Effects of intermittent normobaric hypoxia on the state of the CNS and cerebral circulation in children with cerebral palsy

Aim: The article experimentally tests the influence of rehabilitation measures on the state of static and motor functions in children with cerebral palsy (CP). It was found that medical rehabilitation of children with cerebral palsy requires the development of adequate strategies and tactics, integrated approach, application, if possible, of non-drug methods (physiotherapy, kinesitherapy). materials and methods: During the study, the effectiveness of a set of rehabilitation measures was evaluated in 168 children aged 3 to 7 years, with spastic forms of cerebral palsy. All children were divided into two observation groups: the main group, which conducted the proposed rehabilitation course (n = 98) and the control group, which underwent a course of generally accepted rehabilitation content (n = 70). Results: As a result of experimental work, the increase in indicators in the experimental group was higher. And although in the blocks “lying on your back”, “sitting on the floor”, “sideways turns”, “lying on your stomach”, “on your knees” and “standing and getting up” the difference between the indicators of the groups was insignificant (P> 0.05), we observed the best tendency to recovery in children of the study group in the blocks “crawling”, “sitting”, “walking”. The average increase in testing scores using the scale for assessing large motor functions in the study group was much higher than in the control. Conclusions: A comparative evaluation of the effectiveness of comprehensive rehabilitation of children with spastic forms of cerebral palsy, found that the use of the developed program allows to achieve a clear therapeutic effect to improve the results of rehabilitation.

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Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

Perspectives on Augmentative and Alternative Communication ◽

10.1044/aac19.1.12 ◽

2010 ◽

Vol 19 (1) ◽

pp. 12-20 ◽

Cited By ~ 29

Author(s):

Guro Andersen ◽

Tone R. Mjøen ◽

Torstein Vik

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Gestational Age ◽

Augmentative And Alternative Communication ◽

Alternative Communication ◽

Gross Motor ◽

Gross Motor Function ◽

Children With Cerebral Palsy ◽

Communicative Abilities ◽

Normal Speech

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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