Comparison of Three Heel Cord Surgeries in Children with Cerebral Palsy

2005 ◽  
Vol 21 (4) ◽  
pp. 322-333 ◽  
Author(s):  
Jack R. Engsberg ◽  
Donna J. Oeffinger ◽  
Sandy A. Ross ◽  
Hank D. White ◽  
Chester M. Tylkowski ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gait Speed ◽  
Descriptive Study ◽  
Objective Measures ◽  
Spastic Diplegia ◽  
Active Range Of Motion ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Function Measure

This nonrandomized prospective descriptive study compared outcomes of three isolated heel cord surgeries in children with spastic diplegia cerebral palsy (CP): (1) heel cord advancement (HCA), (2) heel cord lengthening according to Vulpius (HCL-V), and (3) heel cord lengthening according to White (HCL-W). Thirty-two children were tested prior to and approximately 1 year after undergoing one of the three surgeries. Objective measures were collected for ankle passive and active range of motion, gross motor function measure (GMFM), and gait. All surgeries indicated significant improvements in end range passive and active ankle dorsifiexion, GMFM, and dorsifiexion during gait. Gait speed was significantly improved for the HCA group, but appeared to be the result of maturity. Gait speed for the HCL-V and HCL-W groups was unchanged. The study was the first to directly compare three heel-cord-lengthening surgeries.

scholarly journals Psychometric properties of trunk impairment scale in children with spastic diplegia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Vedasri Dasoju ◽  
Rakesh Krishna Kovela ◽  
Jaya Shanker Tedla ◽  
Devika Rani Sangadala ◽  
Ravi Shankar Reddy
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Concurrent Validity ◽  
Reliability And Validity ◽  
Spastic Diplegia ◽  
Gross Motor ◽  
Rater Reliability ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Function Measure

AbstractThe Trunk Impairment Scale (TIS) is a valid and reliable tool to assess trunk impairment in children with heterogeneous cerebral palsy. The purpose of this study was to determine the reliability and validity of the TIS in assessing children with spastic diplegic cerebral palsy. The sample was a total of 30 subjects (15 = boys, 15 = girls). All subjects underwent an assessment of the sitting component of the Gross Motor Function Measure-88 and TIS by rater 1. Rater one observed video recordings within 24 h and scored TIS for intra-rater reliability, while rater two did likewise after 48 h for inter-rater reliability. The mean and standard deviation of the TIS and sitting components of the Gross Motor Function Measure-88 were 15.66 ± 4.20 and 52.36 ± 6.26, respectively. We established intra-rater and inter-rater reliability of the TIS with Intra Class Correlation Coefficient 0.991 and 0.972, respectively. The concurrent validity of the TIS with the sitting component of the Gross Motor Function Measure-88 was good, with an r-value of 0.844 (p < 0.001). This study showed the excellent intra-rater and inter-rater reliability and high concurrent validity of the TIS in assessing children with spastic diplegic cerebral palsy.

scholarly journals Efeitos da prática do suporte de peso corporal em crianças com paralisia cerebral: uma série de casos

2018 ◽  
Vol 8 (3) ◽  
pp. 397-403 ◽  
Author(s):  
Geison Sebastião Reitz ◽  
Milena Julia Chirolli ◽  
Letícia Carolina Gantzel ◽  
Beatriz Schmidt Lunardelli ◽  
Suzana Matheus Pereira ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Performance ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gross Motor Function Measure ◽  
Children With Cerebral Palsy ◽  
Function Measure

INTRODUÇÃO: A paralisia cerebral (PC) é a causa mais comum de incapacidade motora na infância. Essa lesão cerebral pode resultar em comprometimentos neuromotores variados que, geralmente, estão associados à gravidade da sequela e a idade da criança. OBJETIVO: Avaliar a influência do Suporte de Peso Corporal (SPC) sobre a função motora e flexibilidade de crianças com paralisia cerebral. MÉTODO: Participaram do estudo sete crianças que não apresentavam o padrão de marcha, GMFCS nível IV e V, onde foi realizada a identificação do desempenho da função motora grossa por meio da Gross Motor Function Measure (GMFM), da flexibilidade por meio do teste Flexiteste,e do número de passos e distância percorrida antes e após um ano de tratamento com SPC em esteira ergométrica. Tendo assistência de dois terapeutas que auxiliavam em pontos chaves de joelho e tornozelo simulando o padrão de marcha da criança. As sessões foram realizadas uma vez por semana, durante 30 minutos. RESULTADO: O GMFM apresentou aumento das pontuações obtidas antes e após o tratamento, onde os itens deitar e rolar teve aumento de 14,09%, sentar teve aumento de 10,43%, engatinhar e ajoelhar teve, aumento de 7,27%, e por fim, o item em pé teve aumento de 8,10%. A variável flexibilidade apresentou diferença antes e após o tratamento, obtendo como flexibilidade inicial pequena e final médio negativa, com aumento de 7,85 pontos. Já o número de passos teve aumento de 175 passos e a distância percorrida de 132 metros CONCLUSÃO: The proposed SPC therapy in children with cerebral palsy proved to be efficient and could enhance motor performance, flexibility, number of steps and distance traveled.

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