scholarly journals Functional assessment of children with cerebral palsy –current reports

2015 ◽  
Vol 29 (3) ◽  
pp. 43-49
Author(s):  
Agnieszka Strączyńska ◽  
Agnieszka Radzimińska ◽  
Magdalena Weber-Rajek ◽  
Katarzyna Strojek ◽  
Aleksander Goch

Abstract Many new definitions, classifications and ways of treating cerebral palsy (CP) have been identified within the last few years. Numerous tools determining the functional condition of children suffering from CP were developed, however, the ones which were approachable, were modified accordingly. Currently applied classifications take into account participation in a social life, activity ,as well as secondary alterations. The majority of results obtained from worldwide clinical research conducted in a group of children with CP are based on popular tests. The main aim of this paper is to show and analyse the crucial scales used for the functional assessment of children with the CP by taking into consideration the age and activity of patients and reliability of classifications.

2017 ◽  
Vol 4 (4) ◽  
pp. 1128 ◽  
Author(s):  
Komomo Ibor Eyong ◽  
Emmanuel E. Ekanem ◽  
Asindi A. Asindi

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. 


Author(s):  
Yun Byoung Yul ◽  
О. B. Nekhanevych

The aim of the work is to increase the effectiveness of physical therapy of motor impairments in children with spastic form of cerebral palsy by applying a program of therapeutic training on the device developed for rehabilitation of people with musculoskeletal disorders. Materials and methods. 30 children aged 6 to 11 years with cerebral palsy-associated spastic diplegia were included in the study. Patients were divided into 2 groups. In addition to the standard rehabilitation program, all patients were prescribed therapeutic gait training using a device for rehabilitation of people with musculoskeletal disorders: group I (n = 14) – according to the dynamic method; group II (n = 16) – by static method. The spatiotemporal characteristics of gait, activity daily indicators, the level of spasticity of lower extremity muscles, functional characteristics of gait, and the methods of mathematical statistics were studied. Results. The implementation of the elaborated program of therapeutic exercises using a device for rehabilitation of people with musculoskeletal disorders had a positive effect on the level of muscle spasticity of the lower extremity, stride length, walking speed, general endurance. It also improved balance and reduced the risk of falling in children with cerebral palsy. Conclusions. The application of the elaborated therapeutic program had a positive effect on the spatiotemporal characteristics of walking, balance and functional condition of children with cerebral palsy, as well as reduced the level of spasticity. The increase in the stride length occurs during the first 4 weeks of training, and functional condition indicators showed the greatest dynamics only after 6 weeks of training. The elaboration of the rehabilitation device with the ability to move and apply the technique of exercising with partially unstable pelvic support by the abductor-lift moving along the vertical axis, positively affected the balance and reduced the risk of falling.


2017 ◽  
Author(s):  
◽  
L. E. Anaya Campos

Cerebral Palsy (CP) is a group of permanent pre, post and perinatal disorders of the motor and posture development due to non-progressive alterations in brain’s natural development caused by injuries in the Central Nervous System. Due to the importance of the daily use of the upper limb members, it’s important to consider more efficient ways to evaluate the performance in patients diagnosed with CP. One way to obtain an evaluation of the performance of the thoracic member is recording defined movements and calculating the smoothness, using an instrumented sorting block box. Our objective is to create a protocol of valuation for the upper member that is objective, efficient and that gives a quantitative feedback of the grade of the motor affectation of child with PC in a clinical environment.


2017 ◽  
Author(s):  
◽  
L. E. Anaya-Félix

Cerebral Palsy (CP) is a group of permanent pre, post and perinatal disorders of the motor and posture development due to non-progressive alterations in brain’s natural development caused by injuries in the Central Nervous System. Due to the importance of the daily use of the upper limb members, it’s important to consider more efficient ways to evaluate the performance in patients diagnosed with CP. One way to obtain an evaluation of the performance of the thoracic member is recording defined movements and calculating the smoothness, using an instrumented sorting block box. Our objective is to create a protocol of valuation for the upper member that is objective, efficient and that gives a quantitative feedback of the grade of the motor affectation of child with PC in a clinical environment.


2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik

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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