scholarly journals Therapeutic interventions for trunk and improvement of posture in children with cerebral palsy: a review of the literature

2018 ◽  
Vol 10 (4) ◽  
Author(s):  
D Fragkou ◽  
G Gkrimas ◽  
M Pyrgeli
2005 ◽  
Vol 12 (2-3) ◽  
pp. 197-203 ◽  
Author(s):  
Jolanda C. van der Heide ◽  
Mijna Hadders-Algra

The present paper gives an overview of the knowledge currently available on muscular dyscoordination underlying postural problems in children with cerebral palsy (CP). Such information is a prerequisite for developing successful therapeutic interventions in children with CP. Until now, three children with CP functioning at GMFCS (Gross Motor Function Classification System) level V have been documented. The children totally or partially lacked direction specificity in their postural adjustments and could not sit independently for more than 3 seconds. Some children functioning at GMFCS level IV have intact direction-specific adjustments, whereas others have problems in generating consistently direction-specific adjustments. Children at GMFCS levels I to III have an intact basic level of control but have difficulties in fine-tuning the degree of postural muscle contraction to the task-specific conditions, a dysfunction more prominently present in children with bilateral spastic CP than in children with spastic hemiplegia. The problems in the adaptation of the degree of muscle contraction might be the reason that children with CP, more often than typically developing children, show an excess of antagonistic coactivation during difficult balancing tasks and a preference for cranial-caudal recruitment during reaching. This might imply that both stereotypies might be regarded as functional strategies to compensate for the dysfunctional capacity to modulate subtly postural activity.


2021 ◽  
Vol 29 ◽  
pp. 1-29
Author(s):  
Ana Clara Santana de Souza ◽  
Janaina Araujo Teixeira Santos ◽  
Alessandra Vidal Prieto ◽  
Pollyana Helena Vieira Costa ◽  
Rudney da Silva ◽  
...  

Objective: Verify therapeutic intervention efficacy in children between the ages of 0 to 12, with cerebral palsy, evaluated by Thick Motor Function Measure. Method: PUBMed (MEDLINE), Cohrane, Web of Science, Scopus, Lilacs and PEDro. During phase 1, titles and abstracts of all identified references were independently displayed to 2 investigators. In phase 2, the same researchers applied the inclusion criteria for complete articles text. Key data from each of the included studies were extracted, such as author, year of publication, sample size, relevant characteristics, and conclusions on therapeutic interventions in children with cerebral palsy. Results: 15 articles were combined for qualitative analysis. Total scores for methodological quality ranged from 5 to 9 points. Covering the included articles for qualitative analysis, 14 studies were included in meta-analysis. Results demonstrated a significant variation when compared to conventional therapy performed through physical therapy in total scores and subgroup training, but not in hippotherapy, activity tasks and other therapies. Conclusion: Commonly therapies applied to children with CP when integrated with functional tasks appear to have better results when only compared to conventional physiotherapy.


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