Torsional Problems in Cerebral Palsy

Foot & Ankle ◽  
1984 ◽  
Vol 4 (4) ◽  
pp. 180-184 ◽  
Author(s):  
Howard A. King ◽  
Lynn T. Staheli
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
Lower Limb ◽  
Muscle Tone ◽  
Therapeutic Challenge ◽  
Treatment Plans

Lower limb rotational problems in the patient with cerebral palsy represent a diagnostic and therapeutic challenge to the clinician. A literature review suggests that increased muscle tone may be the cause of these problems. This article proposes a simple diagnostic plan and discusses the various treatment plans and options.

Gambaran Peningkatan Motorik Kasar Setelah Dilakukan Latihan Akuatik Pada Anak Cerebral Palsy : Literatur Review

2021 ◽  
Vol 1 ◽  
pp. 1713-1720
Author(s):  
Miftakhul Janah ◽  
Wahyu Ersila
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
Motor Skills ◽  
Muscle Tone ◽  
Aquatic Exercise ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
Average Value ◽  
Motor Problems ◽  
Neuromotor Function

AbstractBackground: Cerebral Palsy is a heterogeneous group of disorders of neuromotor function disorders in early birth, non-progressive, affecting the fetal or developing brain and characterized by changes in muscle tone (especially spasticity or stiffness), muscle weakness, involuntary movements, ataxia, or a combination. the abnormality. Objective: The literature review study aims to determine the description of aquatic exercise to improve gross motor skills in CP children. Methods: The selection of articles in this study used the PICO mnemonic design. 35 reviewed articles via Z-library articles, PubMed. Inclusion and exclusion criteria according to keywords, published in 2010-2021. Results: The results of the analysis of the literature review of 5 articles showed that aquatic exercise can improve gross motor skills with an average value before the intervention of 50,1 and before the intervention of 52,7. Conclusion: aquatic exercise can improve children's motor skills in cerebral palsy. Suggestion: As a basic action in performing physiotherapy management on gross motor problems in children with cerebral palsy, physiotherapy can handle using aquatic exercise modalities.Keywords:Cerebral Palsy, Aquatic, gross motor AbstrakCerebral Palsy kelaian heterogen dari gangguan fungsi neuromotor pada masa awal kelahiran, Permasalahan pada anak cerebral palsy yaitu gangguan pada motorik dan postur tubuh yang biasanya terlihat pada masa bayi atau pada anak usia dini, Latihan akuatik dapat memperbaiki motorik kasar pada anak karena sensoris motoris anak penting untuk mengembangkan otot-otot dan aktivitas sesnorik motorik merupakan komponen yang paling besar pada anak-anak. Cp sering terjadi pada anak laki-laki dibandingkan anak perempuan. Penelitian literatur review bertujuan untuk mengetahui Gambaran meningkatkan motorik kasar setelah dilakukan latihan akuatik pada anak CP. Pemilihan artikel pada penelitian ini menggunakan desain mnemonic PICO. Artikel yang di review melalui Z-library artikel berjumlah 2, PubMed berjumlah 3. Kreteria insklusi dan ekslusi sesuai dengan kata kunci, dipublikasi rentang waktu 2010-2021. Hasil analisis literature review 5 artikel menunjukan bahwa latihan akuatik dapat meningatkan motorik kasar dengan rata-rata usia 4-12 tahun, dan GMFCS yang didaptkan leve II lebih unggul sebesar 31 anak, untuk nilai rata-rata sebelum intervensi 50,1 dan sesudah intervensi 52,7. latihan akuatik dapat meningkatkan motorik anak pada Cerebral palsy. Sebagai dasar tindakan dalam melakukan management fisioterapi pada masalah motorik kasar pada anak cerebral palsy, fisioterapi dapat melakukan penanganan dengan menggunakan modalitas latihan akuatikKata kunci: Cerebral Palsy, Akuatik, Motorik kasar

Fifteen-minute consultation: Fractures in non-ambulant children with cerebral palsy

2020 ◽  
pp. edpract-2020-319882
Author(s):  
Geoff Debelle ◽  
Helen Morris ◽  
Nick Shaw ◽  
Adam Oates
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
Social Workers ◽  
Bone Strength ◽  
Lower Limb ◽  
Low Energy ◽  
Children With Cerebral Palsy

ObjectiveTo describe a safeguarding decision pathway for the assessment of osteopenic fractures in non-ambulant children with cerebral palsy.MethodLiterature review and consensus practice of a child safeguarding team, including clinicians and social workers.ConclusionLow-energy fractures of the lower limb in non-ambulant children with cerebral palsy are relatively common and explained by the presence of reduced bone strength, in the absence of any other unexplained injuries or safeguarding concerns.

Quantification of Dexterity Through a Novel Electronic Device

2011 ◽  
Author(s):  
Avery L. Cate ◽  
Dillon P. Eng ◽  
Rachel W. Jackson ◽  
Allison C. Scully ◽  
Jessica A. Scully
Keyword(s):  
Cerebral Palsy ◽  
Electronic Device ◽  
Muscle Tone ◽  
Treatment Options ◽  
Clinical Problem ◽  
The Body ◽  
Current State ◽  
Position Data ◽  
Spastic Hemiplegia ◽  
Treatment Plans

Cerebral palsy affects movement, muscle tone, and coordination as a result of an injury to, or lesion of, the immature brain. One of the most common manifestations of cerebral palsy is spastic hemiplegia, which limits arm and hand use on the involved side of the body [1]. Many treatment options are available but a major clinical problem is how to evaluate the success of these treatment plans. Currently, video analysis is the standard used for evaluating dexterity of cerebral palsy patients. This requires trained clinicians to spend hours watching video of patients performing specified tasks in order to evaluate baseline dexterity and improvements throughout treatment. VICON is the current state of the art device for motion capture. It captures motion using multiple video cameras around the room and outputs the position data of many points through time. VICON machines must be carefully calibrated and are too bulky to be used throughout a clinic. VICON can also not show the upper extremity dexterity necessary for tracking many cerebral palsy patients’ progress. As can be seen, no portable, efficient, and quantitative dexterity test for cerebral palsy patients currently exists.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

scholarly journals Unprovoked internal jugular vein thrombosis: a case report and literature review

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Loïc Payrard ◽  
Léa Iten ◽  
Jacques Donzé ◽  
Gregor John
Keyword(s):  
Literature Review ◽  
Internal Jugular Vein ◽  
Lower Limb ◽  
Jugular Vein ◽  
Scientific Data ◽  
Jugular Vein Thrombosis ◽  
Case Presentation ◽  
Vein Thrombosis ◽  
Arm Pain ◽  
Internal Jugular Vein Thrombosis

Abstract Background Managing thrombosis in rare sites is challenging. Existing studies and guidelines provide detailed explanations on how to overcome lower-limb thromboses and pulmonary embolisms, but few studies have examined thrombosis in rare sites. Lack of data makes clinical practice heterogeneous. Recommendations for diagnosing, treating, and following-up internal jugular vein thrombosis are not clearly defined and mostly based on adapted guidelines for lower-limb thrombosis. Case presentation A 52-year-old Caucasian woman came to the Emergency Department with chest, neck, and left arm pain. Computed tomography imagery showed a left internal jugular vein thrombosis. An extensive workup revealed a heterozygous factor V Leiden gene. Therapy was initiated with intravenous unfractionated heparin, then switched to oral acenocoumarol, which resolved the symptoms. Based on this case presentation and a literature review, we summarize the causes, treatment options, and prognosis of unprovoked internal jugular vein thrombosis. Conclusions Managing internal jugular vein thrombosis lacks scientific data from large randomized clinical trials, partly because such thromboses are rare. Our literature review suggested that clinical treatments for internal jugular vein thrombosis often followed recommendations for treating lower-limb thrombosis. Future specific studies are required to guide clinicians on the modalities of diagnosis, screening for thrombophilia or oncologic disease, treatment duration, and follow-up.

Improving gait and lower-limb muscle strength in children with cerebral palsy following Selective Percutaneous Myofascial Lengthening and functional physiotherapy

2019 ◽  
Vol 43 (4) ◽  
pp. 361-368 ◽  
Author(s):  
Vasileios C. Skoutelis ◽  
Anastasios Kanellopoulos ◽  
Stamatis Vrettos ◽  
Georgios Gkrimas ◽  
Vasileios Kontogeorgakos
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Lower Limb ◽  
Lower Limb Muscle ◽  
Limb Muscle ◽  
Children With Cerebral Palsy

Deficits in anticipatory inhibition of postural muscle activity associated with load release while standing in individuals with spastic diplegic cerebral palsy

2013 ◽  
Vol 109 (8) ◽  
pp. 1996-2006 ◽  
Author(s):  
Hidehito Tomita ◽  
Yoshiki Fukaya ◽  
Kenji Totsuka ◽  
Yuri Tsukahara
Keyword(s):  
Cerebral Palsy ◽  
Lower Limb ◽  
Muscle Activity ◽  
Erector Spinae ◽  
Lower Limbs ◽  
Control Group ◽  
Lower Limb Muscles ◽  
Limb Muscles ◽  
Postural Muscle ◽  
Load Release

This study aimed to determine whether individuals with spastic diplegic cerebral palsy (SDCP) have deficits in anticipatory inhibition of postural muscle activity. Nine individuals with SDCP (SDCP group, 3 female and 6 male, 13–24 yr of age) and nine age- and sex-matched individuals without disability (control group) participated in this study. Participants stood on a force platform, which was used to measure the position of the center of pressure (CoP), while holding a light or heavy load in front of their bodies. They then released the load by abducting both shoulders. Surface electromyograms were recorded from the rectus abdominis, erector spinae (ES), rectus femoris (RF), medial hamstring (MH), tibialis anterior (TA), and gastrocnemius (GcM) muscles. In the control group, anticipatory inhibition before load release and load-related modulation of the inhibition were observed in all the dorsal muscles recorded (ES, MH, and GcM). In the SDCP group, similar results were obtained in the trunk muscle (ES) but not in the lower limb muscles (MH and GcM), although individual differences were seen, especially in MH. Anticipatory activation of the ventral lower limb muscles (RF and TA) and load-related modulation of the activation were observed in both participant groups. CoP path length during load release was longer in the SDCP group than in the control group. The present findings suggest that individuals with SDCP exhibit deficits in anticipatory inhibition of postural muscles at the dorsal part of the lower limbs, which is likely to result in a larger disturbance of postural equilibrium.

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