Electromyography before and after surgery for hip deformity in children with cerebral palsy. A comparison of clinical and electromyographic findings

1976 ◽  
Vol 58 (2) ◽  
pp. 201-208 ◽  
Author(s):  
J Perry ◽  
MM Hoffer ◽  
D Antonelli ◽  
J Plut ◽  
G Lewis ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Hip Deformity

scholarly journals Robot-Assisted Therapy Influence on Kinematic and EMG Activity in the Upper Limb for Children with Cerebral Palsy

2020 ◽  
Author(s):  
Sana Raouafi ◽  
Maxime Raison ◽  
Sofiane Achiche
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Upper Limb ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Robot Assisted ◽  
Function Index ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Inertial Measurements

Aim: To develop an index for quantitative assessment of the upper limb motor function in children with cerebral palsy before and after robot-assisted therapy. Method: An upper limb motor function index was developed using kinematic, surface electromyography and three-axis inertial measurements unit data collected from 15 children with cerebral palsy (CP) and 15 typically developed children. Children with CP underwent 18 robot-assisted therapy sessions with the REAplan device. All children were evaluated, using kinematic data from the REAplan, electromyography and three-axis inertial measurements unit readings from its accelerometer. A principal component analysis was conducted to produce an evaluation index, which is able to detect the deviation from the upper limb motor function of typically developing children group. Children with CP were evaluated twice before and after the intervention with Box and Blocks test and Finger-To-Nose test. The discriminative and concurrent validity of the upper limb motor function index were investigated. Results: The upper limb motor function index was higher in children with CP post therapy (p<0.001). Finger-To-Nose test values improved after robot-assisted therapy (p<0.03). A weak but positive correlation was observed between upper limb motor function index and clinical tests (r=0.012, p=0.95 and r=0.13, p= 0.54 for Box and Blocks test and Finger-To-Nose test respectively). Interpretation: The upper limb motor function index successfully differentiated between the typically developing children and children with CP and was effective in assessing the improvement of the upper limb motor function after robot-assisted therapy. The upper limb motor function index could be extended to assess and monitor rehabilitation therapies of other populations, such as those with stroke and Parkinson’s disease.

scholarly journals Promoting Communication and Socialisation in Music Therapy for Children with Cerebral Palsy

2021 ◽  
Author(s):  
◽  
Hong Ching Kho
Keyword(s):  
Cerebral Palsy ◽  
Music Therapy ◽  
Case Study Research ◽  
Programming System ◽  
Staff Members ◽  
Informal Interview ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Clinical Practice Setting

<p>This research was conducted as an exploratory case study as identified by Yin (2009) using primarily qualitative data gathered from a clinical practice setting with young children. The primary aim was to find out how music therapy could promote communication and socialisation for children with cerebral palsy at an Early Intervention Conductive Education Centre. This case study research involved two indepth cases of children diagnosed with Cerebral Palsy at different levels of severity at aged four to five years old. It documents individual music therapy sessions over a three month period. Assessments of the two children’s communication and socialisation skills were made using the Assessment, Evaluation, and Programming System for Infants and Children (AEPS) to provide a comparison before and after the intervention. Staff perceptions about the nature of the children’s communication and socialisation in music therapy were sought using a short and informal interview with two staff members at the Centre. These three data sources were triangulated in the analysis and the findings are discussed individually. Each child showed diverse observable improvement in communication and socialisation based on perspectives of staff members interviewed, on clinical notes and on the AEPS evaluations. It is hoped that this mixed methods study could lead towards a more specific quantitative inquiry in the future about the effectiveness of music therapy for children with cerebral palsy.</p>

DISCUSSION: BLADDER FUNCTION BEFORE AND AFTER SELECTIVE DORSAL RHIZOTOMY IN CHILDREN WITH CEREBRAL PALSY

1998 ◽  
Vol 160 (3 Part 2) ◽  
pp. 1092-1092
Author(s):  
A.M. HOULE ◽  
O. VERNET ◽  
R. JEDNAK ◽  
J.L. PIPPI SALLE ◽  
J.P. FARMER
Keyword(s):  
Cerebral Palsy ◽  
Bladder Function ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Children With Cerebral Palsy ◽  
Before And After

scholarly journals Usefulness of Magnetoinertial Wearable Devices in Neurorehabilitation of Children with Cerebral Palsy

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Marco Iosa ◽  
Manuela de Sanctis ◽  
Aurora Summa ◽  
Elena Bergamini ◽  
Daniela Morelli ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Ad Hoc ◽  
Proof Of Concept ◽  
Attenuation Coefficients ◽  
Gait Stability ◽  
Rehabilitation Programs ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Measurement Units

Background. Despite the increasing use of wearable magnetoinertial measurement units (MIMUs) for gait analysis, the efficacy of MIMU-based assessment for planning rehabilitation has not been adequately documented yet. Methods. The usefulness of a MIMU-based assessment was evaluated comparing the data acquired by three MIMUs located at the pelvis, sternum, and head levels in 12 children with cerebral palsy (CP, age: 2–9 years) and 12 age-matched children with typical development (TD). Gait stability was quantified in terms of acceleration attenuation coefficients from pelvis to head, pelvis to sternum, and sternum to head. Children with CP were randomly divided in two groups: in the first group (CPI), MIMU-based parameters were used by therapists for planning patient-tailored rehabilitation programs, whereas in the second group (CPB), therapists were blind to the MIMU-based assessment results. Both CPI and CPB were tested before and after the relevant neurorehabilitation program. Ad hoc questionnaires were also administered to therapists of the CPI group to assess the degree of usefulness perceived about the information provided by the MIMU-based assessment. Results. Significant differences were found between children with CP and those with TD for the acceleration attenuation coefficient from pelvis to head (p=0.048) and from pelvis to sternum (p=0.021). After neurorehabilitation, this last parameter increased more in CPI (35%) than in CPB (6%, p=0.017 for the interaction group per time). The results of the questionnaires showed that therapists agreed with the usability (100% judged it as “easy to use”) and usefulness of the MIMU-based assessment in defining patient-oriented interventions (87%). Conclusions. There is a large debate in literature about the efficacy of classical gait analysis that should be enlarged to new technological approaches, such as that based on MIMUs. This study is a first proof of concept about the efficacy of this approach for neurorehabilitation of children with CP.

The Use of Lycra Garments in Children with Cerebral Palsy: A Report of a Descriptive Clinical Trial

2003 ◽  
Vol 66 (2) ◽  
pp. 71-77 ◽  
Author(s):  
Virginia Knox
Keyword(s):  
Cerebral Palsy ◽  
Repeated Measures ◽  
Repeated Measures Design ◽  
Advantages And Disadvantages ◽  
Gross Motor Function Measure ◽  
Sustained Use ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Baseline Test

This study aimed to evaluate the effects of wearing Lycra garments in children with cerebral palsy. Eight participants, aged 3 years 5 months to 13 years (male = 4, female = 4) and with a diagnosis of cerebral palsy, were recruited. A repeated measures design was used, with participants tested with the Gross Motor Function Measure (GMFM) and the Quality of Upper Extremity Skills Test (QUEST) before and after intervention. Both parents and participants recorded the perceived advantages and disadvantages of the participant wearing the Lycra garment at the end of the trial. Each participant received a baseline test, was then provided with a Lycra garment and was re-tested once wear time was more than 4 hours per day. Four participants withdrew from the trial (discomfort from suit, n = 3; prescribed spinal jacket, n = 1). Of the remaining four participants, all showed an improvement in either GMFM or QUEST score and one showed improvement in both test scores. All but one of the eight participants recorded functional improvements when wearing their suit. In this population, the participants showed improvements in function when wearing a Lycra garment, but problems with discomfort remained a barrier for some children to their more sustained use.

Effects of repetitive intensive arm swing indirect gait training on vasti and hamstring muscle activity and gait performance in children with cerebral palsy

2020 ◽  
Vol 27 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Yon Ju Sim ◽  
Dong Ryul Lee ◽  
Chung Hwi Yi ◽  
Heon Seock Cynn
Keyword(s):  
Cerebral Palsy ◽  
Muscle Activity ◽  
Gait Training ◽  
Lower Limbs ◽  
Clinical Test ◽  
Arm Swing ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Training Programmes

Background/aims Both upper and lower limbs interact through neural coupling. Such interconnection leads to rhythmic interlimb coordination, which affects the central pattern generator for the lower limbs. The aim of this study was to investigate the effects of repetitive intensive arm swing indirect gait training on muscle activity and gait parameters in children with cerebral palsy. Methods A total of 9 children with cerebral palsy were recruited for 20 sessions of repetitive intensive arm swing indirect gait training. They were tested before and after completion of this training using surface electromyography, spatiotemporal gait parameters assessments and clinical tests. A paired t-test was used to investigate differences in participants' vasti and hamstring activity, spatiotemporal gait parameters, and clinical test results before and after the training. Results Participants' vasti muscle activity increased significantly after the repetitive intensive arm swing indirect gait training, but there was no significant change in their hamstring muscles. However, spatiotemporal gait parameters and clinical motor function improved significantly. Conclusions Repetitive intensive arm swing indirect gait training may be suitable as an effective exercise in gait training programmes for children with cerebral palsy.

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