Gross Motor Function and Activities of Daily Living in Children and Adolescents with Cerebral Palsy: a Longitudinal Study

2017 ◽  
Vol 30 (2) ◽  
pp. 189-203 ◽  
Author(s):  
Eun-Young Park
Keyword(s):  
Cerebral Palsy ◽  
Longitudinal Study ◽  
Activities Of Daily Living ◽  
Children And Adolescents ◽  
Motor Function ◽  
Daily Living ◽  
Gross Motor ◽  
Gross Motor Function

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

2018 ◽  
Vol 32 (9) ◽  
pp. 1175-1188 ◽  
Author(s):  
Mael Lintanf ◽  
Jean-Sébastien Bourseul ◽  
Laetitia Houx ◽  
Mathieu Lempereur ◽  
Sylvain Brochard ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Activities Of Daily Living ◽  
Motor Function ◽  
Daily Living ◽  
Spastic Cerebral Palsy ◽  
Foot Orthoses ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Ankle Foot Orthoses ◽  
Children With Cerebral Palsy

Objective: To determine the effects of ankle-foot orthoses (AFOs) on gait, balance, gross motor function and activities of daily living in children with cerebral palsy. Data sources: Five databases were searched (Pubmed, Psycinfo, Web of Science, Academic Search Premier and Cochrane Library) before January 2018. Review methods: Studies of the effect of AFOs on gait, balance, gross motor function and activities of daily living in children with cerebral palsy were included. Articles with a modified PEDRO score ≥ 5/9 were selected. Data regarding population, AFO, interventions and outcomes were extracted. When possible, standardized mean differences (SMDs) were calculated from the outcomes. Results: Thirty-two articles, corresponding to 56 studies (884 children) were included. Fifty-one studies included children with spastic cerebral palsy. AFOs increased stride length (SMD = 0.88, P < 0.001) and gait speed (SMD = 0.28, P < 0.001), and decreased cadence (SMD = –0.72, P < 0.001). Gross motor function scores improved (Gross Motor Function Measure (GMFM) D (SMD = 0.30, P = 0.004), E (SMD = 0.28, P = 0.02), Pediatric Evaluation of Disability Inventory (PEDI) (SMD = 0.57, P < 0.001)). Data relating to balance and activities of daily living were insufficient to conclude. Posterior AFOs (solid, hinged, supra-malleolar, dynamic) increased ankle dorsiflexion at initial contact (SMD = 1.65, P < 0.001) and during swing (SMD = 1.34, P < 0.001), and decreased ankle power generation in stance (SMD = –0.72, P < 0.001) in children with equinus gait. Conclusion: In children with spastic cerebral palsy, there is strong evidence that AFOs induce small improvements in gait speed and moderate evidence that AFOs have a small to moderate effect on gross motor function. In children with equinus gait, there is strong evidence that posterior AFOs induce large changes in distal kinematics.

scholarly journals Acute Response to One Bout of Dynamic Standing Exercise on Blood Glucose and Blood Lactate Among Children and Adolescents With Cerebral Palsy Who are Nonambulant

2021 ◽  
pp. 1-6
Author(s):  
Åsa Andersson ◽  
Petra Lundström ◽  
Katarina Lauruschkus ◽  
Åsa B. Tornberg
Keyword(s):  
Cerebral Palsy ◽  
Blood Glucose ◽  
Children And Adolescents ◽  
Blood Lactate ◽  
Motor Function ◽  
System Level ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Lactate Levels ◽  
Blood Lactate Levels

Purpose: To investigate the acute exercise effects of dynamic standing exercise on blood glucose and blood lactate among children and adolescents with cerebral palsy who are nonambulant. Methods: Twenty-four participants with cerebral palsy who are nonambulant performed 30 minutes of dynamic standing exercise using a motorized device enabling assisted passive movements in an upright weight-bearing position. Capillary blood samples were taken from the fingertip for measurement of blood glucose and blood lactate at rest and at the end of exercise. Results: At rest, the participants had hyperlactatemia that was unaffected after exercise, presented as median and interquartile range at rest 1.8 (1.3:2.7) mmol/L, and after exercise 2.0 (1.1:2.5) mmol/L. Children and adolescents with Gross Motor Function Classification System, level V, had higher lactate levels at rest (2.5 [1.8:2.9] vs 1.4 [1.0:2.0]; P = .030) and after exercise (2.3 [2.0:2.6] vs 1.2 [0.9:2.2]; P = .032) compared with children and adolescents with Gross Motor Function Classification System, level IV, respectively. A statistically significant larger decrease in blood lactate levels after exercise was observed in children and adolescents with higher resting blood lactate levels (ρ = .56; P = .004). There were no statistically significant changes in blood glucose. Conclusions: Forty percentage of the participants had mild hyperlactatemia at rest and participants with the highest blood lactate levels at rest had the greatest decrease in blood lactate levels after one bout of exercise. Children and adolescents who were classified with the highest level of the Gross Motor Function Classification Scale had higher blood lactate levels. More studies are needed on how to prevent chronically high resting levels of lactate with exercise in children with cerebral palsy who are nonambulant.

Prospective Longitudinal Study of Gross Motor Function in Children With Cerebral Palsy

2007 ◽  
Vol 88 (7) ◽  
pp. 871-876 ◽  
Author(s):  
Jeanine M. Voorman ◽  
Annet J. Dallmeijer ◽  
Dirk L. Knol ◽  
Gustaaf J. Lankhorst ◽  
Jules G. Becher
Keyword(s):  
Cerebral Palsy ◽  
Longitudinal Study ◽  
Motor Function ◽  
Gross Motor ◽  
Prospective Longitudinal Study ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Prospective Longitudinal

scholarly journals Pain in children and adolescents with cerebral palsy – a cross-sectional register study of 3545 individuals

BMC Neurology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elsa Eriksson ◽  
Gunnar Hägglund ◽  
Ann I. Alriksson-Schmidt
Keyword(s):  
Cerebral Palsy ◽  
Pain Intensity ◽  
Children And Adolescents ◽  
Motor Function ◽  
Daily Activities ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Disturbed Sleep ◽  
Prevalence Of Pain

Abstract Background Pain is a common problem for individuals with cerebral palsy (CP). In Sweden, 95% of children and adolescents with CP are followed in a national follow-up programme (CPUP), which includes data on pain. The purpose of this study was to investigate the prevalence of pain based on age, sex, gross motor function and source of report (self or proxy). Pain intensity, pain site, and how much pain disturbed sleep and daily activities were also studied. Methods This was a cross-sectional register study based on all participants in CPUP, 4–18-years of age, with data reported in 2017–2018. Gross motor function was classified using the Gross Motor Function Classification System (GMFCS). Logistic regression was used to analyse prevalence of pain and how much pain had disturbed sleep and daily activities in the last four weeks. Results In total, 3545 participants (2065 boys) were included. The overall prevalence of pain was 44%. Older age and female sex were associated with higher risk of pain with odds ratios of 1.07 (95% confidence interval (CI) 1.06–1.09) and 1.28 (CI 1.12–1.47), respectively. Pain was most common in the lower extremities. There was no statistically significant difference in prevalence of pain related to source of report. Pain intensity was higher at older ages and higher GMFCS-levels. Hip/thigh pain and abdominal pain were associated with the most intense pain. Of those who reported pain, pain disturbed sleep for 36% and daily activities for 61%. Conclusions Both pain frequency and pain intensity were higher at higher age. Pain intensity increased with increasing GMFCS-level. Two-thirds of all children and adolescents with CP reported that their pain disturbed their daily activities, and one-third reported that pain disturbed their sleep.

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