scholarly journals Sensory systems processing in children with spastic cerebral palsy: a pilot study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Mennatallah Khamis AbdelHafiez Barakat ◽  
Gehan Hassan Elmeniawy ◽  
Faten Hassan Abdelazeim
Keyword(s):  
Cerebral Palsy ◽  
Vision Loss ◽  
Body Position ◽  
Sensory Systems ◽  
The Body ◽  
Sensory Profile ◽  
Spastic Cerebral Palsy ◽  
Critical Knowledge ◽  
Significant Difference

Abstract Background The study of the sensory aspect alongside the motor aspect in children with spastic cerebral palsy is critical. Knowledge may help improve intervention, children’s quality of life, activity, and participation. The study aims to analyze the sensory systems processing in children with spastic cerebral palsy classified by Gross Motor Function Classification System (GMFCS) as levels I, II, and III using Child Sensory Profile 2 (CSP-2). Caregivers of children with spastic cerebral palsy aged 6–9 years (n = 20) completed the CSP-2. Children with severe comorbidities besides cerebral palsy (i.e., diabetes, myopathy, neuropathy, and uncontrolled epilepsy), autism, burn injuries, hearing or vision loss were excluded. Results All twenty participating children showed sensory processing difficulties in at least one of the sensory sections. With 14 out of 20 showing abnormalities in more than one section, the majority showed problems in the body position section, followed by the movement section. There was a significant difference between raw scores means of children with unilateral and bilateral SCP at the “body position” section, unlike the rest of the other sections. Conclusions Children with spastic cerebral palsy (GMFCS levels I, II, and III) show sensory systems processing difficulties compared to normative data, especially at vestibular and proprioceptive processing.

scholarly journals Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy

2006 ◽  
Vol 86 (7) ◽  
pp. 987-1000 ◽  
Author(s):  
Chia-Ling Ho ◽  
Kenneth G Holt ◽  
Elliot Saltzman ◽  
Robert C Wagenaar
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stride Length ◽  
The Body ◽  
Stride Frequency ◽  
Spastic Cerebral Palsy ◽  
Significant Difference ◽  
Muscle Complex ◽  
Spring System

Abstract Background and Purpose. Children with cerebral palsy (CP) often are faced with difficulty in walking. The purpose of this experiment was to determine the effects of functional electrical stimulation (FES) applied to the gastrocnemius-soleus muscle complex on the ability to produce appropriately timed force and reduce stiffness (elastic property of the body) and on stride length and stride frequency during walking. Subjects and Methods. Thirteen children with spastic CP (including 4 children who were dropped from the study due to their inability to cooperate) and 6 children who were developing typically participated in the study. A crossover study design was implemented. The children with spastic CP were randomly assigned to either a group that received FES for 15 trials followed by no FES for 15 trials or a group that received no FES for 15 trials followed by FES for 15 trials. The children who were having typical development walked without FES. Kinematic data were collected for the children with CP in each walking condition and for the children who were developing typically. Impulse (force-producing ability) and stiffness were estimated from an escapement-driven pendulum and spring system model of human walking. Stride length and stride frequency also were measured. To compare between walking conditions and between the children with CP and the children who were developing typically, dimensional analysis and speed normalization procedures were used. Results. Nonparametric statistics showed that there was no significant difference between the children with CP in the no-FES condition and the children who were developing typically on speed-normalized dimensionless impulse. In contrast, the children with CP in the FES condition had a significantly higher median value than the children who were developing typically. The FES significantly increased speed-normalized dimensionless impulse from 10.02 to 16.32 when comparing walking conditions for the children with CP. No significant differences were found between walking conditions for stiffness, stride length, and stride frequency. Discussion and Conclusion. The results suggest that FES is effective in increasing impulse during walking but not in decreasing stiffness. The effect on increasing impulse does not result in more typical spatiotemporal gait parameters. [Ho CL, Holt KG, Saltzman E, Wagenaar RC. Functional electrical stimulation changes dynamic resources in children with spastic cerebral palsy. Phys Ther. 2006;86:987–1000.]

Beyond vision loss: the independent impact of diabetic retinopathy on vision-related quality of life in a Chinese Singaporean population

2018 ◽  
Vol 103 (9) ◽  
pp. 1314-1319 ◽  
Author(s):  
Eva K Fenwick ◽  
Ryan E K Man ◽  
Alfred Tau Liang Gan ◽  
Neelam Kumari ◽  
Charlene Wong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Diabetic Retinopathy ◽  
Vision Loss ◽  
Well Being ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Significant Difference ◽  
Related Quality ◽  
The Impact

Background/aimsTo assess the independent impact of diabetic retinopathy (DR) on three domains of vision-related quality of life (VRQoL) in a Chinese Singapore population.MethodsThe Singapore Chinese Eye Study (n=3353; 2009–2011) was a population-based, prospective, cross-sectional study conducted at the Singapore Eye Research Institute. The study population included 292 adults with diabetes, with and without DR. DR (better eye) was categorised as presence and absence of any DR; severity of DR (no vision-threatening DR (VTDR); severe non-proliferative DR (NPDR); PDR and/or clinically significant macular oedema and VTDR). Our main outcome was VRQoL which was measured using Rasch-calibrated scores from the ‘Reading’, ‘Mobility’ and ‘Emotional’ domains of the Impact of Vision Impairment questionnaire. The relationship between DR and VRQoL was assessed using multiple linear regression models.ResultsOf the 292 individuals (mean age 61.35 ± 9.66 years; 55.8% male), 201 (68.8%), 49 (16.8%), 20 (6.8%), 22 (7.5%) and 27 (9.2%) had no DR, minimal-mild NPDR, moderate-severe NPDR, PDR and VTDR, respectively. Any DR and VTDR were independently associated with 6% and 12% worse Reading scores and 7% and 18% poorer Emotional well-being, respectively, compared with those without DR. These associations persisted after separate adjustment for visual impairment and presenting visual acuity. No significant difference was found in the Mobility domain between persons with and without DR.ConclusionsWe documented that DR, particularly VTDR, was independently associated with restrictions in Reading and Emotional well-being. Understanding factors underlying the detrimental DR-VRQoL relationship may optimise rehabilitation outcomes for individuals with DR.

scholarly journals Comparison of working memory and sensory profile in boys and girls with writing disability

2019 ◽  
Vol 21 (4) ◽  
pp. 163-168
Author(s):  
Alireza Sangani ◽  
Paria Jangi
Keyword(s):  
Working Memory ◽  
Auditory Processing ◽  
Physical State ◽  
Multisensory Processing ◽  
The Body ◽  
Body Motion ◽  
Sensory Profile ◽  
Statistical Population ◽  
Significant Difference ◽  
And Storage

Background and aims: The main problems of children with learning disabilities are in cognition and their sensations. This study aimed to investigate the comparison of working memory and sensory profile in boys and girls with writing disability. Methods: The methodology of this descriptive study was the comparative type. The statistical population of this study was all girls and boys by the age of 8-10 suffering from the writing disability in Gorgan City during treatment in a writing disability center in summer of 2018. According to the research method, the stratified random sampling method was used and 50 boys and 58 girls were selected from each group. According to research tools, the Dunn profile (1999) was obtained from the parents of the children. In the area of Daneman, & Carpenter working memory (1980), questions were asked from the children directly, and the information related to processing and storage in their memory were received. Data were analyzed using multivariate analysis of variance analysis using SPSS24 software. Results: Descriptive findings showed that mean and standard deviation in boys and girls were respectively in Processing (50.32±6.93, 54.22±7.45), Storage (48.47±6.08, 53.17±6.07), Indoctrination associated with the physical state of the body motion (34.28±7.09, 36.91±6.48), Multisensory processing (34.68±5.21, 37.94±6.57), Auditory Processing (31.74±5.84, 35.52±6.59). Also the results indicate that there is a significant difference in the writing disability among processing (P<0.006) and storage (P<0.000) of working memory subscales and the Indoctrination associated with the physical state of the body motion (P<0.000), Multisensory processing (P<0.000) and Auditory Processing (P<0.002), of the sensory profile variable in both the girls and boys with writing disability. Conclusion: with regard to the results obtained, it can be concluded that the boys group is in worse conditions in working memory and sensory processing styles, which requires a special attention and more focused educational approaches.

scholarly journals Comet and Asteroid Ephemerides for Spacecraft Encounters

1997 ◽  
Vol 165 ◽  
pp. 1-12
Author(s):  
Donald K. Yeomans
Keyword(s):  
Body Position ◽  
Significant Degree ◽  
The Body ◽  
Optical Observations ◽  
Data Set ◽  
Angle Data ◽  
Orbital Periods ◽  
The Times ◽  
Astrometric Data

AbstractTo a significant degree, the success of spacecraft missions to comets and asteroids depends upon the accuracy of the target body ephemerides. In turn, accurate ephemerides depend upon the quality of the astrometric data set used in determining the object’s orbit and the accuracy with which the target body’s motion can be modelled. Using error analyses studies of the target bodies for the NEAR, Muses-C, Clementine 2, Stardust, and Rosetta missions, conclusions are drawn as to how to minimize target body position uncertainties at the times of encounter. In general, these uncertainties will be minimized when the object has a good number of optical observations spread over several orbital periods. If a target body lacks a lengthy data interval, its ephemeris uncertainties can be dramatically reduced with the use of radar Doppler and delay data taken when the body is relatively close to the Earth. The combination of radar and optical angle data taken at close Earth distances just before a spacecraft encounter can result in surprisingly small target body ephemeris uncertainties.

scholarly journals Quality of Life in Uveal Melanoma Patients in Ireland: A Single-Centre Survey

2019 ◽  
Vol 6 (2) ◽  
pp. 99-106
Author(s):  
Olya Scannell ◽  
Valerie O’Neill ◽  
Mary Dunne ◽  
Caroline Baily ◽  
Amira Salih ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Uveal Melanoma ◽  
Psychosocial Support ◽  
Well Being ◽  
Disease Recurrence ◽  
The Body ◽  
Treatment Groups ◽  
Significant Difference ◽  
Melanoma Patients

Background: Uveal melanoma and its treatment can influence the physical and psychological well-being of patients in a way that differs from other cancers. Factors influencing quality of life (QOL) include visual impairment, changes in appearance, day-to-day functioning, ocular discomfort, and worry regarding disease recurrence. Objective: We aimed to study both general and disease-specific QOL in uveal melanoma patients in Ireland and compare QOL between a plaque radiotherapy group and an enucleation treatment group. This information was sought to enhance our understanding of QOL issues for uveal melanoma patients, in the context of improving care and providing appropriate psychosocial support. Method: The European Organisation for Research and Treatment of Cancer (EORTC) QOL questionnaires QLQ-C30 and QLQ-OPT30 were completed by patients with uveal melanoma treated by enucleation or brachytherapy. Results: 138 of 206 patients completed the questionnaires. There was no significant difference in QOL scores between treatment groups. Thirty-two percent of patients reported concerns about tumour recurrence elsewhere in the body. The brachytherapy group had a significantly higher “role functioning” score (p = 0.030). Enucleation patients were more likely to have problems with appearance (p < 0.0005). Younger patients (12–54 years of age) were more likely to report headaches (p < 0.0005) and problems with reading (p = 0.042), and they had a lower cognitive functioning score (p = 0.003) than those aged ≥55 years. Conclusions: There was no significant difference in reported QOL between treatment groups. Our data identified a number of vulnerable patient subgroups. By anticipating which patients are more likely to suffer in terms of certain aspects of their QOL, we are better able to provide appropriate and timely psychosocial support.

scholarly journals ‘Does surgical management of the hand in children with unilateral spastic cerebral palsy affect muscle coordination and quality of reaching?’

2009 ◽  
Vol 51 (7) ◽  
pp. 568-570 ◽  
Author(s):  
Judith C van Munster ◽  
Carel GB Maathuis ◽  
Nienke Haga ◽  
Leo A Van Eykern ◽  
Mijna Hadders-Algra
Keyword(s):  
Cerebral Palsy ◽  
Surgical Management ◽  
Spastic Cerebral Palsy ◽  
Muscle Coordination

scholarly journals Assessment and Treatment of Spasticity in Children with Cerebral Palsy

2014 ◽  
Vol 31 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Lidija Dimitrijević ◽  
Hristina Čolović ◽  
Marija Spalević ◽  
Anita Stanković ◽  
Dragan Zlatanović ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Pharmacological Agents ◽  
Surgical Interventions ◽  
Oral Medications ◽  
Abnormal Movements ◽  
Modified Ashworth Scale ◽  
Assessment And Treatment ◽  
Ashworth Scale

Summary Spastic cerebral palsy (CP) is the most common type of CP. Up to 80% of all individuals with cerebral palsy suffer from some degree of spasticity. Spasticity adversely affects muscles and joints of the extremities, causing abnormal movements, and it is especially harmful in growing children. Several methods have been developed and used to assess spasticity. The most commonly used test in clinical practice is the Modified Ashworth Scale (MAS). The test is based on the assessment of resistance to passive strech of muscle group at one nonspecified velocity. Management of spasticity in CP involves multidisciplinary intervention intended to increase functionality, sustain health, and improve quality of life for children and their carers. This may include: oral medications, intrathecal medications, physiotherapy, occupational therapy, orthoses, surgical interventions, and pharmacological agents such as botulinum toxin.

Long-term therapy with intrathecal baclofen improves quality of life in children with severe spastic cerebral palsy

2017 ◽  
Vol 21 (3) ◽  
pp. 565-569 ◽  
Author(s):  
Tanja Kraus ◽  
Kathrin Gegenleitner ◽  
Martin Svehlik ◽  
Michael Novak ◽  
Gerhardt Steinwender ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Intrathecal Baclofen ◽  
Spastic Cerebral Palsy ◽  
Term Therapy ◽  
Long Term Therapy

scholarly journals Slow Release Metformin Effect in Weight Loss and Total Calorie Intake in Obese Volunteers

2017 ◽  
Vol 3 (1) ◽  
pp. 50
Author(s):  
Cholis Abrori ◽  
Lucky Tiya ◽  
Deti Rosalina
Keyword(s):  
Weight Loss ◽  
Slow Release ◽  
Poor Quality ◽  
The Body ◽  
Calorie Intake ◽  
Measured Weight ◽  
Significant Difference ◽  
Total Calorie ◽  
Alternative Drug

Obesity can cause serious problems that will lead to poor quality of life, increased morbidity and mortality rate. Slow-release metformin will work longer in the body with a single dose everyday be an alternative drug for weight loss. The purpose of this study was to compare the effectiveness of slow-release metformin compared to metformin regular to body weight and calorie intake in volunteers with obesity. The study was conducted on 16 volunteers who were divided into two groups in pairs. Volunteers will be measured weight and calorie intake with a 24-hour food recall method, data was taken at the time before the intervention, the end of week 1st, 2nd, 3rd, and 4th. The result obtained weight loss better in the group receiving slow-release metformin by 5.08% compared to the group receiving regular metformin by 2,60%, but there was no significant difference between the groups in terms of calorie intake during the study. The conclusion of this study is a slow-release metformin is greater in weight loss than regular metformin, but does not affect the amount of calorie intake.Keywords: Metformin, slow-release, weight loss, calorie intake, obesity

scholarly journals Effects of Robot-Assisted Therapy on Gait Parameters in Pediatric Patients With Spastic Cerebral Palsy

2021 ◽  
Vol 12 ◽  
Author(s):  
Faustyna Manikowska ◽  
Sabina Brazevic ◽  
Anna Krzyżańska ◽  
Marek Jóźwiak
Keyword(s):  
Cerebral Palsy ◽  
Gait Training ◽  
Spastic Cerebral Palsy ◽  
Gait Symmetry ◽  
Double Support ◽  
Patient Profile ◽  
Gait Parameters ◽  
Gait Deviation Index ◽  
Spatiotemporal Parameters

Background: Gait dysfunction is a crucial factor that restricts independence and quality of life in children with cerebral palsy (CP). Gait training based on robotic-assisted therapy (RAT) is widely used, but information about effectiveness and ideal patient profile is not sufficient. Aim of this study was to assess the effect of RAT on gait parameters in spastic children with CP, and to determine whether changes in gait parameters are different among patients on different ambulatory levels.Method: A total of 26 children with bilateral spastic CP were divided into two groups based on their functional ability: non-assisted ambulator (NAS) or assisted ambulator (AS); and underwent a RAT program (30 training sessions of RAT during 10 weeks). Gait analysis was performed: before the therapy (t1), right after (t2), and 6 weeks later (t3).Results: No significant changes in spatiotemporal parameters or gait deviation index at t2 or t3. Double support symmetry significantly improved (t1 vs. t3, p = 0.03) for the whole group (NAS + AS). Walking speed symmetry significantly improved (t2 vs. t3, p = 0.02) for group AS.Conclusion: RAT based on our protocol did not change spatiotemporal parameters and kinematics of walking except limited improvement in some aspects of gait symmetry. We did not find differences in changes in selected objective gait parameters among children with CP in different ambulatory levels.

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