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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Movement dynamics in the elbow joint. Reference range of movables in the examined joint. Preliminary reports

Marzena Mańdziuk, Marlena Krawczyk-Suszek, Blanka Martowska, Weronika Cyganik

M. Mańdziuk, M. Krawczyk-Suszek, B. Martowska, W. Cyganik – Movement dynamics in the elbow joint. Reference range of movables in the examined joint. Preliminary reports. Fizjoterapia Polska 2020; 20(2); 94-101

Abstract
Introduction. Studying changes of motion ranges in time by means of electrogoniometers provides valuable and clinically meaningful data. The aim of the present thesis was an analysis of the kinematic parameters of the elbow joint in the sagittal plane while performing motor tasks imitating simple activities of everyday life.
Material and methods. The research group included 50 randomly selected people, aged 21-25 years old. The study, carried out with the use of Noraxon 1400 L system as well as compatible biaxial electrogoniometers, required the participants to perform a specified sequence of motor tasks: 1. Placing the hand on a table. 2. Placing the hand on a box. 3. Lifting a cup to the mouth. 4. Wiping the face with a tissue. 5. Combing hair. 6. Placing the forearm sideways on a table. The data was compiled by means of The Smart Analyzer program while the statistical analysis was carried out via the statistical program Statistica 6.0 PL.
Results and conclusions. The research showed a statistically significant correlation between gender and the mean values of the motion range in elbow joint during performed movements. There was no statistically significant relation noted between gender and other studied parameters.

Key words:
range of mobility, biaxial electrogoniometer, elbow joint

 

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