Bilateral hip reconstruction in severe whole-body cerebral palsy

2007 ◽  
Vol 89-B (10) ◽  
pp. 1363-1368 ◽  
Author(s):  
M. J. Barakat ◽  
T. While ◽  
J. Pyman ◽  
M. Gargan ◽  
F. Monsell
Keyword(s):  
Cerebral Palsy ◽  
Whole Body ◽  
Hip Reconstruction

Effect of an interval rehabilitation program with home-based, vibration-assisted training on the development of muscle and bone in children with cerebral palsy – an observational study

2020 ◽  
Vol 33 (8) ◽  
pp. 1083-1092 ◽  
Author(s):  
Ibrahim Duran ◽  
Kyriakos Martakis ◽  
Christina Stark ◽  
Leonie Schafmeyer ◽  
Mirko Rehberg ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Bone Growth ◽  
Muscle Growth ◽  
Rehabilitation Program ◽  
Whole Body ◽  
Cross Sectional ◽  
Home Based ◽  
Children With Cerebral Palsy ◽  
One Year ◽  
Intensive Rehabilitation

AbstractObjectivesIn children with cerebral palsy (CP), the most common cause of physical impairment in childhood, less muscle and bone growth has been reported, when compared with typically developing children. The aim of this study was to evaluate the effect of an intensive rehabilitation program including physiotherapy in combination with 6 months of home-based, vibration-assisted training on muscle and bone growth in children with CP.MethodsWe included children with CP, who participated in a rehabilitation program utilizing whole-body vibration (WBV). Muscle mass was quantified by appendicular lean mass index (App-LMI) and bone mass by total-body-less-head bone mineral content (TBLH-BMC) assessed by Dual-energy X-ray absorptiometry (DXA) at the beginning of rehabilitation and one year later. To assess the functional muscle-bone unit, the relation of TBLH-BMC to TBLH lean body mass (TBLH-LBM) was used.ResultsThe study population included 128 children (52 females, mean age 11.9 ± 2.7). App-LMI assessed in kg/m2 increased significantly after rehabilitation. The age-adjusted Z-score for App-LMI showed no significant change. TBLH-BMC assessed in gram increased significantly. The Z-scores for TBLH-BMC decreased lesser than expected by the evaluation of the cross-sectional data at the beginning of rehabilitation. The parameter $\frac{TBLH-BMC}{TBLH-LBM}$ did not change relevantly after 12 months.ConclusionsMuscle growth and to a lesser extent bone growth could be increased in children with CP. The intensive rehabilitation program including WBV seemed to have no direct effect on the bone, but the observed anabolic effect on the bone, may only been mediated through the muscle.

scholarly journals Effects of whole-body vibration on quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic cerebral palsy: a randomized controlled study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Rania G. Hegazy ◽  
Amr Almaz Abdel-aziem ◽  
Eman I. El Hadidy ◽  
Yosra M. Ali
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Strength ◽  
Whole Body Vibration ◽  
Whole Body ◽  
Controlled Study ◽  
Control Group ◽  
Hamstring Muscle ◽  
Post Intervention ◽  
Body Vibration

Abstract Background Hemiplegic cerebral palsy (CP) enormously affects the quadriceps and hamstring muscles. It causes weakness in the affected lower-extremity muscles in addition to muscle imbalance and inadequate power production, especially in the ankle plantar-flexor and knee extensor muscles. It also causes anomalous delayed myoelectrical action of the medial hamstring. A whole-body vibration (WBV) exercise can diminish muscle spasticity and improve walking speed, muscle strength, and gross motor function without causing unfavorable impacts in adults suffering from CP. Thus, the aim of this study is to investigate the impacts of WBV training associated with conventional physical therapy on the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP. Results The post-intervention values of the quadriceps and hamstring muscle force, endurance, and power were significantly higher than the pre-intervention values for both groups (p = 0.001). The post-intervention values of the study group were significantly higher than the control group (quadriceps force, p = 0.015; hamstring force, p = 0.030; endurance, p = 0.025; power, p = 0.014). Conclusion The 8 weeks of WBV training that was added to traditional physical therapy was more successful in improving the quadriceps and hamstring muscle strength, endurance, and power in children with hemiparetic CP when compared to traditional physical therapy alone.

Hip Reconstruction in Children With Unilateral Cerebral Palsy and Hip Dysplasia

2016 ◽  
Vol 36 (8) ◽  
pp. 834-840 ◽  
Author(s):  
Oussama Abousamra ◽  
Mehmet S. Er ◽  
Kenneth J. Rogers ◽  
Tristan Nishnianidze ◽  
Kirk W. Dabney ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Hip Dysplasia ◽  
Hip Reconstruction ◽  
Unilateral Cerebral Palsy

The influence of vibration on the quality of gait in women with cerebral palsy

2015 ◽  
Vol 14 (2) ◽  
Author(s):  
Andrzej Myśliwiec ◽  
Michał Kuszewski ◽  
Edward Saulicz ◽  
Adam Posłuszny ◽  
Anna Jagiełło ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Movement Analysis ◽  
Whole Body ◽  
Desktop Computer ◽  
Rehabilitation Process ◽  
Smart System ◽  
Gait Parameters ◽  
Vibration Experiment ◽  
Whole Body Vibrations

AbstractIn contrast to a normal gait, the locomotion of people with infantile cerebral palsy (ICP) is characterized by great variability. An experiment was conducted to determine if the use of whole-body vibrations changes the time of support by each of the extremities as well as the range of flexion of the hip and knee articulations. Three women with ICP were involved in the whole-body vibration experiment. The parameters of the vibration adopted during training were a frequency of 20 Hz and an amplitude of 2 mm. The BTS Smart system for three-plane movement analysis paired with a desktop computer was used for the evaluation of gait parameters. The vibration procedure improved the range of flexion in knee articulation but did not change the range of flexion in hip articulation. The equalization of time disparities in the load of both extremities was obtained after the first treatment procedure. In this investigated group, the vibration procedure may be a complement to the rehabilitation process.

Long-Term Results and Outcome Predictors in One-Stage Hip Reconstruction in Children with Cerebral Palsy

2015 ◽  
Vol 97 (6) ◽  
pp. 500-506 ◽  
Author(s):  
Erich Rutz ◽  
Patrick Vavken ◽  
Carlo Camathias ◽  
Celina Haase ◽  
Stephanie Jünemann ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Long Term Results ◽  
Outcome Predictors ◽  
Hip Reconstruction ◽  
One Stage ◽  
Children With Cerebral Palsy

scholarly journals Obstacle Crossing During Gait in Children With Cerebral Palsy: Cross-Sectional Study With Kinematic Analysis of Dynamic Balance and Trunk Control

2016 ◽  
Vol 96 (8) ◽  
pp. 1208-1215 ◽  
Author(s):  
Ailish Malone ◽  
Damien Kiernan ◽  
Helen French ◽  
Valerie Saunders ◽  
Timothy O'Brien
Keyword(s):  
Cerebral Palsy ◽  
Center Of Mass ◽  
Cross Sectional Study ◽  
Whole Body ◽  
Typical Development ◽  
Sectional Study ◽  
Trunk Movement ◽  
Trunk Control ◽  
Cross Sectional ◽  
Obstacle Crossing

Abstract Background Balance problems are common in children who have cerebral palsy (CP) but are active and ambulant. Control of the whole-body center of mass is critical in maintaining dynamic stability during challenging mobility tasks, such as clearing an obstacle while walking. Objective The objective of this study was to compare trunk and lower limb kinematics and center-of-mass control in children with CP and those in children with typical development during obstacle crossing. Design This was a cross-sectional study. Thirty-four children who were 5 to 17 years of age (17 with CP and 17 with typical development) and matched in age and height completed 2 gait trials involving crossing a 10-cm obstacle. Methods Three-dimensional kinematic and kinetic data were captured with a general-purpose 3-dimensional motion tracking system and forceplates. Trunk data were captured with a validated model. Results All children cleared the obstacle with similar hip and knee kinematics, step length, and single-support duration. In children with CP, step width was increased by 4.81 cm, and center-of-mass velocity was significantly slower at lead limb toe-off (0.31 m/s) and during lead limb clearance (0.2 m/s). Children with CP showed altered trunk and pelvis movement, characterized by significantly greater pelvic obliquity, pelvic tilt, and trunk rotation throughout the task, increased lateral trunk lean during lead limb crossing (3.7°), and greater sagittal trunk movement as the trail limb crossed (5.1°). Limitations The study was not powered to analyze differences between children with diplegia and those with hemiplegia. Conclusions Children with CP required greater adjustments at the trunk and pelvis to achieve successful obstacle crossing. The increase in trunk movement could have been compensatory for reduced stability distally or for a primary problem reflecting poor proximal control. The findings suggest that rehabilitation should focus on both proximal trunk control and distal stability to improve balance.

The Gait of Children With and Without Cerebral Palsy: Work, Energy, and Angular Momentum

2011 ◽  
Vol 27 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Shawn Russell ◽  
Bradford Bennett ◽  
Pradip Sheth ◽  
Mark Abel
Keyword(s):  
Cerebral Palsy ◽  
Angular Momentum ◽  
Walking Speed ◽  
Center Of Mass ◽  
Whole Body ◽  
Mass Motion ◽  
Bipedal Locomotion ◽  
Kinematic Data ◽  
Internal Work ◽  
Body Energy

This paper describes a method to characterize gait pathologies like cerebral palsy using work, energy, and angular momentum. For a group of 24 children, 16 with spastic diplegic cerebral palsy and 8 typically developed, kinematic data were collected at the subjects self selected comfortable walking speed. From the kinematics, the work—internal, external, and whole body; energy—rotational and relative linear; and the angular momentum were calculated. Our findings suggest that internal work represents 53% and 40% respectively of the whole body work in gait for typically developed children and children with cerebral palsy. Analysis of the angular momentum of the whole body, and other subgroupings of body segments, revealed a relationship between increased angular momentum and increased internal work. This relationship allows one to use angular momentum to assist in determining the kinetics and kinematics of gait which contribute to increased internal work. Thus offering insight to interventions which can be applied to increase the efficiency of bipedal locomotion, by reducing internal work which has no direct contribution to center of mass motion, in both normal and pathologic populations.

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