Tag: Witold Pilecki

The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński

Witold Pilecki, Ludwika Sadowska, Monika Mysłek, Zbigniew Śliwiński – The efficacy of early neurostimulation of development in the Wroclaw Model of Rehabilitation for Down’s syndrome children, as measured by bio-electric examinations of the brain. Fizjoterapia Polska 2002; 2(2); 99-107

Abstract
Material and methods. Brainstem auditory evoked potentials (BAEP) and visual evoked potentials (VEP) were examined in two groups of small children with Down syndrome (DZ), one group rehabilitated since birth in the Wrocław Model of Rehabilitation (WMU), and the other not rehabilitated. The findings were compared with an homologous control group of healthy children. Results. During the BAEP examinations, the latency of deflection I was analyzed, where delayed latency indicates reduced sensitivity to sound. The examinations showed a significantly higher percentage of poor results in the group of DS. children who were not rehabilitated (33.3% in the first examination and 27.3% during the control examination). In the group of children with DS rehabilitated since birth, the percentage was 5 times lower (5.4% at the beginning of rehabilitation and 3.8% after several months of rehabilitation), similar to the results achieved in the control group (3.3%). In the VEP examinations, the percentage of normal results after stimulation with a flash of light was low in the group of children not rehabilitated (34% on the first examination). In the group of rehabilitated children, 53% achieved completely normal results. In the control examination, in the group of children not rehabilitated, normalization was observed in only one case (of 5 examined children), whereas in the rehabilitated group normalization occurred in 6 out of 13 cases with previously abnormal results. Ultimately, normal results were achieved by 38% of the children not rehabilitated and 68% of the rehabilitated children. In the control group, 84% of the results were normal. Conclusion. In the case of children with Down’s Syndrome, the activity of the examined analyzers differs from healthy children. On the other hand, the improvement observed over time indicates that some normalization of function does occur in these analyzers, particularly in children subjected to neurostimulation since the first months of life.

Key words:
Down, brain evoked potentials, Wroclaw Model of Rehabilitation

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Correlation between motor development and brainstem auditory evoked potentials (BAEP) in children after bacterial meningitis

Witold Pilecki, Teresa Szawrowicz, Małgorzata Micał-Strąk, Zbigniew Śliwiński

Witold Pilecki, Teresa Szawrowicz, Małgorzata Micał-Strąk, Zbigniew Śliwiński – Correlation between motor development and brainstem auditory evoked potentials (BAEP) in children after bacterial meningitis. Fizjoterapia Polska 2003; 3(2); 137-145

Abstract
Background. Bacterial meningitis may lead to various sequelae, especially damage to the central motor neuron. Brainstem auditory evoked potentials enable early detection of CNS dysfunction, and may be helpful in making the decision to start rehabilitation. Material and methods. BAEPs and assessment of motor development were performed on 38 children (from 1 month to 14 years in age) who had survived bacterial meningitis. 24 of them had motor development dysfunction. Results. All the tested children with motor development dysfunction had abnormalities of IPL I-V. Over 50% of those children were additionally affected by dysfunction in transmission, both peripheral and brainstem. Conclusions. There is a strong correlation between the results of BAEP testing and motor development dysfunction.

Key words:
bacterial meningitis, motor development, brainstem auditory evoked potentials

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