Relationship of cognitive functions and gross motor abilities in children with spastic diplegic cerebral palsy

2017 ◽  
Vol 7 (3) ◽  
pp. 268-276 ◽  
Author(s):  
Alaa Al-Nemr ◽  
Faten Abdelazeim
2011 ◽  
Vol 15 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Domenico M.M. Romeo ◽  
Matteo Cioni ◽  
Laura R. Battaglia ◽  
Filippo Palermo ◽  
Domenico Mazzone

2001 ◽  
Vol 81 (9) ◽  
pp. 1534-1545 ◽  
Author(s):  
Marjolijn Ketelaar ◽  
Adri Vermeer ◽  
Harm't Hart ◽  
Els van Petegem-van Beek ◽  
Paul JM Helders

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.


2020 ◽  
Vol 148 (1-2) ◽  
pp. 87-93
Author(s):  
Milena Milicevic

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.


2007 ◽  
Vol 29 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Angelo Campanozzi ◽  
Guglielmo Capano ◽  
Erasmo Miele ◽  
Alfonso Romano ◽  
Goffredo Scuccimarra ◽  
...  

2020 ◽  
Vol 27 (5) ◽  
pp. 90-100
Author(s):  
Md Safwan Samsir ◽  
Rahimah Zakaria ◽  
Salmi Abdul Razak ◽  
Mohamed Saat Ismail ◽  
Mohd Zulkifli Abdul Rahim ◽  
...  

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.


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