scholarly journals Relation between quality of upper extremity skills, postural control and gross motor function in children with spastic quadriplegic cerebral palsy

2015 ◽  
Vol 57 ◽  
pp. 105-105
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Upper Extremity ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function

scholarly journals Changes in children with cerebral palsy after six months of hippotherapy: A clinical trial applying rehabilitation treatment taxonomy

2019 ◽  
Author(s):  
Juliana MP Starling ◽  
Ana Paula B Gontijo ◽  
Rosana F Sampaio ◽  
Juliana V Mambrini ◽  
Sergio T Fonseca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Outcome Measures ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy

Abstract Background Hippotherapy is a complementary therapeutic modality that seeks to promote functional changes in children with cerebral palsy (CP). Knowledge of the direct and indirect changes resulting from this therapy will help identify which groups of children with cerebral palsy can benefit from this type of therapy. The present study aimed to analyze the effects of hippotherapy for children with cerebral palsy with regard to age, topography, and severity using the rehabilitation treatment taxonomy. Methods We conducted a before-after clinical trial. Thirty-one children with CP, stratified by age (4-7 years; 8-12 years), severity (mild, moderate, severe), topography (hemiplegia, diplegia, quadriplegia) and previous time in hippotherapy (3-6 months, over 6 months) underwent individual weekly 30-minute hippotherapy sessions for 6 months in addition to regular rehabilitation. Postural control and balance were evaluated by the Early Clinical Assessment of Balance (ECAB). Secondary outcome measures included the Gross Motor Function Measure (GMFM) and the Cerebral Palsy Quality of Life for Children self-report of the primary caregiver questionnaire. Blinding was used for scoring the outcome measures. Results Postural control and balance and gross motor function showed small improvements after 6 months of intervention, with larger effects in dimensions D and E of the children’s gross motor function. These changes were influenced by the severity and topography of the CP. The taxonomy of rehabilitation treatments structured the interpretation of the hippotherapy effects, identifying the possible mechanism of action (horse’s step and movement demands), active ingredients (activation of muscles involved in postural correction, vestibular and visual stimuli), target outcomes (postural control and balance) and indirect outcomes (gross motor function and quality of life). Conclusion Hippotherapy sessions, in addition to rehabilitation, produced small, but positive changes in motor and psychosocial outcomes in children with CP. The benefits varied from 3 to 7 points in postural control and balance (ECAB) and in all dimensions of the GMFM. The changes in gross motor function were influenced by the type and severity of CP.

scholarly journals Caregiver-reported health-related quality of life of children with cerebral palsy and their families and its association with gross motor function: A South Indian study

2016 ◽  
Vol 07 (02) ◽  
pp. 223-227 ◽  
Author(s):  
S. Surender ◽  
Vykuntaraju K. Gowda ◽  
K. S. Sanjay ◽  
G. V. Basavaraja ◽  
Naveen Benakappa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Health Related Quality ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Related Quality ◽  
Health Related

ABSTRACT Introduction: In children, health-related quality of life (HRQOL) includes parental impact and family functioning along with concepts of illness, functional status, mental health, and comfort. We are focusing on the impact of cerebral palsy (CP) on children’s HRQOL and their families, and its relationship with gross motor dysfunction. Subjects and Methods: CP children aged 3–10 years under regular neurology follow-up were enrolled. The HRQOL and motor severity were prospectively assessed using lifestyle assessment questionnaire-CP and gross motor function classification systems, respectively. Results: One hundred children participated in this study. Thirty-three percent of children had good, 22% had mildly affected, whereas 45% had moderately to severely affected HRQOL. A significant association is present between gross motor function classification system and HRQOL. Conclusion: HRQOL in CP and their caregivers is highly impaired. The degree of impairment is associated with physical independence, mobility, clinical burden, and social integration dimensions. Therapies targeting these dimensions and associated comorbidities will improve the HRQOL. Gross motor function classification system is a good indicator of HRQOL.

Effects of different seating equipment on postural control and upper extremity function in children with cerebral palsy

2016 ◽  
Vol 41 (1) ◽  
pp. 85-94 ◽  
Author(s):  
Dilek Sahinoğlu ◽  
Gürsoy Coskun ◽  
Nilgün Bek
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Motor Function ◽  
Classification System ◽  
Control Measure ◽  
Assessment Scale ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Postural Alignment ◽  
Custom Made

Background:Adaptive seating supports for cerebral palsy are recommended to develop and maintain optimum posture, and functional use of upper extremities.Objectives:To compare the effectiveness of different seating adaptations regarding postural alignment and related functions and to investigate the effects of these seating adaptations on different motor levels.Study design:Prospective study.Methods:A total of 20 children with spastic cerebral palsy (Gross Motor Function Classification System 3–5) were included. Postural control and function (Seated Postural Control Measure, Sitting Assessment Scale) were measured in three different systems: standard chair, adjustable seating system and custom-made orthosis.Results:In results of all participants ungrouped, there was a significant difference in most parameters of both measurement tools in favor of custom-made orthosis and adjustable seating system when compared to standard chair ( p < 0.0017). There was a difference among interventions in most of the Seated Postural Control Measure results in Level 4 when subjects were grouped according to Gross Motor Function Classification System levels. A difference was observed between standard chair and adjustable seating system in foot control, arm control, and total Sitting Assessment Scale scores; and between standard chair and custom-made orthosis in trunk control, arm control, and total Sitting Assessment Scale score in Level 4. There was no difference in adjustable seating system and custom-made orthosis in Sitting Assessment Scale in this group of children ( p < 0.017).Conclusion:Although custom-made orthosis fabrication is time consuming, it is still recommended since it is custom made, easy to use, and low-cost. On the other hand, the adjustable seating system can be modified according to a patient’s height and weight.Clinical relevanceIt was found that Gross Motor Function Classification System Level 4 children benefitted most from the seating support systems. It was presented that standard chair is sufficient in providing postural alignment. Both custom-made orthosis and adjustable seating system have pros and cons and the best solution for each will be dependent on a number of factors.

scholarly journals Functionality, school participation and quality of life of schoolchildren with cerebral palsy

2020 ◽  
Vol 33 ◽  
Author(s):  
Afonso Rodrigues Tavares Netto ◽  
Carine Carolina Wiesiolek ◽  
Patrícia Meireles Brito ◽  
Gabriela Adelino da Rocha ◽  
Rayanne Maria Farias Tavares ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Performance ◽  
Life Questionnaire ◽  
Gross Motor ◽  
Gross Motor Function ◽  
School Participation ◽  
Study Population

Abstract Introduction: The quality of life (QoL) of schoolchildren with cerebral palsy (CP) should be evaluated considering the functional variability of the child with CP with an extended view on functionality in the school context and the determinants of QoL. Objective: to evaluate the school participation and the QoL of schoolchildren with CP in Recife's municipal public network, as well as to analyze the influence of GMFCS levels and motor performance on these variables in the study population. Method: This is an exploratory observational study whose evaluation model was structured based on the International Classification of Functioning, Disability and Health (CIF). Children with CP were classified in the Gross Motor Function Classification System (GMFCS) and evaluated according to Gross Motor Function Measure-88 (GMFM-88). The School Function Assessment (SFA) and the Quality of Life Questionnaire for Cerebral Palsy (CPQOL-Caregiver) were answered by teachers and mothers, respectively. Results: In the study population, the higher the GMFCS level, the lower the participation and the lower the independence in school activities, aspects that add to the QoL construct, mainly with less functionality, less emotional well-being and self-esteem, and lower family health. Conclusion: GMFCS levels and motor performance of schoolchildren with CP can affect school participation and QoL, and it is important to consider each child's individual and contextual factors. These results can help the development of functional, care, inclusion and pedagogical strategies for students with CP.

Clinical response of Abhaya Ghrita and procedure based therapy on Gross Motor Functions in children with Cerebral Palsy : An Open Label, Randomized Clinical Trial

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Sonam . ◽  
Mahapatra Arun Kumar ◽  
Rajagopala Shrikrishna
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Birth Weight ◽  
Motor Function ◽  
Gross Motor ◽  
Live Births ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
History Of

Introduction - Cerebral Palsy (CP) being the leading cause of disability in children is a symptom complex, whichv has worldwide incidence of 2.1/1000 live births, and for India it is 3/1000 live births. In Ayurveda, the cerebral palsy can be correlated with various conditions due to Vata predominance. There is no satisfactory criterion in managing this condition is developed till date. The present study is planned with Abhaya Ghrita and procedure based therapy to provide possible improvement in gross motor function of children with cerebral palsy and thereby improving their quality of life. Material and Methods - A Trial was conducted at a tertiary health care setting to evaluate the clinical efficacy of Ayurvedic Intervention (Abhaya Ghrita and procedure based therapy Udvartana, Sarvanga Abhyanga, Nadi Sweda and Matra Basti). Diagnosed children of cerebral palsy, aged 1-12 years of either gender were selected. The scale gross motor function manual (GMFM) and Cerebral Palsy quality of life (CP-QOL) were used for assessment. Results - Total 20 patients were registered in the present study. 70% patients were below 8 years of age with clear male predominance comprised of 85% of the total sample size. As per the birth history of the patients 15% were preterm, home delivery was present in 20%. 45% and 10% were Low birth weight (LBW) and Very Low birth weight (VLBW) after birth respectively. History of delayed cry was present in 80% cases. 45% required Hospitalization and 65% were subjected to Resuscitation and need of incubator just after birth was present in 25% patients. Discussion - Gross Motor Function scale has shown significant improvement in motor activities like lying and rolling, sitting and total score with pandlt;0.001, on crawling and kneeling and standing with pandlt;0.01 and on walking and running with pandlt;0.02. The CP-QOL has also shown significant results on health and family and friends component. Conclusion - Thus, it may be concluded that the Ayurveda approach is effective in improving the gross motor function and quality of life of children with cerebral palsy.

Impact of Hippotherapy on Gross Motor Function and Quality of Life in Children with Bilateral Cerebral Palsy: A Randomized Open-Label Crossover Study

2018 ◽  
Vol 49 (03) ◽  
pp. 185-192 ◽  
Author(s):  
Ute Deutz ◽  
Nicole Heussen ◽  
Katharina Weigt-Usinger ◽  
Steffen Leiz ◽  
Christa Raabe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Spastic Cerebral Palsy ◽  
Psychosocial Burden ◽  
Open Label ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Group Data

AbstractThis study investigated the effect of hippotherapy on gross motor function (Gross Motor Function Measure [GMFM]-66, GMFM dimension E and D) and quality of life (Child Health Questionnaire [CHQ 28], KIDSCREEN-27 parental versions) in children with bilateral spastic cerebral palsy. Seventy-three children (age: 9.1 ± 3.3 years; male = 44; GMFCS levels II = 27; III = 17; IV = 29) were randomized to an early (n = 35) or late (n = 38) treatment group. Data from 66 probands were available for further analysis. Probands received hippotherapy once to twice weekly during a period of 16 to 20 weeks (mean: 17 treatments) in a crossover approach. Whereas no significant changes were found for total GMFM scores and quality of life parameters, a significant increase in GMFM dimension E was found. Children terminating the study early showed lower mean psychosocial quality of life scores than children who completed the whole study (CHQ-28 “psychosocial dimension”; KIDSCREEN-27 “mood and emotional dimension”). Our data are in line with previous reports and suggest that hippotherapy shows distinct therapeutic strengths with regard to promoting upright stand and gait in children with cerebral palsy. Children with higher psychosocial burden of disease may need special support to get access to and benefit from intensified physiotherapy programs.

Sign in / Sign up

Export Citation Format

Share Document