional gait analysis

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Musculoskeletal disturbances in women with Turner’s syndrome – case report

Małgorzata Domagalska-Szopa, Andrzej Szopa, Weronika Gallert-Kopyto, Krzysztof Bąk, Anna Dawczyk, Aneta Gawlik, Agnieszka Drosdzol-Cop, Ryszard Plinta

M. Domagalska-Szopa, A. Szopa, W. Gallert-Kopyto, K. Bąk, A. Dawczyk, A. Gawlik, A. Drosdzol-Cop, R. Plinta – Musculoskeletal disturbances in women with Turner’s syndrome – case report. FP 2015; 15(2); 82-90

Abstract

Turner’s syndrome term defines the most commonly encountered genetic aberration, connect-ed with genital chromosomes. In girls and women with Turner’s syndrome, characteristic ex-ternal appearance features (called Turner’s phenotype) occur. Moreover, patients also exhibit disturbances directly related to musculosceletal system. Presented case study is based on the results of the functional assessment of 18 years old – randomly selected – patient from Paediatric, Endocrinology and Children’s Diabetology, where on the basis of cytogenetic examination high concentration of gonadotropins typical for Turner’s syndrome was found. As part of the research, following exams have been made: ob-jective photogrammetric assessment of body posture, spirometry measurement, computerized evaluation of feet arches, assessment of body weight distribution and three dimensional gait analysis. The results of this study revealed various functional disturbances in: postural control, pelvic space orientation, weight bearing distribution and in gait pattern. However, there were no spirometry and basic stabilography measures disturbances. Received results may suggest the presence of other disturbances in Turner’s syndrome than those described in literature. Confirmation of musculosceletal functional disorders would indicate the need for early functional diagnostic procedures and early physiotherapy intervention in patients with Turner’s syndrome starting in infancy.

Key words:
photogrammetric assessment of body posture, spirometric measurements, computer assessment of feet arches, assessment of body-weight distribution, three-dimensional gait analysis

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