scholarly journals Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
L. Žalienė ◽  
D. Mockevičienė ◽  
B. Kreivinienė ◽  
A. Razbadauskas ◽  
Ž. Kleiva ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Long Term Effects ◽  
Short Term ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Skills ◽  
Gross Motor Function ◽  
Group I

Aim. To evaluate the effects of riding for beginners (short-term) and advanced (long-term) riders with cerebral palsy on their whole mobility. The study involved 15 subjects (two girls and eleven boys). The subjects were aged from 3 to 19 years (8.73 years ± 5.85). All of the subjects had been diagnosed with a spastic form of cerebral palsy. The duration of the participation differed as follows: the advanced subjects had been riding for 1-4 years (2.66 years ± 1.16), while the beginners have been riding for two weeks (10 sessions). Group I (advanced riders) consisted of eight subjects (7 boys and 1 girl) who had therapy sessions regularly once a week and differed only in terms of the duration of their participation in the experiment. Group II (beginners) consisted of seven children (1 girl and 6 boys) who participated in only 10 riding sessions. All of the subjects were assessed according to the Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System for CP (GMFCS) both before the investigation and after it. Conclusions. Ten riding lessons did not have an influence on the beginner riders with cerebral palsy gross motor functions and their gross motor function level did not change. However, in half of the advanced riders with cerebral palsy, the gross motor functions significantly improved. Meanwhile, the level of the performance of the gross motor skills in the four advanced riders increased, but this difference was not statistically significant.

scholarly journals Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions

2020 ◽  
Author(s):  
L Žalienė ◽  
D Mockevičienė ◽  
B Kreivinienė ◽  
A Razbadauskas ◽  
Ž Kleiva ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Long Term Effects ◽  
Short Term ◽  
Gross Motor ◽  
Motor Functions ◽  
Children With Cerebral Palsy

Effect of robot-assisted gait training on motor functions in adolescent and young adult patients with bilateral spastic cerebral palsy: A randomized controlled trial

2020 ◽  
Vol 47 (4) ◽  
pp. 495-508
Author(s):  
Stanislava Klobucká ◽  
Robert Klobucký ◽  
Branislav Kollár
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Conventional Therapy ◽  
Gait Training ◽  
Adult Patients ◽  
Robot Assisted ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Function ◽  
Significant Difference

BACKGROUND: Robot-assisted gait training (RAGT) allows an intensive gait training in patients with cerebral palsy (CP). There are few evidences on the effectiveness of RAGT in adults with CP. OBJECTIVE: To assess the effect of RAGT on gross motor function in adolescent and adult patients with bilateral spastic CP and to compare the effect of RAGT with conventional kinesiotherapy. METHODS: Forty-seven patients (mean age 21.2±5.33 years) with bilateral spastic CP were divided into two groups. Twenty-one patients underwent 20 therapeutic units of RAGT and 26 patients underwent 20 therapeutic units of conventional therapy/training (CON). The following parameters were evaluated before (V1) and after the therapy (V2): dimension A (lying and rolling), B (sitting), C (crawling and kneeling), D (standing), E (walking, running and jumping) of the Gross Motor Function Measure (GMFM-88). In patients in the experimental RAGT group, these parameters were also evaluated 3–4 months later (V3). RESULTS: Comparing the mean improvements in endpoints in both groups (RAGT vs. CON) after 20 TUs, we observed the statistically significant difference (p < 0.001) and large effect size in all GMFM dimensions and total GMFM improvement in favour of the RAGT group. In RAGT patients, the improvement persisted even 3–4 months after RAGT (p < 0.001). CONCLUSION: We demonstrated that the intensive RAGT regimen is more effective than conventional therapy in terms of improvements in gross motor functions in adolescent and adult patients with bilateral spastic CP.

Effect of Long Term Orthotic Intervention on Gross Motor Function in Children with Spastic Cerebral Palsy

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S197-S197
Author(s):  
Karin Goodfriend ◽  
Xue-Cheng Liu ◽  
Kimberley Zvara
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Spastic Cerebral Palsy ◽  
Gross Motor ◽  
Gross Motor Function

scholarly journals Long-term effect of selective dorsal rhizotomy on gross motor function in ambulant children with spastic bilateral cerebral palsy, compared with reference centiles

2013 ◽  
Vol 55 (7) ◽  
pp. 610-616 ◽  
Author(s):  
Eline AM Bolster ◽  
Petra EM van Schie ◽  
Jules G Becher ◽  
Willem JR van Ouwerkerk ◽  
Rob LM Strijers ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Term Effect ◽  
Selective Dorsal Rhizotomy ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Dorsal Rhizotomy ◽  
Long Term Effect

scholarly journals Impact of the Professor Kozyavkin Method on Gross Motor Functions in Children with Cerebral Palsy

2019 ◽  
Vol 61 (1) ◽  
pp. 34-38
Author(s):  
Volodymyr Kozyavkin ◽  
Taras Voloshyn ◽  
Mykhaylo Hordiyevych ◽  
Oleh Kachmar ◽  
Halyna Lun ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Motor Development ◽  
Significant Progress ◽  
Function Measurement ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Function ◽  
Level Ii ◽  
Based Medicine

Background and Aim: Changes of gross motor function during the course of intensive neurophysiological rehabilitation by the Professor Kozyavkin Method were studied in 61 patients with spastic forms of Cerebral Palsy at the age of 2 to 15 years. Material and Methods: All patients were examined before and at the end of a two-week course of treatment, using the Gross Motor Function Measurement GMFM-66 Item Sets test to calculate of scores of motor development. Results: Statistical analysis indicated a significant increase in the level of motor development of children after treatment from 45.1 to 47.6 (p> 0.01). The most significant progress was noted in patients at level II of Gross Motor Function Classification System. The score of motor development has increased from 66.2 to 69.6 with a difference of 3.42 points (p <0.01). Conclusions: The results suggest the effectiveness of the Professor Kozyavkin Method for the improvement of gross motor functions in patients with cerebral palsy. It is necessary to continue this study and conduct blinded randomized clinical trial according to the requirements of evidence based medicine.

scholarly journals EFFECT OF HYDROTHERAPY ON SPASTICITY AND GROSS MOTOR FUNCTIONS AMONG SPASTIC CEREBRAL PALSY CHILDREN

2019 ◽  
Vol 8 (1) ◽  
pp. 13-18
Author(s):  
Zeenat Fatima ◽  
Yarmiyah Rashaquat
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Muscle Tone ◽  
Spastic Cerebral Palsy ◽  
Gross Motor ◽  
Motor Functions ◽  
Motor Functioning ◽  
Gross Motor Function ◽  
Quasi Experimental ◽  
Protocol Study

OBJECTIVES To determine the effects of hydrotherapy therapy on spastic cerebral palsy children using Modified ashworths scale and Gross motor functional classification scale after 32 weeks of training protocol. STUDY DESIGN Quasi experimental study STUDY SETTING Liaquat National Hospital PARTICIPANTS Spastic (diplegic, hemiplegic and quadriplegic) cerebral palsy children INTERVENTIONS 58 Spastic Cerebral Palsywere assessed on the basis of modified Ashworth scale and gross motor function measure for spasticity and change in gross motor function respectively. Assessment was done, before and at the end of 10th week. Each therapy session was of 40-45 minutes thrice a week in a pool with the temperature maintained at 32°C-34°C and at the end cool down activities were performed. RESULTS Results indicated marked improvement in Muscle tone and Gross Motor Functioning of the enrolled children with p=0.001. CONCLUSIONS It was concluded that pool therapy is effective in reducing spasticity and improving gross motor functions among CP.

The effect of patient-specific factors on responsiveness to robot-assisted gait training in patients with bilateral spastic cerebral palsy

2021 ◽  
pp. 1-15
Author(s):  
Stanislava Klobucká ◽  
Robert Klobucký ◽  
Branislav Kollár
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gait Training ◽  
Patient Specific ◽  
Spastic Cerebral Palsy ◽  
Robot Assisted ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Function ◽  
Severity Of Disability

BACKGROUND: No general recommendations are yet available for the application of robot-assisted treadmill therapy for children with cerebral palsy regarding the length and intensity of the intervention. OBJECTIVE: The aim of the study was to evaluate patient-specific determinants of responsiveness to robot-assisted gait training (RAGT) in patients with bilateral spastic cerebral palsy. METHOD: During 12 months, the patients underwent 1–4 blocks of RAGT, representing 16–82 TUs. The following parameters were evaluated before (V0) and after each therapeutic block (V1–V4): dimension A (lying and rolling), B (sitting), C (crawling and kneeling), D (standing), E (walking, running and jumping) of the Gross Motor Function Measure (GMFM-88). We evaluated the change in motor functions in relation to the severity of disability, age, gender and number of therapeutic units. RESULTS: Ninety-seven patients aged between 3.7 and 27 years (mean age 10.02 years (SD±5.29); Gross Motor Function Classification System level I [n = 5], II [n = 25], III [n = 48], IV [n = 19]) underwent 16–82 TUs (overall average number 34.06 TUs, SD±16.41) of RAGT. In the patient group, we recorded clinically meaningful improvement and statistically significant improvement (p <  0.001) in gross motor functions with gradual increase in the effect size after each therapeutic block. Using correlation and regression analysis, we found a statistically significant associations between the number of therapeutic units, severity of disability, and improvement in motor functions after RAGT. CONCLUSION: We have identified two determinants –the severity of disability and the number of therapeutic units –which could have a decisive and predictive character in setting rehabilitation/designing programmes. The duration of the applied RAGT period, frequency and intensity could be a crucial factor for the potential of improvement in children with BS-CP.

Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gestational Age ◽  
Augmentative And Alternative Communication ◽  
Alternative Communication ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Communicative Abilities ◽  
Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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