Tag: cerebral palsy

镜像疗法与任务导向训练对单侧脑瘫儿童手功能的功能性影响

Eman Wagdy, Marwa Taher Mohamed, Mariam Abdel Rahman Mohamed, Mai Abdelghani Eid, Marian Mamdouh Fayez

Eman Wagdy, Marwa Taher Mohamed, Mariam Abdel Rahman Mohamed, Mai Abdelghani Eid, Marian Mamdouh Fayez – Functional outcome of mirror therapy versus task oriented training on hand function in children with unilateral cerebral palsy –  Fizjoterapia Polska 2024; 24(4); 343-350

DOI: https://doi.org/10.56984/8ZG01A8T4V2

摘要
背景：单侧脑瘫（UCP）是一种痉挛性脑瘫，以上肢的非典型姿势、较差的眼手协调能力和手部技能下降为特征。这些症状会限制儿童参与日常生活活动的能力。
目的：比较镜像疗法和任务导向训练对UCP儿童手功能改善的效果。
方法：60名患有UCP的儿童被随机分为三组，每组20人。控制组、镜像疗法组（MT）和任务导向训练组（TOT）分别接受了系统的物理治疗方案。镜像疗法和任务导向训练分别应用于MT和TOT组。使用上肢技能质量测试（QUEST）、方块测试（BBT）、通用量角器和手持式气动握力测力计在基线和干预后评估上肢技能、手部灵活性、腕关节伸展范围及总体握力。在连续十二周内，每周三天进行干预训练。
结果：干预后，所有三个组的所有手功能指标均显著改善，且任务导向训练组（TOT）显示出更显著的效果。
结论：任务导向训练在提高UCP儿童的手功能方面优于镜像疗法。

关键词：脑瘫, 手功能, 镜像疗法, 任务导向训练

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全身振动训练对儿童下肢静脉特性的影响

Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Siwiec, Małgorzata Domagalska-Szopa

 

Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Andrzej Siwiec, Małgorzata Domagalska-Szopa – Effect of whole-body vibration training on leg venous properties in children –  Fizjoterapia Polska 2024; 24(3); 202-209

DOI: https://doi.org/10.56984/8ZG020AHL1

摘要:
介绍。本研究旨在评估全身振动训练（WBV）对脑瘫（CP）儿童下肢静脉循环的影响。
材料与方法。本研究包括13名年龄在7-11岁的脑瘫儿童，参考组为13名健康的同龄人。所有受试者均进行了双下肢股静脉和腘静脉的多普勒超声检查。测量了以下参数：1）股静脉流速，2）腘静脉流速。脑瘫儿童完成为期两周的WBV治疗后，重复进行检查。
结果。结果表明，脑瘫儿童的下肢静脉循环质量可能低于健康同龄人。此外，研究发现WBV可以降低脑瘫儿童的痉挛程度，改善下肢静脉循环的外周参数。
结论。为了全面评估WBV对脑瘫儿童下肢静脉流动质量的影响，有必要将研究组扩大到包括不同功能水平（GMFCS I-V）和不同下肢痉挛程度的脑瘫儿童的代表性样本。

关键词:
脑瘫, 全身振动, 多普勒超声, 静脉流, 下肢

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机器人辅助步态训练频率对脑瘫儿童步态功能的可行性及效果——一项单盲随机初步研究

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim

Moza Obaid Saeed Alyahyaee, Jinwoong Cheong, Meeyoung Kim – The feasibility and effect of robot-assisted gait training frequency on gait functions in children with cerebral palsy – A single blinded, randomized pilot study –  Fizjoterapia Polska 2024; 24(1); 297-303

DOI: https://doi.org/10.56984/8ZG2EF8iRS

摘要
引言。本研究旨在探究机器人辅助步态训练（RAGT）频率对双瘫型脑性瘫痪（CP）儿童步态功能的可行性及效果。我们假设，相比常规频率（每周2次）的RAGT，增加频率（每周4次）的RAGT能够带来更大的改善。
材料与方法。将14名双瘫型CP患者随机分为两组，接受不同频率的RAGT。治疗组（TG）接受24次训练，而对照组（CG）在6周内只接受12次训练。评估包括总体运动功能测量（GMFM）D项、E项、行走距离（6分钟步行测试）、速度（10米步行测试）、平衡（儿科平衡量表）和步态质量（爱丁堡视觉步态评分）。数据在RAGT干预前后分别收集。同时，通过安全性、招募率、依从性和坚持性评估可行性。
结果。两组在GMFM D项、E项、行走距离、平衡和步态质量上均有显著改善（p < 0.05）。步行速度仅在TG中显著提高。与CG相比（p < 0.05），TG在步态质量上的改善更大（p < 0.01）。招募率为70%。所有招募的参与者均完全依从并坚持干预。未报告任何不良事件。
结论。与常规频率的RAGT相比，增加频率的RAGT能够在双瘫型CP儿童中引起更大的步态功能改善。
关键词
康复，机器人，步行，脑性瘫痪
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虚拟现实与平衡木在痉挛型偏瘫脑瘫儿童行走表现中的比较：一项随机对照试验

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

摘要
背景。虚拟现实和平衡木被广泛认为是改善患有偏瘫型脑性瘫痪（CP）儿童的平衡和行走表现的高效方法。目的。本研究旨在比较虚拟现实与平衡木对偏瘫型脑瘫儿童行走表现（平衡和功能性行走能力）的影响。对象和方法。本研究纳入了75名偏瘫型脑瘫儿童，包括31名男孩和44名女孩，年龄在7至11岁之间，包括两性。参与者随机分配到三组（每组25人），A组（对照组）和B、C组（研究组）。所有儿童都接受了基于神经发育技术的设计性物理治疗程序，此外，对照组A接受平衡和步态训练练习，B组接受虚拟现实训练，C组接受平衡木训练。治疗计划每周三次，连续三个月，每次持续一小时。所有儿童在治疗前后进行临床检查，使用HUMAC平衡和倾斜系统以及6分钟步行测试（6mWT）来分别评估平衡和行走功能能力。结果。与治疗前相比，三组在平衡和6MWT方面的表现在治疗后有显著提高（p < 0.001）。此外，与A组相比，B组和C组的测量变量显示出显著的改善（p < 0.01），而B组与C组之间无显著差异（p > 0.05）。结论。虚拟现实和平衡木训练对改善平衡和行走表现有有效影响。
关键词
平衡木，脑性瘫痪，功能性行走能力，偏瘫，虚拟现实
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感官处理能力与不同类型脑瘫儿童的运动能力之间的关系

Amal Abdelwahab Youssef, Amira Mohamed Eltohamy, Kamal Elsayed Shokry, Engi E.Sarhan, Nesma EM. Barakat

Amal Abdelwahab Youssef, Amira Mohamed Eltohamy, Kamal Elsayed Shokry, Engi E.Sarhan, Nesma EM. Barakat – Sensory processing abilities in relation to motor capabilities in children with different types of cerebral palsy –  Fizjoterapia Polska 2024; 24(1); 173-181

DOI: https://doi.org/10.56984/8ZG2EF88A7

摘要
背景与目的：患有脑瘫的儿童不仅有感官处理问题，还有运动障碍，这导致了严重的发展性残疾。在这项研究中，我们旨在评估脑瘫儿童的感官处理能力与运动能力之间的相关性，并评估脑瘫类型对感官处理能力和运动能力的影响。
材料与方法：本研究纳入了100名年龄在4至10岁之间的脑瘫儿童，包括男孩和女孩，他们是从开罗大学物理治疗学院儿童康复门诊中选出的，满足入选标准。所有儿童都通过短感官配置文件评估了感官处理能力，通过粗大运动功能分类系统评估了粗大运动技能，通过手动能力分类系统评估了精细运动技能。
结果：GMFCS、MACS与SSP总分以及低能量弱、触觉敏感性得分、味觉嗅觉敏感性、运动敏感性、寻求感觉反应迟钝之间存在显著相关性（P≤0.05）。听觉过滤与视觉-听觉敏感性与GMFCS和MACS之间无显著相关性（分别为P=0.676和0.266）。不同类型的脑瘫在SSP和运动评估方面存在统计学差异（P≤0.05）。
结论：研究显示，感官处理能力影响脑瘫儿童的运动能力。
关键词:
感官处理能力, 运动能力, 脑瘫
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在孩子们中进行了为期6周的挤压网球的练习后提高了手部肌肉能力，这些孩子们患有痉挛型脑瘫

Irmantara Subagio, Nengteng Manik, Rahmat Putra Perdana, Putra Sastaman B, Erna Yantiningsih, Raja Mohammed Firhad Raja Azidin, Slamet Raharjo

 

Irmantara Subagio, Nengteng Manik, Rahmat Putra Perdana, Putra Sastaman B, Erna Yantiningsih, Raja Mohammed Firhad Raja Azidin, Slamet Raharjo – Improved hand muscle ability after 6 weeks of squeezing a tennis ball exercise in children with spastic cerebral palsy –  Fizjoterapia Polska 2024; 24(1); 73-77

DOI: https://doi.org/10.56984/8ZG2EF8753

摘要
与典型发展的同龄人相比，患有脑瘫的儿童往往体能不足。这主要是由于他们在童年期间缺乏体育活动和锻炼。如果患有脑瘫的青少年和成人得不到足够的锻炼，可能会导致行动能力和身体健康状况下降。在儿童时期开始对脑瘫进行治疗非常重要。这项研究的目标是调查痉挛型脑瘫儿童通过挤压海绵网球来加强手部肌肉功能的锻炼可能带来的好处。该研究实施了一种真实实验设计，包括前测和后测对照组。这种方法论允许进行严格和系统的调查，确保了可靠和有效的结果。参加海绵网球握力练习的是12名被诊断为痉挛型脑瘫的15至17岁男孩，作为干预计划的一部分。挤压海绵网球的30分钟锻炼包括4-6组，每组15-20次重复，每组之间休息30秒。规定的计划是每周进行四次练习，持续六周。在干预前后，使用手握力测力计来评估患有痉挛型脑瘫儿童的手部肌肉力量。数据分析技术应用了独立样本t检验，显著性水平为5%。结果显示，干预后右手平均肌肉力量在对照组与实验组之间（4.36 ± 1.35千克对34.16 ± 3.34千克 (p = 0.000)），干预后左手平均肌肉力量在对照组与实验组之间（2.31 ± 0.49千克对30.18 ± 2.08千克 (p = 0.000)）。研究发现表明，每周四次、持续六周进行频繁的网球握力练习，可能会显著提高被诊断为痉挛型脑瘫的儿童的手部肌肉功能。这些发现表明，将这些活动纳入治疗程序可能为患有此特定疾病的人提供重要价值。
关键词
脑瘫，儿童，痉挛型，网球练习
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Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study

Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy


Dina Mohammed Mustafa Abdelhamid, Emam Hassan El Negmy, Hoda Ishac AbuMoussa, Samah Attia El Shemy – Effect of Minds in Motion program on vestibular function and balance in children with hemiplegia: A randomized controlled study. Fizjoterapia Polska 2022; 22(3); 170-178

Abstract
Purpose. To investigate the effect of Minds in Motion (MiM) program on vestibular function and dynamic balance in children with hemiplegia.
Methods. Thirty children with hemiplegic cerebral palsy (CP) of both genders with age ranged from 6-12 years were randomly assigned into two groups of equal number; Group (A) (control group), received specially designed physical therapy program for 3 months, Group (B) (study group), received MiM vestibular exercise program in addition to the specially designed physical therapy program given to the control group for 3 months. Vestibular functions and stability indices were assessed for all children before and after treatment using cervical vestibular evoked myogenic potentials (cVEMPs) device and biodex balance system (BBS) respectively.
Results. The results of the present study showed statistically significant improvement within both groups when comparing their pre and post-treatment mean values of stability indices and VEMP amplitude. Post-treatment significant improvement was also observed in the amplitude asymmetry ratio (AAR) in the study group compared with the pre-treatment mean values while no significant change was detected in the control group. Also, no significant changes were detected in P1, and N1 latencies in both groups after treatment. Statistically significant differences were observed in all measured variables between both groups in favor of the study group while there was no significant difference between both groups when comparing the post-treatment mean values of P1 and N1 latencies.
Conclusion. Minds in motion program is an effective modality that can be used for improving the vestibular functions and balance capabilities in children with hemiplegic CP.

Key words:
cerebral palsy, hemiplegia, minds in motion, vestibular function, balance

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Body composition and spasticity in children with bilateral cerebral palsy

Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa


Lawia Szkoda, Andrzej Szopa, Ilona Kwiecień-Czerwieniec, Małgorzata Domagalska-Szopa – Body composition and spasticity in children with bilateral cerebral palsy. Fizjoterapia Polska 2022; 22(2); 174-185

Abstract
Objective. The objective of this study was to identify the correlation between body composition of children with cerebral palsy and the degree of spasticity in the muscles of the lower limbs.
Material and methods. The study included a group of 59 independently walking children aged 8 to 16 with spastic diplegia. The control group included 59 children without central movement disorders – students at Primary School No. 25 in Sosnowiec. The research included: 1) assessment of body composition and its components using the TANITA MC-780 S MA scale; 2) assessment of the degree of spasticity according to the modified Ashworth scale; 3) calculations of BMI indices in accordance with the recommendations of the World Health Organization (WHO) and BMI OLAF developed by the Children’s Memorial Health Institute in Warsaw.
Results. The most severe spasticity, both in the right and left lower limbs, was observed in the extensors of the ankle joint. In turn, the mildest spasticity was observed in the group of flexors of the knee joint of the right and left lower limbs. The greater the degree of spasticity in the muscles of the lower limbs, the greater the deficit in fat-free mass and muscle mass in the lower limbs.
Conclusions. Children with CP have deficits in terms of muscle mass. The deficit of muscle tissue depends on the degree of spasticity of the proximal muscle groups of the lower limbs.
Key words:
body composition, spasticity, cerebral palsy
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Online-based versus photos-based home programs on upper extremity functions for children with hemiplegic cerebral palsy following botulinum toxin injection

Eslam E. Hassan, Khaled A. Mamdouh, Samia A. Abdel Rahman, Tarek E.I. Omar

Eslam E. Hassan, Khaled A. Mamdouh, Samia A. Abdel Rahman, Tarek E.I. Omar – Online-based versus photos-based home programs on upper extremity functions for children with hemiplegic cerebral palsy following botulinum toxin injection. Fizjoterapia Polska 2021; 21(5); 112-116

Abstract
Background. Online-based home program allows continuous care at any time controls the economic demand and is considered as a perfect method for infection control. This study was conducted to study the effect of adding online-based versus photos-based home program to the traditional physical therapy program, on hand grasping skills and range of motion of wrist extension and forearm supination of the affected upper extremity for children with hemiplegic cerebral palsy following botulinum toxin A injection. Materials and methods. Thirty children with hemiplegic cerebral palsy were classified into two equal groups (A and B). Both groups received traditional physical therapy program in clinic in addition to online-based home program for group (A) and conventional photos-based home program for group (B). The measured variables were the grasp domains of Quality of Upper Extremity Skills Test and range of motion of wrist extension and forearm supination using electronic digital goniometer for the affected upper extremity before as well as after three successive months of treatment. Results. The study revealed significant improvement of all measured variables in both groups in post treatment compared to pretreatment values. Regarding between groups comparison, there was significant improvement in group (A) post treatment regarding grasp domain score compared to group (B), while there was non-significant difference regarding the range of motion of wrist extension and forearm supination. Conclusion. Adding online-based home program is more effective than adding photos-based home program to the traditional physical therapy program in improving hand grasping skills in children with hemiplegic cerebral palsy.
Key words:
botulinum toxin A, cerebral palsy, online-based home program, upper extremity functions
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An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys

Janusz Nowotny, Krzysztof Czupryna, Jacek Sołtys – An evaluation of gait disturbances in children undergoing rehabilitation for cerebral palsy. Fizjoterapia Polska 2003; 3(2); 189-196

Abstract
Cerebral palsy (CP) belongs to the group of dysfunctions in which impairment of the gait function is a constant element. The goal in rehabilitation is to steer the process of compensation in such a way that the gait pattern produces a minimum of disturbances and limitations in locomotion. Objective evaluation is essential for purposes of planning rehabilitation and monitoring outcome. Since the evaluation of gait can be parameterized, the authors have presenting methods for making such an evaluation, concentrating on two types of tests. The possibility of evaluating gate symmetry is presented, based on the use of the Parotec® system, along with evaluation based on analysis of particular gate markers, using the Zebris system. Certain practical remarks are given in the conclusion, essential for planning and managing the course of rehabilitation for children with cerebral palsy.

Key words:
Cerebral Palsy, evaluation of gait disturbances, rehabilitation

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