scholarly journals Induced Contention Therapy and functional bandage in children with cerebral palsy: Case report

2020 ◽  
Vol 18 ◽  
pp. 1-9
Author(s):  
Priscila Oliveira Bortoli ◽  
Letícia Ramos Dutra ◽  
Rodrigo José Knabben ◽  
Claudia Mirian de Godoy Marques ◽  
Micheli Martinello
Keyword(s):  
Cerebral Palsy ◽  
Motor Skills ◽  
Upper Limb ◽  
Handgrip Strength ◽  
Hemiplegic Cerebral Palsy ◽  
Motor Activities ◽  
The Right ◽  
Positive Effect ◽  
Manual Activity

Background: The decrease in the manual activity of hemiparetic children, affects their functionality and independence. Among the therapies used to improve manual function, there is Induced Contention Therapy (ICT) and functional bandaging (FB). Such approaches aim to improve the use and decrease the disuse learned from the upper limb in subjects with hemiparesis. Objective: Identify the effect of ICT, associated with the application of functional bandaging on the affected upper limb, in the function of the upper limb and on the handgrip of a child with spastic hemiplegic cerebral palsy. Methods: A 5-year-old child received ICT for three hours daily for three consecutive weeks associated with FB in the right upper limb. The use of the upper limb was evaluated using the Pediatric Upper Extremity Motor Activity Log (PMAL) scale, the acquisition of new motor standards using the Inventory of New Motor Activities and Program (INMAP) scale, the motor skill by the Pediatric Arm Functional Test (PAFT) and the handgrip strength by the dynamometer. Results: There was an improvement in the quantity and quality of use of the paretic upper limb after the application of ICT, which remained after one month of therapy. In addition, it was observed the acquisition of new motor skills and improvement in handgrip strength. Conclusion: This study had a potential positive effect on handgrip strength, functionality and quality of use of the paretic upper limb of a child with spastic CP after the application of ICT associated with functional bandaging.

scholarly journals A randomized controlled trial to compare two methods of constraint-induced movement therapy to improve functional ability in the affected upper limb in pre-school children with hemiplegic cerebral palsy: CATCH TRIAL

2018 ◽  
Vol 32 (7) ◽  
pp. 909-918 ◽  
Author(s):  
Pauline M Christmas ◽  
Catherine Sackley ◽  
Max G Feltham ◽  
Carole Cummins
Keyword(s):  
Randomized Controlled Trial ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Controlled Trial ◽  
Movement Therapy ◽  
Randomized Controlled ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Hemiplegic Cerebral Palsy

Objective: To determine the feasibility and short-term efficacy of caregiver-directed constraint-induced movement therapy to improve upper limb function in young children with hemiplegic cerebral palsy. Design: Randomized controlled trial with masked assessment. Setting: Community paediatric therapy services. Subjects: Pre-school children with hemiplegic cerebral palsy. Interventions: Caregiver-directed constraint-induced movement therapy administered using either 24-hour short-arm restraint device (prolonged) or intermittent holding restraint during therapy (manual). Main measures: Primary measures include Assisting Hand Assessment (AHA) at 10 weeks. Secondary measures include adverse events, Quality of Upper Extremity Skills Test and Pediatric Quality of Life Inventory. Feasibility measures include recruitment, retention, data completeness and adherence. Results: About 62/81 (72%) of eligible patients in 16 centres were randomized (prolonged restraint n = 30; manual restraint n = 32) with 97% retention at 10 weeks. The mean change at 10 weeks on the AHA logit-based 0–100 unit was 9.0 (95% confidence interval (CI): 5.7, 12.4; P < 0.001) for prolonged restraint and 5.3 (95% CI: 1.3, 9.4; P = 0.01) for manual restraint with a mean group difference of 3.7 (95% CI: −1.5, 8.8; P = 0.156) (AHA smallest detectable difference = 5 units). No serious related adverse events were reported. There were no differences in secondary outcomes. More daily therapy was delivered with prolonged restraint (60 vs 30 minutes; P < 0.001). AHA data were complete at baseline and 10 weeks. Conclusion: Caregiver-directed constraint-induced movement therapy is feasible and associated with improvement in upper limb function at 10 weeks. More therapy was delivered with prolonged than with manual restraint, warranting further testing of this intervention in a longer term trial.

scholarly journals Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses

2021 ◽  
Vol 10 (7) ◽  
pp. 1478
Author(s):  
Alexandra Voinescu ◽  
Jie Sui ◽  
Danaë Stanton Fraser
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Brain Injury ◽  
Upper Limb ◽  
Umbrella Review ◽  
High Quality ◽  
Quality Of Evidence ◽  
Upper Limb Function ◽  
Meta Analyses

Neurological disorders are a leading cause of death and disability worldwide. Can virtual reality (VR) based intervention, a novel technology-driven change of paradigm in rehabilitation, reduce impairments, activity limitations, and participation restrictions? This question is directly addressed here for the first time using an umbrella review that assessed the effectiveness and quality of evidence of VR interventions in the physical and cognitive rehabilitation of patients with stroke, traumatic brain injury and cerebral palsy, identified factors that can enhance rehabilitation outcomes and addressed safety concerns. Forty-one meta-analyses were included. The data synthesis found mostly low- or very low-quality evidence that supports the effectiveness of VR interventions. Only a limited number of comparisons were rated as having moderate and high quality of evidence, but overall, results highlight potential benefits of VR for improving the ambulation function of children with cerebral palsy, mobility, balance, upper limb function, and body structure/function and activity of people with stroke, and upper limb function of people with acquired brain injury. Customization of VR systems is one important factor linked with improved outcomes. Most studies do not address safety concerns, as only nine reviews reported adverse effects. The results provide critical recommendations for the design and implementation of future VR programs, trials and systematic reviews, including the need for high quality randomized controlled trials to test principles and mechanisms, in primary studies and in meta-analyses, in order to formulate evidence-based guidelines for designing VR-based rehabilitation interventions.

scholarly journals Intensive reeducation of the upper limb program (PRIMS) for children with hemiplegic cerebral palsy

2011 ◽  
Vol 54 ◽  
pp. e202-e203
Author(s):  
C. Bonhomme ◽  
M.L. Buléon ◽  
M. Cassagne ◽  
C. Plouzennec ◽  
L. Vincent ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Hemiplegic Cerebral Palsy

Surgery of the Spastic Hand in Cerebral Palsy

1998 ◽  
Vol 23 (3) ◽  
pp. 334-339 ◽  
Author(s):  
L. B. DAHLIN ◽  
Y. KOMOTO-TUFVESSON ◽  
S. SÄLGEBACK
Keyword(s):  
Cerebral Palsy ◽  
Surgical Treatment ◽  
Upper Limb ◽  
The Other ◽  
Surgical Reconstruction ◽  
Range Of Movement ◽  
Striking Finding ◽  
Hemiplegic Cerebral Palsy

Thirty-six patients with hemiplegic cerebral palsy had surgical treatment for the upper limb and were followed up for 18 months postoperatively. Various operations were done. A striking finding was a significant improvement of stereognosis (ability to describe and recognize objects without vision). Most patients had improvement in different functional grasps following surgical reconstruction. Range of movement in the forearm and wrist also increased in most patients. The thumb-in-palm deformity was completely corrected in 31 of the patients and improved in the other five. Most patients had some or all of their expectations of the procedure fulfilled.

scholarly journals COMPARISON OF BASIC MAINTENANCE CONCEPTS USING WITNESS

2021 ◽  
Vol 2021 (6) ◽  
pp. 5435-5440
Author(s):  
VLADIMIRA SCHINDLEROVA ◽  
◽  
IVANA SAJDLEROVA ◽  
Keyword(s):  
21St Century ◽  
Simulation Software ◽  
Predictive Maintenance ◽  
Maintenance Management ◽  
Practical Application ◽  
Manufactured Products ◽  
The Right ◽  
Positive Effect ◽  
Production Facilities

Maintenance is a complex, extensive and important issue in terms of its impact on the quality of manufactured products or services provided in all areas of industry. The importance of predictive maintenance for the industry in the 21st century is crucial. However, the right approach to maintenance management is often underestimated in many companies today, although it can have a very positive effect on the company’s efficiency. Using the example of a practical application, the paper includes a comparison of three main maintenance concepts – classical (reactive), planned, predictive through the simulation software Witness. Maintenance concepts are compared in terms of their ability to solve and eliminate failures that occur in production facilities during operation.

Sign in / Sign up

Export Citation Format

Share Document