Factors Influencing Outcomes of the Dysplastic Hip in Nonambulatory Children With Cerebral Palsy

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kristen L. Carroll ◽  
Alan K. Stotts ◽  
Glen O. Baird ◽  
Alyssa L. Thorman ◽  
Matthew Talmage ◽  
...  
2018 ◽  
Vol 31 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Anaisa C Angelin ◽  
Amanda MP Sposito ◽  
Luzia I Pfeifer

Introduction This study analysed the differences in play performance between preschool children with cerebral palsy and those with typical development and investigated the factors influencing functional mobility and manual dexterity on play in children with cerebral palsy. Method Sixty preschool children (30 with cerebral palsy; 30 with typical development), were assessed by the revised Knox Preschool Play Scale, being that children with cerebral palsy were also classified according to their functional mobility and manual dexterity. Results On average, all measures were significantly smaller in the cerebral palsy group than the typical development group (p≤ .002). Manual function and functional mobility were negatively correlated with material ( r = −.456, p = .011; r = −.487, p = .006) and space ( r = −.494, p = .006; r = −.784, p = .000). Also the results pointed out a significant correlation with topography and manual function ( r = .404, p = .027) and functional mobility ( r = .718, p = .000). Pretend play and participation showed no correlation with topography (r = −.051, p = .788; r = −.312, p = .093), manual function (r = −.019, p = .921; r = −.322, p = .083) and functional mobility (r = −.085, p = .657; r = −.308, p = .097). Conclusion Play performance of children with typical development was superior to those with cerebral palsy. The degree of impairment of functional mobility and manual function negatively was negatively associated with play exploration but did not relate to pretend play or social interaction in play.


Author(s):  
Carmel Sivaratnam ◽  
Katherine Howells ◽  
Nicole Stefanac ◽  
Kelly Reynolds ◽  
Nicole Rinehart

The current study aimed to qualitatively explore parent and clinician perspectives on the factors influencing participation in a community-based Australian-Rules Football program for five to 12-year-old children with cerebral palsy (CP) in a regional setting. Six allied-health clinicians and two parents of children with CP participated in focus groups exploring factors influencing participation. Thematic analysis indicated seven key factors influencing participation—of which, six were environmental factors and one was related to child characteristics. Environmental factors included resources, communication, knowledge and previous experience, attitudes and expectations, game factors and community relevance. Child characteristics included age, preferences, confidence, as well and cognitive and physical functioning. Notwithstanding limitations, the current study highlights the central role of ‘people factors’ in the child’s environment, in facilitating participation in community-based physical activity.


2019 ◽  
Vol 50 (03) ◽  
pp. 170-177 ◽  
Author(s):  
Yeo Seung Mi ◽  
Lee Ji Young ◽  
Shin Hye Yeon ◽  
Seo Yun Sik ◽  
Kwon Jeong Yi

Objective This study was aimed to identify individual factors influencing the gross motor outcome of hippotherapy in children with cerebral palsy (CP). Methods One hundred and forty-six children with CP (mean age: 5.78 ± 1.72 years, male: 56.2%) presenting variable function (gross motor function classification system [GMFCS], levels I–IV) participated in this study. Participants received 30 minutes of hippotherapy twice a week for 8 weeks. Clinical information including GMFCS level, age, sex, CP distribution, CP type, gross motor function measure-88 (GMFM-88), GMFM-66, and pediatric balance scale (PBS) score were collected retrospectively. We regarded the children with GMFM-66 score increased by 2.0 points as good responders to hippotherapy. Further we analyzed factors affecting good responders. Results GMFCS level I and II compared with IV (odds ratio [OR] = 6.83) and III compared with IV (OR = 4.45) were significantly associated with a good response to hippotherapy. Higher baseline GMFM E (OR = 1.05) and lower baseline GMFM B (OR = 0.93) were also significantly associated with a good response to hippotherapy. Sex, age, CP type, and distribution were not factors influencing gross motor outcome of hippotherapy. Conclusions The children with CP, GMFCS level I–III, with relatively poor postural control in sitting might have a greater chance to improve their GMFM-66 scores through hippotherapy. This supports the hypothesis that hippotherapy is a context-focused therapy to improve postural control in sitting.


2008 ◽  
Vol 28 (8) ◽  
pp. 884-889 ◽  
Author(s):  
Komalam Muthusamy ◽  
Heng-Yi Chu ◽  
Richard M. Friesen ◽  
Pei-Chi Chou ◽  
Robert E. Eilert ◽  
...  

1995 ◽  
Vol 27 (4) ◽  
pp. 627-642 ◽  
Author(s):  
Dennis G. Mike

This study was conducted as an ethnography of one self-contained classroom at a school for children with cerebral palsy. The five students were severely multiply disabled, exhibiting differing degrees and combinations of physical, visual, speech, hearing, and perceptual impairments. All were diagnosed as having severe reading disabilities. The purpose of the study was to describe and explain those factors that impacted on literacy learning within this setting. Data collection involved nonparticipant observation, interviews with teachers and administrators, videotape analysis and examination of student records. Factors identified as facilitating literacy learning were (a) the room as a text-rich environment, (b) the latitude often given students to govern their own literate behavior, (c) the regularly conducted storyreading sessions, and (d) the constructive use of computers. Factors identified as hindering literacy learning were (a) restriction of instructional time, (b) overreliance on individual instruction, and (c) lack of student literate interaction.


Sign in / Sign up

Export Citation Format

Share Document