Relationship between modified TUG and WeeFIM in children with cerebral palsy

2021 ◽  
Vol 9 (5) ◽  
pp. 4001-4007
Author(s):  
Praveen Baby ◽  
◽  
Haripriya S ◽  
Remya N ◽  
Manju Unnikrishnan ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Development ◽  
Brain Lesion ◽  
Functional Independence ◽  
The Body ◽  
Functional Mobility ◽  
Spastic Cerebral Palsy ◽  
Pearson’S Correlation ◽  
Children With Cerebral Palsy ◽  
Pearson's Correlation

Background: Cerebral Palsy (CP) refers to permanent, mutable motor development disorders stemming from a primary brain lesion, leading to secondary musculoskeletal alterations, and limitation of activities of daily living. Motor impairment is the main manifestation in children with CP, and it has consequent effects on the biomechanics of the body. The WeeFIM is a short and quick to administer assessment of functional outcome in paediatric rehabilitation. The modified Timed Up and Go test (mTUG) was designed for children with Cerebral Palsy and assesses mobility and requires both static and dynamic balance. Context and Purpose: Determining if a relationship exists between functional mobility and level of functional independence in daily activities will help to design treatment programs which target improvement in functional mobility in order to improve functional independence in children with Cerebral Palsy. The studies done correlating functional balance and functional performance in children with CP have largely yielded inconclusive results. Hence this study was designed with the aim of finding if a relationship exists between functional mobility measured by mTUG and functional independence measured by WeeFIM in children with CP. Methods: It was a correlation study conducted on 20 children with spastic cerebral palsy from different CP centers in and around Mangalore. Participants were evaluated using modified TUG and WeeFIM scales and the scores tabulated and subjected to statistical analysis to determine if there is a relationship exists between mTUG and WeeFIM. Results: When the measured variables were correlated with each other using Pearson’s correlation it was found that the Pearson’s correlation coefficient was - .470, indicating a moderate negative correlation between the mTUG and WeeFIMscores. Conclusion: There exists a positive relationship between functional mobility and functional independence in children with CP. Improving mobility in children with CP can help them to attain better functional independence. KEY WORD: Cerebral Palsy, GMFC, mTUG, WeeFIM.

scholarly journals Effect of Physical Guidance on Learning a Tracking Task in Children with Cerebral Palsy

2021 ◽  
Vol 18 (13) ◽  
pp. 7136
Author(s):  
Hadi Nobari ◽  
Elham Azimzadeh ◽  
Hamidollah Hassanlouei ◽  
Georgian Badicu ◽  
Jorge Pérez-Gómez ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Classification System ◽  
The Body ◽  
Tracking Task ◽  
Spastic Cerebral Palsy ◽  
Optimum Level ◽  
Practice Phase ◽  
Children With Cerebral Palsy ◽  
Accurate Performance ◽  
Four Blocks

The purpose of this study was to investigate the effect of physical guidance (PG) frequency on learning a tracking task in children with hemiplegic spastic cerebral palsy (CP). For this purpose, 25 children, aged 7–15 years with CP affecting the left side of the body, who were classified in levels II–III of Manual Abilities Classification System (MACS) and levels III–IV of Gross Motor Function Classification System (GMFCS), were recruited from 10 clinical centers. A pre-test including two blocks of 12 trials of the tracking task without any PG was performed by all participants, after that they were assigned into five homogenous groups (with 100%, 75%, 50%, 25%, and 0% of PG) through blocked randomization according to their age. All participants involved in an intervention consisted of eight sessions (four blocks of 12 trials in each session) practicing a tracking task. The 0% PG group received no PG, the 25% PG group received PG for three trials, the 50% PG group received PG for six trials, the 75% PG group received PG for nine trials, and the 100% PG group received PG for all twelve trials. PG consisted of placing the experimenter’s hand around the child’s less-involved hand guiding to stay on the track and complete the task. Learning was inferred by acquisition and delayed retention tests. The results showed that the higher frequency of PG led to more accurate performance during practice phase. However, the group that received 75% PG had significantly better performance compared to the other groups in the retention phase. It is concluded that optimum level of PG, about 75% of trials, can be helpful for learning a tracking task in children with spastic hemiplegic CP, supporting the challenge point framework.

scholarly journals Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy

2006 ◽  
Vol 86 (7) ◽  
pp. 987-1000 ◽  
Author(s):  
Chia-Ling Ho ◽  
Kenneth G Holt ◽  
Elliot Saltzman ◽  
Robert C Wagenaar
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stride Length ◽  
The Body ◽  
Stride Frequency ◽  
Spastic Cerebral Palsy ◽  
Significant Difference ◽  
Muscle Complex ◽  
Spring System

Abstract Background and Purpose. Children with cerebral palsy (CP) often are faced with difficulty in walking. The purpose of this experiment was to determine the effects of functional electrical stimulation (FES) applied to the gastrocnemius-soleus muscle complex on the ability to produce appropriately timed force and reduce stiffness (elastic property of the body) and on stride length and stride frequency during walking. Subjects and Methods. Thirteen children with spastic CP (including 4 children who were dropped from the study due to their inability to cooperate) and 6 children who were developing typically participated in the study. A crossover study design was implemented. The children with spastic CP were randomly assigned to either a group that received FES for 15 trials followed by no FES for 15 trials or a group that received no FES for 15 trials followed by FES for 15 trials. The children who were having typical development walked without FES. Kinematic data were collected for the children with CP in each walking condition and for the children who were developing typically. Impulse (force-producing ability) and stiffness were estimated from an escapement-driven pendulum and spring system model of human walking. Stride length and stride frequency also were measured. To compare between walking conditions and between the children with CP and the children who were developing typically, dimensional analysis and speed normalization procedures were used. Results. Nonparametric statistics showed that there was no significant difference between the children with CP in the no-FES condition and the children who were developing typically on speed-normalized dimensionless impulse. In contrast, the children with CP in the FES condition had a significantly higher median value than the children who were developing typically. The FES significantly increased speed-normalized dimensionless impulse from 10.02 to 16.32 when comparing walking conditions for the children with CP. No significant differences were found between walking conditions for stiffness, stride length, and stride frequency. Discussion and Conclusion. The results suggest that FES is effective in increasing impulse during walking but not in decreasing stiffness. The effect on increasing impulse does not result in more typical spatiotemporal gait parameters. [Ho CL, Holt KG, Saltzman E, Wagenaar RC. Functional electrical stimulation changes dynamic resources in children with spastic cerebral palsy. Phys Ther. 2006;86:987–1000.]

scholarly journals The Level of Children’s Independence with Cerebral Palsy in Several Regions in Java and Sumatra

2020 ◽  
Vol 5 (1) ◽  
pp. 1-12
Author(s):  
Bambang Trisnowiyanto
Keyword(s):  
Cerebral Palsy ◽  
Health Workers ◽  
Brain Lesion ◽  
Clinical Manifestations ◽  
Total Sample ◽  
Body Parts ◽  
Research Subjects ◽  
Cross Sectional ◽  
Children With Cerebral Palsy ◽  
Gmfcs Level

Background:  The most common disorder or disability in childhood is cerebral palsy, obtained during the antenatal, perinatal or early postnatal period. Cerebral palsy is a non-progressive injury or brain lesion with very variable clinical manifestations. children with cerebral palsy have impaired movement, ability levels and functional limitations and affected body parts. Therefore, to find out the level of independence in children with cerebral palsy, it is necessary to have an examination carried out by health workers, especially physiotherapy. In this case, an examination using the Gross Motor Function Classification System (GMFCS). The purpose of this study was to determine the degree of independence of children with cerebral palsy in several regions in Java and Sumatra. Methods: A total of 315 children with cerebral palsy (mean ± SD)  participated in this cross-sectional study design. The research was conducted in March-June 2019. GMFCS data was collected from children with cerebral palsy in the parent community of cerebral palsy in 10 cities. The Kolmogorov-Smirnov test used for data normality test. Result: Overall research subjects from 10 cerebral palsy communities with a total sample of 315 children, most cerebral palsy with GMFCS level 4 as many as 117 children (37.1%), then GMFCS level 3 as many as 84 children (26.7%), GMFCS level 5 is 67 children (21.3%), level 2 GMFCS is 24 children (7.6%), and at least children with level 1 GMFCS are 23 children (7.3%). Conclusion: The conclusion is from a total of 315 children with cerebral palsy, the level of Indonesian children's independence based on GMFCS most of them are less independent.

Immediate Effects of the Dorsiflexion Angle of Hinged Ankle-foot Orthosis on the Spatiotemporal Gait Parameters of Children With Spastic Cerebral Palsy

2021 ◽  
Author(s):  
IlHyun Son ◽  
GyuChang Lee
Keyword(s):  
Cerebral Palsy ◽  
Stride Length ◽  
Step Length ◽  
Gait Velocity ◽  
Spastic Cerebral Palsy ◽  
Spastic Diplegia ◽  
Ankle Foot Orthosis ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Foot Orthosis

Abstract Background: It has been reported the effects of a hinged ankle-foot orthosis on the gait ability of children with cerebral palsy. However, no studies investigated the effects of the dorsiflexion angle of the hinged ankle-foot orthosis on the spatiotemporal gait parameters of children with cerebral palsy. This study aimed to investigate the immediate effects of a 10° dorsiflexion inducing ankle-foot orthosis the spatiotemporal gait parameters of children with spastic diplegia compared to barefoot and a hinged ankle-foot orthosis.Methods: This study was cross-over design. 10 children with spastic diplegia were walked with barefoot, a hinged ankle-foot orthosis, and a 10° dorsiflexion inducing ankle-foot orthosis. GAITRite was used to collect the spatiotemporal gait parameters including gait velocity, cadence, step length, stride length, single leg support, and double leg support. Results: It showed that a 10° dorsiflexion inducing ankle-foot orthosis significantly improved the gait velocity, cadence, step length, stride length, single leg support, and double leg support than barefoot and a hinged ankle-foot orthosis (p<.05). Conclusion: The results of this study implied that a 10° dorsiflexion inducing ankle-foot orthosis could improve the gait ability of children with spastic diplegia more than barefoot or a hinged ankle-foot orthosis. High quality future studies will need to examine the effects of hinged ankle-foot orthosis on gait ability according to dorsiflexion angles.

scholarly journals Impairments of Visuospatial Attention in Children with Unilateral Spastic Cerebral Palsy

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Gaétan Ickx ◽  
Samar M. Hatem ◽  
Inmaculada Riquelme ◽  
Kathleen M. Friel ◽  
Camille Henne ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Brain Lesion ◽  
Visuospatial Attention ◽  
Attention Deficits ◽  
Spastic Cerebral Palsy ◽  
Motor Impairments ◽  
Rehabilitation Process ◽  
Visuospatial Deficits ◽  
Periventricular Lesion ◽  
The Brain

Aim. This observational study aimed at assessing the prevalence of visuospatial attention deficits in children with unilateral spastic cerebral palsy (USCP), taking into consideration the affected hemibody and the localization of the brain lesion. Method. Seventy-five children with USCP were assessed with four visuospatial attention tests: star cancellation, Ogden figure copy, line bisection, and proprioceptive pointing. Results. A majority (64%) of children with USCP presented a deficit in at least one test compared to the reference values. The alterations observed in children with left or right USCP were related to egocentric or allocentric neglect, respectively. Children with cortico/subcortical lesion presented more often visuospatial attention deficits than children with periventricular lesion. Visuospatial attention deficits were not associated with brain lesion locations. Interpretation. Visuospatial attention deficits are prevalent in children with USCP and should be taken into account during their rehabilitation process. The present results shed new light on the interpretation of motor impairments in children with USCP as they may be influenced by the frequent presence of visuospatial deficits.

Examining Reliability and Validity of the Jebsen-Taylor Hand Function Test Among Children With Cerebral Palsy

2020 ◽  
Vol 127 (4) ◽  
pp. 684-697
Author(s):  
M. Tofani ◽  
E. Castelli ◽  
M. Sabbadini ◽  
A. Berardi ◽  
M. Murgia ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Assessment Tool ◽  
Hand Function ◽  
Manual Dexterity ◽  
Pearson’S Correlation Coefficient ◽  
Children With Cerebral Palsy ◽  
Function Test ◽  
Pearson's Correlation

Manual dexterity has strongly predicted functional independence for daily life activities among children with cerebral palsy (CP). The Jebsen-Taylor Hand Function Test (JTHFT) is the most widely used assessment tool for exploring manual dexterity in the CP population, though no research has yet examined its psychometric properties for this use. This cross-sectional study explored the validity and internal consistency of the JTHFT in an Italian sample of inpatient and outpatient children with CP aged between 6-18 years (35 girls and 49 boys). We calculated internal consistency with Cronbach’s alpha and tested validity against the Manual Ability Classification System (MACS) using Pearson’s correlation coefficient. To better understand how the JTHFT compares with different levels of the MACS, we performed dominant hand timing variability for each test item. Results showed excellent internal consistency with a Cronbach’s alpha of .944 and .911, respectively, for nondominant and dominant hands. There was also a statistically significant positive linear Pearson’s correlation coefficient between the JTHFT and the MACS ( p <  .01). We observed high variability in writing performance (Item 1 of the JTHFT) within this sample for each level of the MACS. This study confirms that the JTHFT is a valid assessment tool when used in children with CP aged 6-18 years.

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