Effect of intensive physical therapy program on gross motor abilities of children with cerebral palsy

Abstract Background and Purpose. The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference group whose physical therapy was based on the principle of normalization of the quality of movement. Subjects. The subjects were 55 children with mild or moderate cerebral palsy aged 2 to 7 years (median=55 months). Methods. A randomized block design was used to assign the children to the 2 groups. After a pretest, the physical therapists for the functional physical therapy group received training in the systematic application of functional physical therapy. There were 3 follow-up assessments: 6, 12, and 18 months after the pretest. Both basic gross motor abilities and motor abilities in daily situations were studied, using the Gross Motor Function Measure (GMFM) and the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI), respectively. Results. Both groups had improved GMFM and PEDI scores after treatment. No time × group interactions were found on the GMFM. For the PEDI, time × group interactions were found for the functional skills and caregiver assistance scales in both the self-care and mobility domains. Discussion and Conclusion. The groups' improvements in basic gross motor abilities, as measured by the GMFM in a standardized environment, did not differ. When examining functional skills in daily situations, as measured by the PEDI, children in the functional physical therapy group improved more than children in the reference group.

Download Full-text

The Effects of the Postural Movement Normalization Program on the Gross Motor Abilities and Occulomotor Abilities of Children with Cerebral Palsy

Korean Journal of Physical Multiple & Health Disabilities ◽

10.20971/kcpmd.2007.50.1.115 ◽

2007 ◽

Vol 50 (1) ◽

pp. 115-142

Author(s):

정대영 ◽

공남호

Keyword(s):

Cerebral Palsy ◽

Gross Motor ◽

Motor Abilities ◽

Children With Cerebral Palsy ◽

Postural Movement

Download Full-text

Profile of motor abilities of children with cerebral palsy as a predictor of their functional independence in self-care and mobility

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh190321077m ◽

2020 ◽

Vol 148 (1-2) ◽

pp. 87-93

Author(s):

Milena Milicevic

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Classification System ◽

Self Care ◽

Functional Independence ◽

Fine Motor ◽

Gross Motor ◽

Motor Functions ◽

Motor Abilities ◽

Children With Cerebral Palsy

Introduction/Objective. Limitations of mobility and motor deficits are identified as predominant in the clinical picture of cerebral palsy. This research aimed to describe the profile of motor abilities of children with cerebral palsy, which included gross motor, manual, and bimanual fine motor functions, and to determine the extent to which their functional independence in self-care and mobility was influenced by the profile of their motor abilities. Methods. A convenience sample of 117 participants with cerebral palsy (56.4% males), aged 7?18 years (M = 13.2, SD = 3.4), was included. The Gross Motor Function Classification System ? Expanded and Revised, Manual Ability Classification System, Bimanual Fine Motor Function and the Functional Independence Measure ? Version for Children, were used. Data was analyzed by descriptive statistics and hierarchical multiple regression. Results. More than a half of sample exhibited different levels of gross motor, manual, and bimanual function. Lower functional independence in self-care and mobility was associated with higher functional limitations. Manual abilities were the strongest predictor of functional independence in self-care (? = -0.63, p < 0.001), while gross motor functions were the strongest predictor in the mobility domain (? = -0.65, p < 0.001). Conclusion. Improvement of gross motor and manual abilities of children with cerebral palsy is confirmed as one of the basic preconditions for achieving a greater independence and for minimizing or eliminating a need for assistance in mobility and in everyday self-care activities.

Download Full-text

Effect of Different Kinesio Taping Applications on Ankle Range in Children with Spastic Cerebral Palsy: A Comparative Study

Asian Journal of Advanced Research and Reports ◽

10.9734/ajarr/2018/v1i313059 ◽

2018 ◽

pp. 1-8

Author(s):

Alaa N. Kora ◽

Faten H. Abdelazeim ◽

Khaled A. Olama ◽

Ehab R. Abdol Raouf ◽

Osama R. Abdelraouf

Keyword(s):

Cerebral Palsy ◽

Physical Therapy ◽

Range Of Motion ◽

Outpatient Clinic ◽

Spastic Cerebral Palsy ◽

Kinesio Tape ◽

Kinesio Taping ◽

Therapy Program ◽

Physical Therapy Program ◽

Calf Muscles

Background and Purpose: Spastic cerebral palsy is accompanied with an increase in calf muscles’ spasticity and a decrease in the ankle range of motion. The purpose of the study was to compare muscle inhibitory with functional corrective Kinesio taping applications on children with spastic cerebral palsy. Methods: Thirty two children with spastic cerebral palsy were selected from the outpatient clinic of the faculty of Physical Therapy Cairo University. Muscle inhibitory and functional corrective Kinesio taping applications in addition to physical therapy program were applied for three successive months. Digital Goniometer was used to assess the ankle range of motion pre and post Kinesio tape applications. Results: The study revealed that that the functional corrective Kinesio taping is more effective in increasing ankle range of motion than the muscle inhibitory. Conclusion: Functional Corrective Kinesio tape application is recommended for increasing ankle range of motion in children with spastic cerebral palsy.

Download Full-text