scholarly journals Designing a tangible solution to encourage playful hand usage for children with cerebral palsy

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Christina Mittag ◽  
Regina Leiss ◽  
Katharina Lorenz ◽  
Dagmar Siebold
Keyword(s):  
Cerebral Palsy ◽  
Support System ◽  
Functional Test ◽  
Intensive Training ◽  
Affected Side ◽  
Motivational Support ◽  
Children With Cerebral Palsy ◽  
Unilateral Cerebral Palsy ◽  
Arm Function ◽  
Inertial Measurements

AbstractChildren with unilateral cerebral palsy (CCP) benefit from intensive training with the affected side. The SHArKi project strives for a motivational support system, using wristbands with inertial measurements units (IMU) to measure arm function, providing biofeedback as well as motivating stimuli. To consider finger and wrist movements as well, this paper covers concepts for a tangible solution and its first implementation including the gamification development. Finalizations of the demonstrator, an overall functional test as well as concluding feedback from CCP are pending.

scholarly journals Correlation between Pediatric Balance Scale and Functional Test in Children with Cerebral Palsy

2014 ◽  
Vol 26 (6) ◽  
pp. 849-853 ◽  
Author(s):  
Natália de A. C. Duarte ◽  
Luanda André Collange Grecco ◽  
Renata Calhes Franco ◽  
Nelci Zanon ◽  
Cláudia Santos Oliveira
Keyword(s):  
Cerebral Palsy ◽  
Functional Test ◽  
Balance Scale ◽  
Children With Cerebral Palsy

scholarly journals Robot-Assisted Therapy Influence on Kinematic and EMG Activity in the Upper Limb for Children with Cerebral Palsy

2020 ◽  
Author(s):  
Sana Raouafi ◽  
Maxime Raison ◽  
Sofiane Achiche
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Upper Limb ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Robot Assisted ◽  
Function Index ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Inertial Measurements

Aim: To develop an index for quantitative assessment of the upper limb motor function in children with cerebral palsy before and after robot-assisted therapy. Method: An upper limb motor function index was developed using kinematic, surface electromyography and three-axis inertial measurements unit data collected from 15 children with cerebral palsy (CP) and 15 typically developed children. Children with CP underwent 18 robot-assisted therapy sessions with the REAplan device. All children were evaluated, using kinematic data from the REAplan, electromyography and three-axis inertial measurements unit readings from its accelerometer. A principal component analysis was conducted to produce an evaluation index, which is able to detect the deviation from the upper limb motor function of typically developing children group. Children with CP were evaluated twice before and after the intervention with Box and Blocks test and Finger-To-Nose test. The discriminative and concurrent validity of the upper limb motor function index were investigated. Results: The upper limb motor function index was higher in children with CP post therapy (p<0.001). Finger-To-Nose test values improved after robot-assisted therapy (p<0.03). A weak but positive correlation was observed between upper limb motor function index and clinical tests (r=0.012, p=0.95 and r=0.13, p= 0.54 for Box and Blocks test and Finger-To-Nose test respectively). Interpretation: The upper limb motor function index successfully differentiated between the typically developing children and children with CP and was effective in assessing the improvement of the upper limb motor function after robot-assisted therapy. The upper limb motor function index could be extended to assess and monitor rehabilitation therapies of other populations, such as those with stroke and Parkinson’s disease.

DESIGN OF WALKWAY RIG SYSTEM FOR GAIT MOTION TRACKING OF CHILDREN WITH CEREBRAL PALSY

2015 ◽  
Vol 76 (7) ◽  
Author(s):  
Farid Mahamud ◽  
Adzly Anuar ◽  
Mohd Aidil Mohd Aini
Keyword(s):  
Body Weight ◽  
Cerebral Palsy ◽  
System Design ◽  
Support System ◽  
Motion Tracking ◽  
Body Weight Support ◽  
Weight Support ◽  
Children With Cerebral Palsy ◽  
Body Support ◽  
Body Weight Support System

This paper reports the design of walkway rig system for gait motion tracking of children with cerebral palsy (CP) at Universiti Tenaga Nasional (UNITEN), Malaysia. The walkway rig consists of a modular walkway platform, adjustable parallel bar, and overhead gantry with body support harness system. The rig has been designed to support different modes of walking assistance depending on a subject’s walking capability. The modes of walking assistance are body weight support system, parallel bars along walkway, usage of walker, and human assisted. The key feature of this system lies in the flexibility of it to enable more options during gait motion tracking for CP children. System design and stress analysis were done using CAD software. The design is evaluated using virtual mannequins to check the functions and suitability for CP children. The evaluation shows that the proposed system is feasible to be implemented for CP children gait motion tracking.

scholarly journals A Terapia por contensão induzida no desempenho ocupacional de crianças com paralisia cerebral / Intervention by contraint- induced movement therapy on the occupational performance of children with cerebral palsy

2018 ◽  
Vol 2 (2) ◽  
pp. 292-304
Author(s):  
Cassandra Da Silva Fonseca ◽  
Nicole Ruas Guarany
Keyword(s):  
Cerebral Palsy ◽  
Motor Activity ◽  
Functional Performance ◽  
Randomized Study ◽  
Movement Therapy ◽  
Intensive Training ◽  
Function Test ◽  
Before And After ◽  
Motor Activities ◽  
Arm Function

A paralisia cerebral (PC) constitui um quadro clínico importante que pode acometer crianças, causando déficits de movimento, controle postural, prejuízos sensoriais e cognitivos, com isso, faz-se necessário estimular as habilidades da criança para que alcance um desempenho efetivo em todas as áreas de ocupação. O objetivo deste trabalho foi realizar terapia por contensão induzida que consiste na imobilização do membro superior não afetado com um treino intensivo da extremidade afetada, em crianças com PC hemiplégica. Trata-se de um estudo quase experimental, do tipo antes e depois, não cego e não randomizado. Utilizou-se a Teenager Motor Activity Log- TMAL, a Pediatric Arm Function Test- PAFT e a Inventory of New Motor Activities Program- INMAP para analisar o desempenho funcional dos participantes antes e após o tratamento. A amostra do estudo foi composta por 2 crianças com PC Hemiplégica. A avaliação TMAL identificou melhora na freqüência e qualidade dos movimentos realizados com o membro afetado nas duas intervenções. Da mesma forma a avaliação PAFT demonstrou um aumento na realização de tarefas unilaterais e bilaterais com o membro afetado, sem necessitar de comandos. A INMAP apresentou melhora principalmente nos padrões de alcance, pinça eficiente e preensão. Os resultados demonstram que após a intervenção, houve um aumento significativo no desempenho funcional de atividades motoras das crianças. Neste sentido, acredita-se que intervenções como esta permitem uma reabilitação para aquisição de maior autonomia e independência em atividades cotidianas. AbstractCerebral palsy (CP) forms an important clinical picture that may affect children by causing them movement and postural control deficits, sensory and cognitive damages. Therefore, it is necessary to stimulate children's skills so that they can achieve an effective performance in all occupational areas. The aim of this work is to carry out a constraint-induced movement therapy which is the immobilization of  theirnot affected upper limb and an intensive training of their affected end in children with hemiplegic CP. It is a quasi-experimental, before and after, non-blinded and non-randomized study. A Teenager Motor Activity Log (TMAL), a Pediatric Arm Function Test (PAFT) and an Inventory of New Motor Activities Program (INMAP) were used to analyze the functional performance of the participants before and after the treatment. The study sample included two children with hemiplegic CP. The TMAL evaluation showed a better frequency and quality of the movements performed with the affected limb in both interventions. In the same way, the PAFT evaluation showed an increase in unilateral and bilateral tasks when they used their affected limb with no need for commands. The INMAP showed some improvement of reaching, effective pinching and gripping standards mainly. The results showed that after the intervention, there was a significant increase in the functional performance of the children's motor activities. Therefore, it is believed that this type of intervention provides a rehabilitation to obtain a greater autonomy and independence in daily activities.Keywords: Functional Performance; Cerebral Palsy; Rehabilitation; Occupational therapy.

scholarly journals Challenges of care givers of children with cerebral palsy in a developing country

2017 ◽  
Vol 4 (4) ◽  
pp. 1128 ◽  
Author(s):  
Komomo Ibor Eyong ◽  
Emmanuel E. Ekanem ◽  
Asindi A. Asindi
Keyword(s):  
Social Support ◽  
Cerebral Palsy ◽  
Support System ◽  
Social Life ◽  
Children With Disabilities ◽  
Negative Impact ◽  
Functional Limitations ◽  
African Countries ◽  
Social Support System ◽  
Children With Cerebral Palsy

Background: The role of caregiving takes on an entirely different significance when a child experiences functional limitations and possible long-term dependence. The main challenges for parents of children with disabilities are their ability to cope with their children's chronic health problems and effectively carry on with daily requirements of everyday living. The aim of this study is to evaluate the challenges parents encounter in caring for children with cerebral palsy in a developing country.Methods: Consenting parents of children with cerebral palsy presenting in the neurology clinic of the University of Calabar Teaching Hospital, Calabar, south-south Nigeria were recruited for the study. The bio data of the parents were obtained. The challenges encountered by parents of children with cerebral palsy were determined using a semi structured questionnaire.Results: Seventy parents of children with cerebral palsy were recruited into the study. Majority of the subjects (61.4%) are from the low socio economic while the least represented was the high socioeconomic class. Sixty-four (91.4%) of the parents worry about the handicap and comorbidities of cerebral palsy. Similarly, 91.4% of parents admitted that their social life has been adversely affected by caring for these children. Also, more than half of the parents find it difficult to cope with their jobs or businesses and have their resources depleted. Family disharmony was found in over 40% of the parents. The task of caring for children with cerebral palsy is a daunting one as its negative impact on family, social and family resources are enormous especially in resource poor countries with little or no social support system. Parents caring for children with disabilities therefore need assistance and respite care to alleviate these challenges, since rehabilitation services are limited in most African countries, it has been suggested that community-based and outreach services are provided in order to decrease the burden of care.Conclusions: Effort should therefore be geared toward prevention. The provision of a social support system and rehabilitation centres at subsidized rates will significantly ease the burden encountered by these parents. 

Somatoneurological and psycho-pedagogical features of children with cerebral palsy in the context of their readiness for training in Paralympic sports

2021 ◽  
Vol 2 (4) ◽  
pp. 173-188
Author(s):  
Lale A. Pak ◽  
Svetlana B. Lazurenko ◽  
Svetlana B. Makarova ◽  
Tatyana V. Sviridova ◽  
Lyudmila M. Kuzenkova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Support System ◽  
Rehabilitation Treatment ◽  
Rehabilitation Programs ◽  
Wide Range ◽  
Adaptive Physical Education ◽  
Children With Cerebral Palsy

Introduction. Currently, Russia does not have a scientifically grounded medical and psychological support system for disabled children (DC), which allows involving them in classes in children and youth schools of adaptive physical education, preparing the country’s Paralympic DC reserve. Aim of the study. To develop and create a medical support system for the Paralympic DC reserve, capable of improving their quality of life and forming a medical and social lift. Materials and methods. Children aged from 1 year to 18 years had cerebral palsy (CP) with impaired motor functions of levels I and II according to the global motor function assessment system and the Manual Abilities Classification system and their families were monitored. A comprehensive assessment of the somatic, neurological, mental and nutritional status of CP children) was carried out, and a wide range of comorbid pathology was described. After the rehabilitation treatment with the use of complex personalized rehabilitation programs, dynamic monitoring of the condition of patients with cerebral palsy was carried out, followed by an assessment of the effectiveness of rehabilitation treatment and the impact on it the psychological readiness of patients, their parents to engage in Paralympic sports, as well as the socio-economic level of the family. The attitude of CP children and their parents to participate in the Paralympic movement was studied. All patients underwent a comprehensive study of somatic, neurological, orthopaedic, psychological and nutritional status. The socio-hygienic characteristics of families and the rehabilitation potential of DC and their families have been determined. Results. Children with cerebral palsy have a wide range of comorbid pathology, which requires the involvement of specialists of different profiles in the curation of patients. The use of complex personalized rehabilitation programs allows achieving positive dynamics after 14 days of rehabilitation treatment. Early introduction of botulinum therapy in the rehabilitation program of CP patients provides higher efficiency of rehabilitation treatment. Treatment of protein-energy deficiency in CP children should include correction of the diet using specialized products, metabolic therapy, enzyme and complex vitamin preparations. Differentiated medical, psychological and pedagogical counselling of parents of CP children will allow optimizing the solution of the state problem regarding the timely inclusion of persons with disabilities in adaptive physical education classes. Conclusion. The development and creation of a comprehensive medical and psychological support system solve an urgent medical and social problem, ensuring the integration of DC into society and improving the quality of life of both a sick child and his family members.

Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy: a systematic review

2017 ◽  
Vol 31 (11) ◽  
pp. 1445-1456 ◽  
Author(s):  
MH Tervahauta ◽  
GL Girolami ◽  
GK Øberg
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Meta Analysis ◽  
Movement Therapy ◽  
Effect Sizes ◽  
System Level ◽  
Cochrane Library ◽  
Intensive Training ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy

Objective: To systematically review the evidence on the effect of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy. Data sources: Seven electronic databases (Cinahl, Cochrane Library, EMBASE, Ovid MEDLINE, PEDro, PsycINFO, PubMed) were searched from database inception through December 2016. Methods: A systematic review was performed using the American Academy of Cerebral Palsy and Developmental Medicine and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Standardised mean differences (effect sizes) were calculated for each study and outcome. Results: Nine studies met the eligibility criteria. All studies provided level II evidence. Methodological quality was high in two studies, moderate in four studies and low in three studies. The methodology, participant and intervention characteristics were heterogeneous. The participants’ ages ranged from 1.5 to 16 years. Their initial hand function ranged from Manual Ability Classification System Level I to Level III. The total intervention dose ranged from 24 to 210 hours and duration from one week to ten weeks. The studies measured outcomes assessing unimanual and bimanual hand and arm function, participation and attainment of individualised goals. Overall, the effect sizes did not favour one of the interventions at short- or long-term follow-up. The 95% confidence intervals were broad, indicating inaccurate precision of the effect sizes. Pooling of the data for a meta-analysis was judged to be of little clinical value owing to heterogeneity. Conclusion: It is not possible to conclude whether constraint-induced movement therapy or bimanual intensive training is more effective than the other in children with unilateral cerebral palsy.

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