Effects of stepping practice with postural support on gross motor abilities of a pre-ambulatory child with cerebral palsy: A case report

2019 ◽  
pp. 1-8
Author(s):  
Kristen E. Snarski
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Gross Motor ◽  
Motor Abilities ◽  
Postural Support

scholarly journals Effects of a Functional Therapy Program on Motor Abilities of Children With Cerebral Palsy

2001 ◽  
Vol 81 (9) ◽  
pp. 1534-1545 ◽  
Author(s):  
Marjolijn Ketelaar ◽  
Adri Vermeer ◽  
Harm't Hart ◽  
Els van Petegem-van Beek ◽  
Paul JM Helders
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Reference Group ◽  
Therapy Group ◽  
Self Care ◽  
The Self ◽  
Functional Skills ◽  
Gross Motor ◽  
Group Interactions ◽  
Motor Abilities

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.

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

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.

Impact of malnutrition on gastrointestinal disorders and gross motor abilities in children with cerebral palsy

2007 ◽  
Vol 29 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Angelo Campanozzi ◽  
Guglielmo Capano ◽  
Erasmo Miele ◽  
Alfonso Romano ◽  
Goffredo Scuccimarra ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gastrointestinal Disorders ◽  
Gross Motor ◽  
Motor Abilities ◽  
Children With Cerebral Palsy

scholarly journals Six Months Guided Exercise Therapy Improves Motor Abilities and White Matter Connectivity in Children with Cerebral Palsy

2020 ◽  
Vol 27 (5) ◽  
pp. 90-100
Author(s):  
Md Safwan Samsir ◽  
Rahimah Zakaria ◽  
Salmi Abdul Razak ◽  
Mohamed Saat Ismail ◽  
Mohd Zulkifli Abdul Rahim ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
White Matter ◽  
Motor Function ◽  
Exercise Therapy ◽  
Connectivity Index ◽  
Exercise Session ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Motor Abilities ◽  
The Brain

Background: Diffusion magnetic resonance imaging (dMRI) provides the state of putative connectivity from lesioned areas to other brain areas and is potentially beneficial to monitor intervention outcomes. This study assessed the effect of a 6 months guided exercise therapy on motor abilities and white matter diffusivity in the brains of cerebral palsy (CP) children. Methods: This is a single arm pre- and post-test research design involving 10 spastic CP children, aged 8–18 years and whose Gross Motor Function Classification System Expanded and Revised (GMFCS-E & R) at least Level 21 with the ability to ambulate independently. They were recruited from Paediatric Neurology Clinic, Hospital Universiti Sains Malaysia (HUSM) from December 2015–December 2016. All participants underwent 6 months of therapist-guided exercise session comprising progressive strength training at a frequency of twice a week, 1 h duration per session. The effect of exercise on motor abilities was assessed using the Gross Motor Function Measures (GMFM)-88. Six out of the 10 children consented for dMRI. Probabilistic tractography of the corticospinal tract (CST) was performed to determine the connectivity index of the tracts pre- and post-intervention. Results: All the participants displayed statistically significant increment in GMFM88 scores pre- to post-exercise intervention. This improvement was concurrent with increased connectivity index in the CST of upper limbs and lower limbs in the brain of these children. Conclusion: Our findings demonstrated that 6 months guided exercise therapy improves motor abilities of CP children concurrent with strengthening the connectivities of the motor pathways in the brain.

Combined Selective Dorsal Rhizotomy and Single-Event Multilevel Surgery in a Child with Spastic Diplegic Cerebral Palsy: A Case Report

2021 ◽  
pp. 1-6
Author(s):  
Kayli Gimarc ◽  
Suzanne Yandow ◽  
Samuel Browd ◽  
Connie Leibow ◽  
Kelly Pham
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Motor Function ◽  
Single Event ◽  
Selective Dorsal Rhizotomy ◽  
Gross Motor ◽  
Dorsal Rhizotomy ◽  
Functional Gait ◽  
Gait Impairments

<b><i>Introduction:</i></b> Children with spastic diplegic cerebral palsy (CP) often have functional and gait impairments related to spasticity and loss of range of motion (ROM). Selective dorsal rhizotomy (SDR) and single-event multilevel surgery (SEMLS) are surgical interventions that are used to manage spasticity and functional gait impairments, respectively. This is the first known case report of a child with spastic diplegic CP who underwent combined SDR and SEMLS. <b><i>Case Report:</i></b> Our patient is a 7-year-old girl with spastic diplegic CP, functioning at the Gross Motor Function Classification System (GMFCS) level II, who presented with spasticity and contractures in bilateral lower extremities leading to functional gait impairments, despite conservative management. Combined SDR/SEMLS was offered with the goal of simultaneously managing spasticity and contractures while reducing the need for multiple procedures. Postoperatively, the patient’s functional mobility, ROM, spasticity, and strength were assessed at various follow-up intervals. The patient had increased lower extremity weakness and functional decline postoperatively. Persistent genu recurvatum and knee instability required prolonged rehabilitation services, and she demonstrated functional gains with these interventions. At follow-ups, spasticity was resolved and ROM improved. By the 12-month follow-up, the Gross Motor Function Measure-66 was improved to 68.9 (55th percentile) from the preoperative level of 62.1 (35th percentile). By the 30-month follow-up, she was able to participate in novel recreational activities. <b><i>Discussion/Conclusion:</i></b> Multidisciplinary teams may consider combined SDR/SEMLS for management of spasticity, gait impairment, and contracture in carefully selected patients with spastic CP.

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