Application of Gait Index Assessment to Monitor the Treatment Progress in Patients with Cerebral Palsy

Validity and reliability of the Dynamic Gait Index in children with hemiplegic cerebral palsy

Gait & Posture ◽

10.1016/j.gaitpost.2019.09.024 ◽

2020 ◽

Vol 75 ◽

pp. 28-33

Author(s):

Ayca Evkaya ◽

Evrim Karadag-Saygi ◽

Duygu Karali Bingul ◽

Esra Giray

Keyword(s):

Cerebral Palsy ◽

Validity And Reliability ◽

Hemiplegic Cerebral Palsy ◽

Dynamic Gait Index ◽

Dynamic Gait ◽

Gait Index

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INTERFERÊNCIA DA FISIOTERAPIA AQUÁTICA NO EQUILÍBRIO DE CRIANÇAS COM PARALISIA CEREBRAL / INTERFERENCE OF AQUATIC THERAPY IN CHILDREN WITH CEREBRAL PALSY BALANCE

Revista Pesquisa em Fisioterapia ◽

10.17267/2238-2704rpf.v5i2.620 ◽

2015 ◽

Vol 5 (2) ◽

Author(s):

Luciana Moreira Magalhães de Oliveira ◽

Douglas Martins Braga ◽

Laís Cardoso Oliveira ◽

Túlio Leal Alves ◽

Fábio Navarro Cyrillo ◽

...

Keyword(s):

Cerebral Palsy ◽

Sao Paulo ◽

São Paulo ◽

Aquatic Therapy ◽

Children With Cerebral Palsy ◽

Dynamic Gait Index ◽

Dynamic Gait ◽

Gait Index

Objetivo: Verificar a interferência da fisioterapia aquática no equilíbrio de crianças com Paralisia Cerebral (PC). Métodos: Trata-se de um ensaio clínico controlado, descritivo-analítico e quantitativo. Foram analisados 560 prontuários, e a amostra final foi constituída por 15 crianças com PC diparética espástica, classificadas como nível II pelo GMFCS, que estão em acompanhamento na Associação de Assistência à Criança Deficiente (AACD) de São Paulo. As crianças selecionadas foram avaliadas nos momentos pré e pós, utilizando a Escala Funcional de Berg (BERG), Dynamic Gait Index (DGI), Time Up and Go (TUG) e Eletromiografia de Superfície (EMG) dos músculos tibial anterior e gastrocnêmios. Em seguida, foram divididas de forma não aleatória em grupo experimental (GE) e grupo controle (GC). O GE foi submetido a um protocolo de fisioterapia aquática de 16 sessões, com 35 minutos de duração, 2 vezes por semana, durante 8 semanas. Resultados: Apenas o GE apresentou melhora estatisticamente significante com relação aos valores obtidos na BERG, DGI e TUG. Na EMG houve aumento da ativação muscular nas transferências de sentado para de pé e de pé para sentado e diminuição na postura em pé sem apoio. Conclusão: A fisioterapia aquática é um recurso eficaz na reabilitação do equilíbrio de crianças com PC, promovendo maior ativação muscular do tibial anterior e gastrocnêmios nas transferências de sentado para de pé e de pé para sentado e diminuição na postura em pé sem apoio, com consequente melhora da velocidade e modificação na execução da marcha em determinadas tarefas.

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RESULTS OF ORTHOSES USED ON AMBULATORY PATIENTS WITH BILATERAL CEREBRAL PALSY

Acta Ortopédica Brasileira ◽

10.1590/1413-785220202803228922 ◽

2020 ◽

Vol 28 (3) ◽

pp. 137-141

Author(s):

ALESSANDRO GIURIZATTO MELANDA ◽

ANA CAROLINA PAULETO ◽

DIELISE DEBONA IUCKSCH ◽

RODRIGO FAUCZ MUNHOZ DA CUNHA ◽

SUHAILA MAHMOUD SMAILI

Keyword(s):

Cerebral Palsy ◽

Gait Analysis ◽

Gait Velocity ◽

Temporal Data ◽

Level Of Evidence ◽

The Right ◽

The Impact ◽

Control Study ◽

Gait Index

ABSTRACT Objective: To investigate the impact of ankle-foot orthoses (AFO) on subjects diagnosed with bilateral cerebral palsy (CP) using the gait index and temporal data parameters. Methods: Twenty-four subjects, 14 male and 10 female, with a mean age of 11 (5-17 years old), underwent a comprehensive gait analysis under both barefoot (BF) and braced walking conditions. All children had been wearing the orthoses for at least 2 months before the gait analysis. Results: The overall values for the left and right Gait Profile Scores (GPS) did not show statistically significant variations when comparing the same individuals with and without orthoses. Gait velocity increased by 19.5% (p < 0.001), while the cadence decreased by 4% with use of orthosis, although it was not statistically significant (p > 0.05). The stride and the step lengths on both the right and left sides, however, resulted in statistically significant increases, when wearing AFO. Conclusion: AFO, prescribed for assistance by professionals without using gait data, did not significantly affect the gait index (GPS), but improved temporal data. The determination of quantitative clinical parameters for the prescription of orthotics in patients with bilateral CP, as well as orthotics that meet the specific requirements are points to be addressed in the future to obtain more significant effects. Level of evidence III, Case control study.

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Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac19.1.12 ◽

2010 ◽

Vol 19 (1) ◽

pp. 12-20 ◽

Cited By ~ 29

Author(s):

Guro Andersen ◽

Tone R. Mjøen ◽

Torstein Vik

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Gestational Age ◽

Augmentative And Alternative Communication ◽

Alternative Communication ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Communicative Abilities ◽

Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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