Tag: cerebral palsy

Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib

Dariusz Białoszewski, Monika Lewandowska, Izabela Korabiewska, Witold Rongies, Marta Woińska, Joanna Gotlib – Assessment of the Impact of Hippotherapy on the Level of Satisfaction with Life and Acceptance of Illness Among Parents of Children with Cerebral Palsy. Fizjoterapia Polska 2012; 12(2); 141-146

Abstract
Background. The parents’ satisfaction with life and their acceptance of their child’s illness are important factors that directly and / or indirectly influence the process of rehabilitation of children with cerebral palsy. The aim of this study was to evaluate the effect of hippotherapy on the level of satisfaction with life and acceptance of illness among parents of children with cerebral palsy. Material and methods. The study was conducted in 2008-2010 among 94 parents of cerebrally palsied (CP) children partici­pating in hippotherapy sessions in Warsaw. The study used an original questionnaire with questions dealing with the effect of hippotherapy on selected psychological factors in the parents. The questionnaire was completed by the parents twice: before and after a one-year hippotherapy course. Two psychometric scales: the Satisfaction with Life Scale (SWLS) and the Acceptance of Illness Scale (AIS), were also used, both adapted for Polish by Juczyński. The results were analyzed statistically.Results. Overall satisfaction with life among the parents increased significantly (p<0.05) during the year-long hippotherapy course. There was also a statistically significant increase in the parents’ acceptance of their children’s condition. Conclusion. Hippotherapy in CP children significantly increases their parents’ satisfaction with life and acceptance of their children’s illness.
Key words:
hippotherapy, Satisfaction with Life, acceptance of illness, Cerebral Palsy, Parents
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ffect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran – Effect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 94-101

Abstract
Background. Studying of robotic-assisted locomotor training (lokomat) in spasticity modulation on cerebral palsied hemiplegic children is a strategy for determining its efficacy in reducing spasticity.
Objective. To investigate the efficacy of robotic-assisted locomotor training (lokomat) in spasticity modulation. Methods. Thirty spastic hemiplegic cerebral palsied children of both genders ranged in age from 7 to 14 years contributed in this study, they were being randomly selected from comprehensive rehabilitation center and assigned into two equal groups (15 children each). Control group (A) underwent traditional exercise treatment, while Study group (B) underwent lokomat gait training in addition to traditional exercise program. Lokomat training was performed 3 days/week for 4 weeks with up to 45 minutes of training per session. The 3-D kinematics gait analysis was carried out before and after intervention and used as an indicator for improvement and reduction of spasticity.
Results. there was a statistically significant improvement in the study group in comparison to control group. Conclusion. Lokomat gait training is an effective additional tool for physical therapy program in treatment of hemiparetic C.P. children as it plays an important role in decreasing spasticity and improving patient gait pattern.

Key words:
cerebral palsy, spasticity, 3-D measurement, Lokomat gait training

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Programy terapii domowej dla dzieci z mózgowym porażeniem dziecięcym ukierunkowane na poprawę funkcji ręki spastycznej

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

Streszczenie
Cel pracy. Przedstawienie aktualnej wiedzy dotyczącej możliwości zastosowania terapii domowej w celu poprawy funkcji ręki spastycznej u dzieci z mózgowym porażeniem dziecięcym (MPD).
Podstawowe założenia. W aktualnym piśmiennictwie można znaleźć opisy wielu metod terapii ręki spastycznej w warunkach domowych. Najważniejsze z nich to: CIMT (Constraint Induced Movement Therapy), H-HABIT (Hand arm bimanual intensive therapy), Mitii (Move It To Improve It), Wii Sports Resort training, You Grabber system, AOT system (Action observation training), Tele UPCAT platform (The UPper Limb Children Action Observation Training), TeleReh. Pomimo różnic metodologicznych, we wszystkich dostrzegana jest bardzo ważna rola opiekunów dzieci z MPD. Wsparcie merytoryczne ze strony terapeutów jest istotne w zapewnieniu wiarygodności procesu usprawniania. Trening domowy poprawia sprawność i funkcjonalność dzieci w życiu codziennym, umacnia więź pomiędzy rodzicem / opiekunem a dzieckiem. Możliwość kontynuowania terapii w domu to często ogromne ułatwienie dla rodzin mieszkających daleko od ośrodka.

Słowa kluczowe:
ręka spastyczna, terapia domowa, mózgowe porażenie dziecięce

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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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The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research

Anna Kosiecz, Agnieszka Zdzienicka-Chyła, Jolanta Taczała, Krzysztof Krasowicz, Marta Kuśmierz, Jarosław Napiórkowski

A. Kosiecz, A. Zdzienicka-Chyła, J. Taczała, K. Krasowicz, M. Kuśmierz, J. Napiórkowski – The Influence of the Soft Torso Orthosis on Motor Functions of Children with Cerebral Palsy – Preliminary Research. Fizjoterapia Polska 2020; 20(1); 86-91

Abstract
Introduction. Soft orthopaedic equipment is increasingly used in therapy of children with cerebral palsy. The primary goal of using soft orthoses is to improve the patient’s functioning – their contribution to central stabilization and postural control is emphasized. The principal aim of applying soft orthotics is to enhance the patient’s functioning in everyday life.
Objective. Examination of the influence of using soft torso orthoses on motor skills of children with cerebral palsy.
Material and methods. Four children with cerebral palsy who could walk independently – level I or II according to the Gross Motor Function Classification System (GMFCS) – were qualified for the preliminary research. Motor skills were evaluated in accordance with the Gross Motor Function Measure (GMFM). Evaluation of the functional condition was repeated every 3 months for half a year. The children used soft torso orthoses for about 4 hours a day and participated in rehabilitation exercises with the same frequency as before the study.
Results: Improvement on motor functions, confirmed with an increase in GMFM score by 2.5% on average, was observed in all the children during 6 months.
Conclusions. A positive influence of using soft torso orthoses on improvement in the patients’ functional condition was observed, confirmed with higher GMFM scores.

Key words:
soft orthoses, cerebral palsy, gross motor skills, GMFM

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功能性驱干训练计划对痉挛性双瘫儿童在步态协调上的影响：随机对照试验

Rasha Atef Saad El Metwally, Kamal El Sayed Shoukry, Amira El Sayed El Bagalaty

Rasha Atef Saad El Metwally, Kamal El Sayed Shoukry, Amira El Sayed El Bagalaty – Effect of Functional Trunk Training Program on Gait Harmony in Children with Spastic Diplegia: A Randomized Controlled Trial. Fizjoterapia Polska 2019; 19(4); 162-170

DOI: https://doi.org/10.56984/8ZG1A35D2

摘要
目的。通过使用核心稳定和步态训练计划以加强核心区域和改良的助行器，来确定功能性躯干训练对痉挛性双瘫大脑瘫痪儿童的步态协调影响。设计。单盲随机对照试验。方法。30名年龄在4至7岁间的痉挛性双瘫大脑瘫痪儿童参与研究，他们被随机平均分配至两组（A和B），分别为对照组和研究组。A组接受持续2小时的选定物理治疗计划，以改善功能性步态能力，而B组接受与A相同却持续1小时的计划和干预计划。旨在改善步态协调的干预计划包含两个基本部分，首先进行半小时的核心训练和能动性运动。然后以改良的助行器在各种表面进行半小时的步态训练。两组（对照组A和研究组B）均连续三个月每周进行3次 治疗。肌肉张力评估（MAS）用于样本选择。步态和谐通过从版本5.0.6.的跟踪器运动分析程序决定时空数据的黄金比例方程式测量而得。结果。通过使用描述分析显示所有比较变量的均值±标准偏差（SD），使用非参数检验（卡方）来表示预处理的MAS值以供选择，配对t检验来测量组内治疗前后的结果，并以两组间的独立t检验（对照组和研究组）来测量步行领域的运动功能总评分（GMFM），结果显示治疗后两组（A和B）均有显著差异。使用多元分析（MANOVA）多元变量来确定自变量（A、B组间的侧面、时间和干预）对因变量方程（a、b和两个方程间的差异）的影响。结果在以下方面存在着显著差异：姿势/摆动期时间（方程a）的比例、步态周期/姿势期时间（方程b）及两组间两种比例值（方程a和b）间的差异。结论。结论是功能性驱干训练计划结合选定的物理治疗计划可显著改善痉挛性双瘫大脑瘫痪儿童的步态协调性，在步态协调方程中很明显。

关键词：
脑瘫、痉挛性双瘫、步态协调、黄金比例、运动功能测量评分、肌肉张力评估

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运动疗法在腦癱 – 臨床方面理

Włodzisław Kuliński, Barbara Dulnik

W. Kuliński, B. Dulnik – Kinezyteraphy in the cerebral palsy – clinical aspects. Fizjoterapia Polska 2019; 19(3); 106-116

摘要
简介。小儿脑瘫（MPD）为在早期成长阶段永久性脑损伤所造成的运动和姿势障碍综合症，此为儿童残疾最常见的原因，其达成年后随时间推移而能力恶化。
目的在显示运动疗法对小儿脑瘫患者的重要性。
材料和方法。共20名在森德克工作疗法工作坊及拉库夫综合康复和健康推广中心接受运动改善课程的患者参与研究（其中有12名女性及8名男性，年龄在20至60岁之间）。患者的临床表现为：因上运动神经元及皮质脊髓束损伤所造成的运动及姿势障碍等症状。使用诊断调查问卷的研究方法，研究中使用的问卷涵盖受试者的生活及其功能性的相关为题及其对所进行的康复计划的评估。
结果。所获得的研究结果证实运动疗法对改善小儿脑瘫患者的重要性，定期的运动康复治疗对身体状况及日常生活功能性的改善均有助益。
结论。理疗使患者的功能性达到最高可能，并能防止疾病相关并发症的发展。

 

关键词：
小儿脑瘫、运动疗法

 

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用选定量表和测试评估脑瘫儿童的功能状态

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

摘要
研究目的。研究目的在使用选定的量表和测试，以评估脑瘫儿童（MPD）的功能状态并分析影响结果的因素。
材料和方法。有33名4至18岁间被诊断出患有MPD的儿童参与研究，他们在特定的罗兹省康复中心就诊，研究工具为原创问卷及用于评估粗大运动机能测量（GMFM）的大肌动活动及粗大运动机能分类系统（GMFCS），用于手动能力分类系统的小肌动活动。
在统计分析中，变量对等级结果的影响是根据皮尔逊和斯皮尔曼的相关系数确定的，具体取决于分布。定性变量对儿童体适能的影响评估中使用ANOVA方差分析或克-瓦单因子变易数分析。
结果。7名儿童显示出零或非常低的体适能，他们是患有四肢瘫痪的儿童，测试结果受怀孕时间长短、出生体重、年龄及身高和语言逻辑接触的影响。性别及伴随癫痫等定性变量之间没有关系，能动性大小之间则有强相关性。
结论：在所使用的量表和测试中，受试儿童呈现出不同程度的体适能，其获得的分数与MPD类型紧密相关。语言逻辑接触佳的儿童在评估量表中取得更好的分数，父母对儿童体适能的客观评估与测试结果符合。

关键词：
小儿脑瘫、MACS、GMFM、GMFCS

 

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当前对小儿脑性瘫痪的体位管理方式

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski

Agata Michalska, Zbigniew Śliwiński, Justyna Pogorzelska, Marek Grabski – A Current Approach to Postural Care for Patients with Cerebral Palsy. Fizjoterapia Polska 2018; 18(3); 102-112

摘要
简介。康复是小儿脑性瘫痪治疗的基本要素之一，目的在对抗继发性的肌肉骨骼畸形，运用各种技术及功能促进以将姿势错误最小化被称为体位管理，包括患者躺卧、坐着及站着时的适当定位并结合物理疗法。
目标。研究目的在呈现以文献评析为基础的当前体位管理方式。
结论。截止目前为止，体位协助计划中未就躺卧、坐姿及站立等姿势制定普遍可接受的建议，该领域的大多数研究都是针对少数群体进行，观察时间短，因此难以评估体位计划的有效性，尽管部分研究结果显示其为对抗髋关节神经原性脱位为有希望的方法。一般认为适当的姿势支撑有助于开展活动并协助小儿脑性瘫痪者参与，增强其能力感并鼓励其行动。由于设备的结构变化及市场上新解决方案的引入，在该领域进行进一步研究的需要格外迫切。

关键词：
体位管理、小儿脑性瘫痪

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