Comparison of the Effect of Rehabilitation on the Autonomic Nerve System between Children with Cerebral Palsy and Healthy Children

The current understanding of radical hysterectomy is more centered on the uterus and little is discussed regarding the resection of the vaginal cuff and the paracolpium as an essential part of this procedure. The anatomic dissections of two fresh and 17 formalin-fixed female pelvis cadavers were utilized to understand and decipher the anatomy of the pelvic autonomic nerve system (PANS) and its connections to the surrounding anatomical structures, especially the paracolpium. The study mandates the recognition of the three-dimensional (3D) anatomic template of the parametrium and paracolpium and provides herewith an enhanced scope during a nerve-sparing radical hysterectomy procedure by precise description of the paracolpium and its close anatomical relationships to the components of the PANS. This enables the medical fraternity to distinguish between direct infiltration of the paracolpium, where the nerve sparing technique is no longer possible, and the affected lymph node in the paracolpium, where nerve sparing is still an option. This study gives rise to a tailored surgical option that allows for abandoning the resection of the paracolpium by FIGO stage IB1, where less than 2 cm vaginal vault resection is demanded.

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106 Autonomic nerve system evaluation in supine floating on the water surface

The Proceedings of Conference of Hokuriku-Shinetsu Branch ◽

10.1299/jsmehs.2014.51._106-1_ ◽

2014 ◽

Vol 2014.51 (0) ◽

pp. _106-1_-_106-2_

Author(s):

Ibuki TAMURA ◽

Eirin KOUCHI ◽

Akira SHIONOYA

Keyword(s):

Water Surface ◽

Autonomic Nerve ◽

System Evaluation ◽

Autonomic Nerve System ◽

Nerve System

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Effect of child's cerebral palsy on the mother: a case control study in Ahvaz, Iran

Acta Facultatis Medicae Naissensis ◽

10.2478/afmnai-2014-0008 ◽

2014 ◽

Vol 31 (1) ◽

pp. 75-79

Author(s):

Samira Borzoo ◽

Mansoureh Nickbakht ◽

Mehrdad Jalalian

Keyword(s):

Quality Of Life ◽

Cerebral Palsy ◽

Speech Therapy ◽

Short Form ◽

Healthy Children ◽

Medical Sciences ◽

Normal Children ◽

Sf 36 ◽

Children With Cerebral Palsy

SUMMARY Quality of life (QOL) in families can be affected when a child has cerebral palsy (CP). The aim of this research was to determine the effect of a child’s disability on the mother’s quality of life by comparing mothers of children with CP and mothers of normal children. Two sample groups were chosen from a total of 42 mothers to answer a short-form health survey (SF-36) questionnaire. The first group included 21 mothers of children with cerebral palsy who were referred to the speech therapy clinic of Jundishapur University of Medical Sciences in Ahvaz. The second group consisted of 21 mothers of normal children living in Ahvaz. T-tests by SPSS were used for statistical analysis. There were significant differences in all domains of QOL between mothers of healthy children and mothers of children with cerebral palsy (p=0.001). This research found that the quality of life of mothers of children with CP was significantly different compared to mothers of healthy children. Therefore, appropriate planning is necessary to improve their quality of life in different domains.

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CLINICAL AND PSYCHOLOGICAL SUPPORT FOR PRESCHOOL CHILDREN WITH CEREBRAL PALSY

Moscow University Psychology Bulletin ◽

10.11621/vsp.2020.04.10 ◽

2020 ◽

pp. 204-220

Author(s):

Olga S. Kovshova ◽

Tatiana I. Kireeva

Keyword(s):

Cerebral Palsy ◽

Preschool Children ◽

Emotional Disorders ◽

Psychological Support ◽

Social Adaptation ◽

Cognitive Behavioral ◽

Healthy Children ◽

Parent Relationships ◽

Children With Cerebral Palsy ◽

Parent Child

Relevance. Timely comprehensive diagnostics of psycho-social factors involved in the formation of cerebral palsy in children, their influence on the formation of child-parent relationships is relevant and practically significant. Inharmonious upbringing, emotional disorders and personal characteristics of the parent can affect the child’s mental development, contribute to violations of psycho-social adaptation. Objective of the study: to reveal the psychological characteristics of children with cerebral palsy and those of their mothers, to determine the characteristics of upbringing and parent-child relationships, to conduct clinical and psychological support of children with this disabling disease and their parents with elements of cognitive-behavioral correction of the identified disorders. Methods of research. Clinical conversation and experimental psychological method including: “Assembling Figures” method according to the 4th Wechsler subtest; method of drawing associations by S. Rosenzweig (children’s version) modified by N.V. Tarabrina(1978); René Gilles method, 1950; test “SMOL” ( V.P. Zaitsev, 1981); “PARI” method by E.S. Schaefer and R.K. Bell, adapted by T. V. Neshcheret (1984). Methods of statistical analysis were used as well. The sample consisted of: Group1 (n1) — 37 pre-school children with cerebral palsy aged 5–6 years (17 girls and 20 boys) and their mothers in the MCU of Samara RC “Zhuravushka”; Group 2 (n2) — 37 conditionally healthy children of the same age and gender in the SBU SAMARA city children’s polyclinic No. 9. Research results. It was found that in children with cerebral palsy, emotional response in a situation of frustration is accompanied by high self-accusatory reactions, low socio-psychological adaptation and low self-esteem. Child-parent relationships are in the suboptimal emotional range. An effective program of clinical and psychological cognitive-behavioral psychological correction of emotional and behavioral cerebral palsy disorders in the parent-child group was carried out. Conclusions. Psychosocial factors affecting the adaptation processes of preschool children with cerebral palsy were identified. Families with children with chronic disabling diseases such as cerebral palsy, need to organize training and education, including psycho-corrective and correction-developmental classes.

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Evaluation of Autonomic Nervous System in Children With Cerebral Palsy: Clinical and Electophysiological Study

10.21203/rs.3.rs-290905/v1 ◽

2021 ◽

Author(s):

Hanan Galal Azouz ◽

Ali M Abdel Mohsen ◽

Rana M Mohamed ◽

hayam mostafa abdelghany

Keyword(s):

Heart Rate ◽

Heart Rate Variability ◽

Cerebral Palsy ◽

Autonomic Dysfunction ◽

Sympathetic Skin Response ◽

Spastic Cerebral Palsy ◽

Control Group ◽

Healthy Children ◽

Children With Cerebral Palsy ◽

Skin Response

Abstract Cerebral palsy (CP) is the most prevalent severe motor disability among children. The aim of this work was to assess autonomic dysfunction in children with cerebral palsy clinically and electrophysiologically .The study was carried out on forty children with cerebral palsy their age ranged from 4-12 years and twenty healthy children with matched age and sex as control group. CP children were subjected to questionnaire for autonomic dysfunction symptoms. Both CP children and Control group were assessed for Sympathetic Skin Response and Heart rate variability. Most of children had quadriplegic spastic cerebral palsy (82.5%). Based on Gross motor function classification system (GMFCS) classification the majority of children were in levels 4 and 5. The prevalence of autonomic dysfunction symptoms was 80% for thermoregulatory abnormalities (cold extremities), chronic constipation 65%, sleep disturbance 52.5%, loss of appetite 47.5%, sweating abnormalities 40% , recurrent nausea and/or vomiting 25%, increased sensitivity to light or dark 22.5% and bloating 15%. The percentage of unelicited Sympathetic skin response in CP children was 47.5% and 60% in upper limbs and lower limbs respectively, all of them were in level 4 and 5 of GMFCS. 20% of CP children had postural hypotension. Mean Heart rate of CP children was significantly increased more than healthy children upon head tilt test. Sympathetic Skin Response and Heart rate variability were proven to be simple and non invasive procedures in investigating autonomic dysfunction in CP children.

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EVENT-RELATED POTENTIALS IN CHILDREN WITH CEREBRAL PALSY

Aspirantskiy Vestnik Povolzhiya ◽

10.17816/2072-2354.2019.19.1.95-100 ◽

2019 ◽

Vol 19 (1-2) ◽

pp. 95-100

Author(s):

V. V Dul’nev ◽

L. A Avrasina

Keyword(s):

Cerebral Palsy ◽

Comparative Analysis ◽

Sensory Information ◽

Event Related Potentials ◽

Objective Evaluation ◽

Main Group ◽

Healthy Children ◽

Age Related ◽

Children With Cerebral Palsy ◽

Related Potentials

Introducion. Children with cerebral palsy demonstrate high prevalence of the cognitive impairment (CI). One of the key components of CI pathogenesis is sensory disafferentation. Aim. The goal of this investigation is to perform comparative analysis of event-related potentials (ERP) in children with CP and in healthy children. Materials and methods. A total of 30 children with CP (mean age 8.9 ± 0.84 year) and 44 healthy subjects (mean age 9.5 ± 0.60 years) were observed. Registration and comparative analysis of the acoustic ERP were performed with the use of non-parametric tests. Results. The decrease in age-related ERP latencies was slower in the main group. Significant elongation of ERP latencies was also observed in the main group, despite the clinical absence of cognitive decline. Conclusions. Our findings confirm the theory of sensory information cortical processing delay in children with CP. More investigations should be performed for the assessment of reliability of the ERP in the objective evaluation of CI level.

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