scholarly journals Neurotic State Characteristics of Mothers of Children with Cerebral Palsy

2020 ◽  
pp. 130-152
Author(s):  
A.N. Pevneva ◽  
Keyword(s):  
Cerebral Palsy ◽  
Psychological Health ◽  
Time Perspective ◽  
Main Group ◽  
Diagnostic Methods ◽  
Control Group ◽  
Raising Children ◽  
Structural Hierarchy ◽  
Children With Cerebral Palsy ◽  
Individual Variables

The research topicality is determined by the state policy priorities in the field of preservation, strengthening and restoration of mental and psychological health as important indicators of the individual’s quality of life as well as the development of preventive measures aimed at protecting health of mothers and children, developing a support system for families with children with mental and physical needs, improving their living conditions and strengthening the institution of the family. The goal of the research is to identify the neurotic features of a mother whose child is suffering from cerebral palsy. From 2006 to 2009 in the study participated 132 respondents: 66 mothers raising children with cerebral palsy, and 66 mothers of neurotypical children. The restudy in 2015-2017 was conducted on a sample of 96 mothers, 48 respondents in each group. Research methods we used are theoretical analysis of literature, psych diagnostic methods, longitudinal method, correlation research as well as methods of mathematical statistics. In the process of analyzing the results for mothers raising children with cerebral palsy there has been revealed a painful nature of the detected neurotic state characteristics followed by positive dynamics but their values are low and vary within its margins. On the contrary, the indicators of neurotic state characteristics for mothers of neurotypical children vary within the norm along with the statistically significant manifestation of their anxieties and worries. Neurotic depression of MG66 respondents occupies a dominant position in the structural hierarchy of the scales of the questionnaire which eventually gives way to the manifestation of anxiety and hysterical type of response to life situations. The structure of neurotic state is characterized by a differentiation of the respondents from main group, while in control group it is more integrated. Over time the structure of neurotic state characteristics in the main group respondents retains relative stability, and in the control group respondents it is transformed, complicated and differs in hierarchy and greater differentiation: individual variables acquire the status of autonomous ones where the additional research is required. Statistically signifi-cant differences in the severity of neurotic state characteristics for the main group and control group respondents in the time perspective were found. The neurotic state characteristics of mothers whose children have cerebral palsy are characterized by different severity levels of indicators in all structural components with their positive dynamics in the time perspective, the predominance of neurotic depression and its changeability by anxiety and over-reaction to everyday life situations.

scholarly journals The Dynamics of the Quality of Life of Mothers Bringing up Children with Cerebral Palsy

2019 ◽  
Vol 8 (4) ◽  
pp. 58-73
Author(s):  
A. Pevneva
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Structural Components ◽  
Core Element ◽  
Dominant Position ◽  
Structural Hierarchy ◽  
Children With Cerebral Palsy ◽  
Core Elements ◽  
Theoretical Issues

In studies of psychological problems of mothers bringing up children with cerebral palsy, the least explored is the problem of the quality of life. The knowledge of the structural and dynamic characteristics of the quality of life may give an answer to a number of methodological and theoretical issues on the change in the quality of life over time, its structural hierarchy and organization, structure sustainability/unsustainability and core elements. The aim of present study was to identify the dynamics of the quality of life of the mother of a child with cerebral palsy. 66 mothers raising a child with cerebral palsy have been surveyed; 48 respondents participated in a repeated measurement. The outcome of the study is the proof that the quality of life is not stable, it depends on the situation and is reproduced in the context of the situation. The dynamics of the quality of life of the mother of a child with cerebral palsy is characterized by difference in indicators of all structural components with the tendency to change positively, constancy of dominant position of physical functioning, structural transformation of the organization, its flexibility, as well as change of the structural core element.

scholarly journals Bone metabolism biomarkers in walking children with cerebral palsy

2020 ◽  
Vol 7 (4) ◽  
pp. 79-86
Author(s):  
Vladimir M. Kenis ◽  
Svetlana L. Bogdanova ◽  
Tatyana N. Prokopenko ◽  
Andrei V. Sapogovskiy ◽  
Tatyana I. Kiseleva
Keyword(s):  
Vitamin D ◽  
Alkaline Phosphatase ◽  
Cerebral Palsy ◽  
Bone Metabolism ◽  
Control Group ◽  
Study Group ◽  
Flat Feet ◽  
Children With Cerebral Palsy ◽  
Calcium Phosphorus ◽  
Orthopedic Patients

Backgrоund. Osteoporosis is an important factor in the pathogenesis of orthopedic manifestations in children with cerebral palsy. It was previously demonstrated that children with cerebral palsy have specific changes in bone metabolism, which can cause changes in laboratory parameters compared with other orthopedic patients without neurological backgrounds. Aim. The aim of this study was to assess bone metabolism biomarkers in children with cerebral palsy, identifying distinguishing characteristic patterns in comparison with patients with orthopedic pathology without neurological backgrounds. Materials and methods. This study evaluated the concentrations of calcium, phosphorus, -cross laps, osteocalcin, vitamin D, CICP, and alkaline phosphatase in the blood serum of 50 children with cerebral palsy aged between 6 to 12 years with GMFCS levels IIII. The control group consisted of 50 patients with plano-valgus deformities of the feet. Results. The alkaline phosphatase activity in the group of children with cerebral palsy was 170.25 59.35 u/L, while in the control group it was 145.58 46.29 u/L; the CICP concentration in the study group was higher than in the control group (324.01 174.10 and 269.68 240.98, respectively). The concentration of -cross laps, osteocalcin, calcium, and vitamin D in the study group was lower than in children with flat feet. Conclusions. This study demonstrated multidirectional changes in the biomarkers of bone metabolism that are characteristic of walking children with cerebral palsy. These changes are characterized by a corresponding increase in the activity of osteoresorption and osteoreparation. This makes it possible to justify the combined use of metabolites and metabolic activators (calcium and vitamin D) and drugs that suppress osteoresorption (bisphosphonates) for the prevention and treatment of osteoporosis in children with cerebral palsy.

scholarly journals Effectiveness of Virtual Reality and Visual Feedback on Balance and Leg Function in Children with Cerebral Palsy

2019 ◽  
Vol 1 (18) ◽  
Author(s):  
Arūnė Dūdaitė ◽  
Vilma Juodžbalienė
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Range Of Motion ◽  
Visual Feedback ◽  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Children With Cerebral Palsy ◽  
Stretching Exercises

Research background. Virtual reality and visual feedback improve motor performance, motor function and balance, so we want to fnd if it affects the function of legs and balance of children with spastic hemiplegia. Research aim was to establish if the use of virtual reality and visual feedback with traditional physiotherapy improve the function of legs and balance of children with cerebral palsy. Methods. Nine children with cerebral palsy participated in the research. Participants were randomly divided into two groups – virtual reality group (n = 6) and control (n = 3). Virtual reality group practised exergaming and stretching exercises for 10 weeks, twice a week. Control group practiced conventional physiotherapy and stretching exercises for 6 weeks, twice a week. We measured the range of motion of the lower limb, spasticity of the lower limb using Modifed Ashworth’o Scale, static, dynamic balance, trunk coordination using Trunk Impairment Scale at the start and the end of the research, and balance using Pediatric Balance Scale. Results. Virtual reality and visual feedback reduced the spasticity of the lower limb, improved balance and postural control for children with cerebral palsy, but it did not improve the range of motion of the lower limb of children with cerebral palsy. Conclusions. Virtual reality and visual feedback did not improve the range of motion of the lower limb of children with cerebral palsy. Virtual reality and visual feedback reduced spasticity of the lower limb, improved balance and postural control for children with cerebral palsy.Keywords. Cerebral palsy, virtual reality, visual feedback, postural control, muscle architecture.

A DYNAMIC SEATING SYSTEM FOR CHILDREN WITH CEREBRAL PALSY

2009 ◽  
Vol 12 (01) ◽  
pp. 21-30 ◽  
Author(s):  
Michael E. Hahn ◽  
Sheri L. Simkins ◽  
Jacob K. Gardner ◽  
Gaurav Kaushik
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Motor Function ◽  
Control Group ◽  
Significant Group ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Muscle Spasticity ◽  
Children With Cerebral Palsy ◽  
Dynamic Seating

The study's aim was to determine the initial effects of a dynamic seating system as a therapeutic intervention in children with cerebral palsy. A two-factor, repeated-measures design was used. Twelve children with neuromuscular dysfunction (mean age 6.0, SD 2.7 years) were included in the study, randomly assigned to an experimental or a control group. At study initiation the experimental group received a wheelchair with dynamic seating components that allows limited range of motion in the hip and knee, and the control group received a static setting wheelchair. Participants were evaluated for range of motion, muscle spasticity (Modified Ashworth Scale), motor function (Gross Motor Function Measure), and level of disability (Pediatric Evaluation of Disability Inventory) at study initiation, 3-months, and 6-months post intervention. Both groups improved in motor function over time, particularly in the categories of Sitting and Crawl/Kneel. Measures of disability improved in both groups for the categories of self-care, mobility, and social function. A larger, more homogeneous sample would likely show significant group differences in measures of muscle spasticity, gross motor function and disability.

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

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.

scholarly journals Effectiveness of Physiotherapy Applying Atlant Suit for Children with Cerebral Palsy

2020 ◽  
Vol 2 (11) ◽  
Author(s):  
Lina Varnienė ◽  
Lina Kazlauskaitė ◽  
Juozas Raistenskis ◽  
Laima Mikulėnaitė ◽  
Tomas Aukstikalnis ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Muscle Tone ◽  
Treatment Method ◽  
Control Group ◽  
Gross Motor ◽  
Lack Of Information ◽  
Children With Cerebral Palsy ◽  
Scale Range ◽  
And Control

Research background. One of the newest children’s cerebral palsy abilitation techniques are special neuro – orthopedic suits, which are used in physiotherapy procedures. “Atlant” suit rehabilitation has been introduced relatively recently, and it has not yet been extensively studied, especially in comparison with other methods. In Lithuania, this treatment method was introduced only a year ago. There is still lack of information about these suits effect on the motor skills of children with cerebral palsy. The aim of the research was to evaluate the effectiveness of physiotherapy using Atlanto suit for children with cerebral palsy. Methods. The research included 20 subjects, 14 boys and 6 girls. Participants were divided into two groups: experimental and control (10 children each). Participants were evaluated twice; at the beginning and at the end of rehabilitation. Points of evaluation included: • lower limb muscle tone (according to the modified Asworth scale); • range of joint motion (goniometry); • balance and gait (according Tinetti scale); • gross motor function (according to the gross motor measure scale – GMFM-88). Results. The study showed that the experimental group, where “Atlant” suit was used figures were statistically significantly higher (p < 0.05) assessing: evaluating the changes of muscle tone; changes of balance and gait and changes of gross motor functions, in comparison with the control group, which did not apply to neuro – orthopedic suit. Evaluated figures changes of joint range of motion for the experimental and control groups it was established that they did not differ statistically significant (p > 0.05). Conclusion. Physiotherapy combined with “Atlant” suit is more effective than conventional methods of physiotherapy treatment, improving children’s, suffering from cerebral palsy, general motor function, balance and gait and also muscle tone reduction.Keywords: children, cerebral palsy, “Atlant” suit.

scholarly journals EVENT-RELATED POTENTIALS IN CHILDREN WITH CEREBRAL PALSY

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.

scholarly journals NEUROTROPHINS-MARKERS REPARATIVE-DESTRUCTIVE PROCESSESIN CHILDREN WITH CEREBRAL PALSY

2015 ◽  
Vol 7 (1) ◽  
pp. 93-96 ◽  
Author(s):  
M G Sokolova
Keyword(s):  
Cerebral Palsy ◽  
Nerve Growth Factor ◽  
Growth Factor ◽  
Blood Serum ◽  
Neurotrophic Factor ◽  
Brain Derived Neurotrophic Factor ◽  
Control Group ◽  
Laboratory Examination ◽  
Nerve Growth ◽  
Children With Cerebral Palsy

The article provides results of complex clinical and laboratory examination of 66 children with cerebral palsy (CP). It was found that the level of nerve growth factor (NGF) and ciliary neurrotrophic factor (CNTF) in blood serum are authentically higher in children with CP and syndrome of localization related epilepsy, thus brain-derived neurotrophic factor (BDNF) have no significant differences from the results of control group.

scholarly journals Evaluation of the effectiveness of screening and monitoring program for early prevention of orthopedic complications in children with cerebral palsy

2020 ◽  
Vol 64 (6) ◽  
pp. 79-83
Author(s):  
V. A. Zmanovskaya ◽  
E. V. Kashuba ◽  
R. I. Valeev ◽  
O. Yu. Ezhov
Keyword(s):  
Cerebral Palsy ◽  
Monitoring Program ◽  
Motor Impairment ◽  
Hip Dislocation ◽  
Preventive Treatment ◽  
Medical Rehabilitation ◽  
Control Group ◽  
Surveillance Program ◽  
Children With Cerebral Palsy ◽  
Hip Luxation

Hip instability and following hip luxation and subluxations remain common and serious problem among children with cerebral palsy (CP). The hip luxation and subluxations can be avoided using timely monitoring and early preventive treatment. However, standard scheme for patients’ management in children with CP is not adopted so far in Russian Federation. In 2014 on the territory of Tyumen region the Europe surveillance program for children with CP (CPUP) was introduced.Research purpose. To analyze the effectiveness of the early orthopedic complications prevention program in children with CP. Material and methods. The study included children with CP of the «Child psychoneurological medical-rehabilitation center «Nadezhda» register born in 2010 and earlier (n=176), undergoing surveillance under the European Program (main group); the comparison group consisted of children with CP which were treated before the adoption of the program (n=642). Group comparability was achieved by selecting children with one level of motor impairment according to the GMFCS classification. The presence of expressed orthopedic complications was exposed at the value of Reimers Index (RI) above 40%, and the effectiveness of the program was determined by a reduction in the frequency of such RI.Results. It was found that overall incidence of hip dislocation in control group decreased by 70%: in children with GMFCS II by 100%, GMFCS III – by 78%, GMFCS IV – by 62% and GMFCS V – by 74%.Conclusion. Due to the introduction of the Europe surveillance program on the territory of Tyumen region there is a significant decrease in orthopedic complications incidence in children with CP.

scholarly journals Aerobic Responses to FES-Assisted and Volitional Cycling in Children with Cerebral Palsy

Sensors ◽  
2021 ◽  
Vol 21 (22) ◽  
pp. 7590
Author(s):  
Ashwini Sansare ◽  
Ann Tokay Harrington ◽  
Henry Wright ◽  
James Alesi ◽  
Ahad Behboodi ◽  
...  
Keyword(s):  
Heart Rate ◽  
Cerebral Palsy ◽  
Growth Curve Modeling ◽  
Latent Growth Curve Modeling ◽  
Latent Growth Curve ◽  
Control Group ◽  
Latent Growth ◽  
Peak Vo2 ◽  
Children With Cerebral Palsy ◽  
Curve Modeling

Recumbent stationary cycling is a potential exercise modality for individuals with cerebral palsy (CP) that lack the postural control needed for upright exercises. Functional electrical stimulation (FES) of lower extremity muscles can help such individuals reach the cycling intensities that are required for aerobic benefits. The aim of this study was to examine the effect of cycling with and without FES assistance to that of a no-intervention control group on the cardiorespiratory fitness of children with CP. Thirty-nine participants were randomized to a FES group that underwent an 8-week FES-assisted cycling program, the volitional group (VOL), who cycled without FES, or a no-intervention control group (CON) (15 FES, 11 VOL, 13 CON). Cadence, peak VO2, and net rise in heart rate were assessed at baseline, end of training, and washout (8-weeks after cessation of training). Latent growth curve modeling was used for analysis. The FES group showed significantly higher cycling cadences than the VOL and CON groups at POST and WO. There were no differences in improvements in the peak VO2 and peak net HR between groups. FES-assisted cycling may help children with CP attain higher cycling cadences and to retain these gains after training cessation. Higher training intensities may be necessary to obtain improvements in peak VO2 and heart rate.

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