Poster 480 Addressing Open Mouth Posture in Children with Cerebral Palsy Through Chemodenervation of the Lateral Pterygoid Muscles: A Case Series of Pediatric Patients

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S316-S317
Author(s):  
Fabiola Reyes ◽  
Hannah A. Shoval ◽  
Heakyung Kim
Sensors ◽  
2021 ◽  
Vol 21 (13) ◽  
pp. 4452
Author(s):  
Nicole Zahradka ◽  
Ahad Behboodi ◽  
Ashwini Sansare ◽  
Samuel C. K. Lee

Functional electrical stimulation (FES) walking interventions have demonstrated improvements to gait parameters; however, studies were often confined to stimulation of one or two muscle groups. Increased options such as number of muscle groups targeted, timing of stimulation delivery, and level of stimulation are needed to address subject-specific gait deviations. We aimed to demonstrate the feasibility of using a FES system with increased stimulation options during walking in children with cerebral palsy (CP). Three physical therapists designed individualized stimulation programs for six children with CP to target participant-specific gait deviations. Stimulation settings (pulse duration and current) were tuned to each participant. Participants donned our custom FES system that utilized gait phase detection to control stimulation to lower extremity muscle groups and walked on a treadmill at a self-selected speed. Motion capture data were collected during walking with and without the individualized stimulation program. Eight gait metrics and associated timing were compared between walking conditions. The prescribed participant-specific stimulation programs induced significant change towards typical gait in at least one metric for each participant with one iteration of FES-walking. FES systems with increased stimulation options have the potential to allow the physical therapist to better target the individual’s gait deviations than a one size fits all device.


2001 ◽  
Vol 160 (8) ◽  
pp. 509-512 ◽  
Author(s):  
Peter H. Jongerius ◽  
Jan J. Rotteveel ◽  
Frank van den Hoogen ◽  
Fons J. M. Gabre�ls ◽  
Karen van Hulst ◽  
...  

2009 ◽  
Vol 30 ◽  
pp. S2 ◽  
Author(s):  
M. Sicari ◽  
B.L. Patritti ◽  
L.C. Deming ◽  
F. Romaguera ◽  
M. Pelliccio ◽  
...  

2020 ◽  
Vol 18 (6) ◽  
pp. 716-721
Author(s):  
L. V. Shalkevich ◽  

Background. It is necessary to develop new rehabilitation methods for children with cerebral palsy (CP), and also methods using virtual reality. Objective of the study. To evaluate effectiveness of rehabilitation impact on increase in supination volume in patients with spastic forms of CP with additional use of virtual reality (VR) technologies. Material and methods. The study was observational, retrospective-prospective, cohort and comparative. The study included 58 pediatric patients with spastic forms of CP 2 and 3 levels by the MACS. Rehabilitation in combination with VR technologies was used in 30 patients, 28 patients underwent rehabilitation without these technologies. Evaluation was made 19 days after rehabilitation started. Results. The function of hands by the MACS scale remained at the initial level in all the patients. Comparison of case frequency with dynamics of supination angle increase by 5° and more in groups with and without VR use showed significant differences: 93.3% (28 cases) and 35.7% (10 cases), respectively, pCochrane-Mantel-Hanzel <0.001. Conclusion. Using computer 3D technologies and virtual reality in complex rehabilitation gives 25 times more chances to increase supination in hand by more than 5° OR=25.2 with 95% DI [4.94; 128.57].


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