Managing lower extremity muscle tone and function in children with cerebral palsy via eight-week repetitive passive knee movement intervention

2013 ◽  
Vol 34 (1) ◽  
pp. 554-561 ◽  
Author(s):  
Hsin-Yi Kathy Cheng ◽  
Yan-Ying Ju ◽  
Chia-Ling Chen ◽  
Ya-Ju Chang ◽  
Alice May-Kuen Wong
Keyword(s):  
Cerebral Palsy ◽  
Lower Extremity ◽  
Muscle Tone ◽  
Lower Extremity Muscle ◽  
Knee Movement ◽  
Children With Cerebral Palsy ◽  
And Function

The use of botulinum toxin therapy for lower-extremity spasticity in children with cerebral palsy

2006 ◽  
Vol 21 (2) ◽  
pp. E1 ◽  
Author(s):  
Susan R. Criswell ◽  
Beth E. Crowner ◽  
Brad A. Racette
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Lower Extremity ◽  
Muscle Tone ◽  
Botulinum Toxin A ◽  
Multidisciplinary Treatment ◽  
Safety Margin ◽  
Technical Information ◽  
Botulinum Toxin Therapy ◽  
Children With Cerebral Palsy

✓ Hypertonicity is a leading cause of disability for children with cerebral palsy (CP). Botulinum toxin A (BTA) chemically denervates muscle tissue and is commonly used in the management of lower-extremity hypertonicity in children with CP because of its focal effects and wide safety margin. Randomized controlled trials have demonstrated that BTA injections in the ankle flexors, hamstrings, and adductors reduce spasticity and result in improved passive and active range of motion. In other studies, improvements in gait and measurements of functional outcome were found in appropriately selected children who had been injected with BTA. A multidisciplinary treatment approach that includes physical therapists, occupational therapists, orthotists, neurologists, physicians with expertise in performing botulinum toxin injections, orthopedic surgeons, and neurosurgeons is critical to optimize care in children with lower-extremity tone due to CP. In this paper, the authors propose treatment algorithms based on clinical presentation, detailed dosing, and technical information to optimize the treatment of these children. With a multidisciplinary approach, children with lower-extremity hypertonicity due to CP can experience improvements in muscle tone and function.

Lower Extremity Muscle Strength and Endurance in Ambulatory Children with Cerebral Palsy

2019 ◽  
Vol 31 (1) ◽  
pp. 75-84
Author(s):  
Triveni Shetty ◽  
Shrutika Parab ◽  
Sailakshmi Ganesan ◽  
Bela Agarwal ◽  
Rajani Mullerpatan
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Lower Extremity ◽  
Lower Extremity Muscle ◽  
Children With Cerebral Palsy

scholarly journals Evaluation of Individualized Functional Electrical Stimulation-Induced Acute Changes during Walking: A Case Series in Children with Cerebral Palsy

Sensors ◽  
2021 ◽  
Vol 21 (13) ◽  
pp. 4452
Author(s):  
Nicole Zahradka ◽  
Ahad Behboodi ◽  
Ashwini Sansare ◽  
Samuel C. K. Lee
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Case Series ◽  
Phase Detection ◽  
Lower Extremity Muscle ◽  
Children With Cerebral Palsy ◽  
Muscle Groups

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.

scholarly journals Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 687
Author(s):  
Misoo Lim ◽  
Haneul Lee ◽  
Hyoungwon Lim
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement ◽  
Korean Version ◽  
Sitting Balance ◽  
Children With Cerebral Palsy ◽  
Balance Ability

Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

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