Tag: Hemiplegic

Virtualna stvarnost naspram ravnotežne grede u hodanju djece s cerebralnom paralizom spastične hemiplegije: Randomizirano kontrolirano usporedno ispitivanje

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

Sažetak
Pozadina. Virtualna stvarnost i ravnotežna greda široko su priznati kao izuzetno uspješan pristup poboljšanju ravnoteže kao i performansi hodanja među djecom koja pate od cerebralne paralize spastične hemiplegije (CP). Svrha. Cilj ove studije bio je usporediti utjecaj virtualne stvarnosti i ravnotežne grede na performanse hodanja (ravnotežu i funkcionalni kapacitet hodanja) u djece s hemiplegijskom CP. Sudionici i metode. Ukupno sedamdeset petoro djece s hemiplegijskom CP, uključujući 31 dječaka i 44 djevojčice, u dobi od 7 do 11 godina oba spola, uključeno je u ovu studiju. Sudionici su nasumično raspoređeni u tri grupe (n = 25), A (kontrolna grupa) i B, C (grupe za studiju). Sva djeca primila su dizajnirane programe fizioterapije temeljene na neurološkoj razvojnoj tehnici, uz dodatak vježbi ravnoteže i hodanja za kontrolnu grupu A, trening virtualne stvarnosti za grupu B i trening ravnotežne grede za grupu C. Program liječenja primjenjivan je tri puta tjedno tijekom tri uzastopna mjeseca, trajajući jedan sat po sesiji. Sva djeca su klinički pregledana prije i poslije tretmana korištenjem HUMAC sustava za ravnotežu i nagib, te testa hodanja od 6 minuta (6mWT) za procjenu ravnoteže, odnosno funkcionalnog kapaciteta hodanja. Rezultati. Došlo je do značajnog poboljšanja u ravnoteži i 6MWT kod sve tri grupe nakon tretmana u usporedbi s predtretmanom (p < 0.001). Štoviše, mjerene varijable grupa B i C pokazale su znatno poboljšanje u odnosu na grupu A (p < 0.01), dok između grupa B i C nije bilo značajne razlike (p > 0.05). Zaključci. Trening virtualne stvarnosti i ravnotežne grede imaju učinkovit utjecaj na poboljšanje ravnoteže i performansi hodanja.
Ključne riječi
ravnotežna greda, cerebralna paraliza, funkcionalni kapacitet hodanja, hemiplegičan, virtualna stvarnost
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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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