Tag: 小儿脑瘫

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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