scholarly journals Objective Signs of Foot Deformities in Children with Spastic Form of Cerebral Paralysis: Justification of Individual Approach to Footwear Support

2019 ◽  
Vol 25 (3) ◽  
pp. 90-99
Author(s):  
L. M. Smirnova ◽  
E. I. Dzhomardly ◽  
A. A. Koltsov
Keyword(s):  
General Education ◽  
Control Group ◽  
Instrumental Method ◽  
Foot Deformities ◽  
Gross Motor ◽  
Motor Functions ◽  
Individual Approach ◽  
Infantile Cerebral Paralysis ◽  
Cerebral Paralysis ◽  
Foot Anatomy

Relevance. Foot deformities are the most common locomotor pathology in children with infantile cerebral paralysis. At the same time many children suffering from this pathology wear standard shoes that do not take into account the individual foot anatomy. Purpose of the study — to justify the expedience of individual approach to orthopaedic support for children with infantile cerebral paralysis. Materials and methods. The authors examined 220 feet in 110 patients aging from 3 to 18 years: 62 patients with spastic form of infantile cerebral paralysis and 48 children who were examined during periodic screening at general education institutions (control group). Clinical examination methods, computerized plantography and podometry by flatbed foot scanning (ventrally, posteriorly, medially) in standing position were used in the present study. Results. Statistically significant variances (p*<0.005) were obtained for 8 indicators of foot deformity in three planes in children with infantile cerebral paralysis as compared to the norm, as well as differences between the groups of patients with varying degree of disorders in gross motor functions. The authors established pathological foot deformities in children with infantile cerebral paralysis; statistically significant variances in types and degrees of these disorders for patient groups with different levels of gross motor functions disorders; distinctiveness of foot deformities within each of the groups. Conclusion. Objectively instrumental method was used to identify the main components of foot deformities in patients with infantile cerebral paralysis with preservation and realization of walking capability: loss of height of longitudinal arches, midfoot pronation and hindfoot valgus, hallux valgus. Increased elevation of longitudinal arches (cavus foot), midfoot supination and hindfoot varus are rarer components of deformities occurring more often in patients with severer forms of the pathology. Strong variation in the spread of foot anatomy parameters observed within different groups of motor dysfunctions indicates the expediency of individual approach to footwear recommendations: standard, less or more complex orthopaedic shoes. Implementation of obtained data into the clinical practice requires additional series of biomechanical trials aimed at elaboration of criteria for recommendations and efficiency evaluation of various footwear types that take into account not only specifics of foot anatomy but also its statodynamic function as well as the level of gross motor functions of a particular patient. 

HLA complex antigens at infantile cerebral paralysis in Kazan population

2002 ◽  
Vol XXXIV (3-4) ◽  
pp. 21-23
Author(s):  
D. D. Gainetdinova ◽  
M. F. Ismagilov ◽  
I. A. Pakhalina
Keyword(s):  
Cerebral Palsy ◽  
Disease Association ◽  
Hla Typing ◽  
Control Group ◽  
Infantile Cerebral Palsy ◽  
Risk Criteria ◽  
Infantile Cerebral Paralysis ◽  
Study Results ◽  
Cerebral Paralysis ◽  
First Time

A complex clinico-instrumental and immunogenetic study has been performed in 34 patients with different forms of infantile cerebral palsy in Kazan population. HLA-typing has revealed a reliable disease association with antigen B13. The control group was made up of 115 healthy patients. For the first time a comparable risk criteria has been counted: if a patient has B13 antigen risk of infantile cerebral paralysis development increases by 3.55 times. Contribution of HLA-B13 associated gene into genesis of the disease makes up not less than 11,6%. The study results testify to heridatary mechanisms envolvement into etiopathogenesis of infantile cerebral paralysis and demand further study of genetic peculiarities of susceptibility genome to different harmful factors.

scholarly journals The Influence of Cryotherapy on the Lower Limb Spasticity for Children with Cerebral Palsy

2018 ◽  
Vol 2 (85) ◽  
Author(s):  
Saulė Sipavičenė ◽  
Antanas Damašauskas ◽  
Irina Klizienė ◽  
Gražina Krutulytė ◽  
Aiva Karpavičienė ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Lower Limb ◽  
Control Group ◽  
Gross Motor ◽  
Motor Functions ◽  
Physical Exercises ◽  
Children With Cerebral Palsy ◽  
Limb Spasticity ◽  
Lower Limb Spasticity

Research background and hypothesis. Cryotherapy could reduce spasticity for children with cerebral palsy.Research aim. The aim of this study was to determine the effect of cryotherapy on the lower limb spasticity for children with cerebral palsy.Research methods. Fourteen children with cerebral palsy spastic Diplegia aged 6–12 years were examined. The procedures of cryotherapy and physical therapy were applied to children in the test group (n = 7), and only physical therapy – for the members in the control group (n = 7). For all the subjects, the following procedures were performed before and after the research: foot extension measurements, the determination of the spasticity of flexors and selective foot motion, the estimation of balance and gross motor functions. Research  results.  After  physical  exercises  foot  extension  showed  improvement,  spasticity  of  foot  flexors reduced, foot selective movements, balance and gross motor functions improved. There was no statistical difference between the results in both groups.Discussion and conclusions. The influence of cryotherapy on the lower limb spasticity for children with cerebral palsy was not statistically significant.Keywords: spasticity, cryotherapy, physical exercises.

scholarly journals Music-Supported Training is More Efficient than Functional Motor Training for Recovery of Fine Motor Skills in Stroke Patients

2010 ◽  
Vol 27 (4) ◽  
pp. 271-280 ◽  
Author(s):  
Sabine Schneider ◽  
Thomas Müünte ◽  
Antoni Rodriguez-Fornells ◽  
Michael Sailer ◽  
Eckart Altenmüüller
Keyword(s):  
Motor Function ◽  
Motor Skills ◽  
Equal Treatment ◽  
Control Group ◽  
Motor Training ◽  
Stroke Patients ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Skills ◽  
Conventional Physiotherapy

MOTOR IMPAIRMENTS ARE COMMON AFTER STROKE but efficacious therapies for these dysfunctions are scarce. Extending an earlier study on the effects of music-supported training (MST), behavioral indices of motor function were obtained before and after a series of training sessions to assess whether this new treatment leads to improved motor functions. Furthermore, music-supported training was contrasted to functional motor training according to the principles of constraint-induced therapy (CIT). In addition to conventional physiotherapy, 32 stroke patients with moderately impaired motor function and no previous musical experience received 15 sessions of MST over a period of three weeks, using a manualized, step-bystep approach. A control group consisting of 15 patients received 15 sessions of CIT in addition to conventional physiotherapy. A third group of 30 patients received exclusively conventional physiotherapy and served as a control group for the other three groups. Fine as well as gross motor skills were trained by using either a MIDI-piano or electronic drum pads programmed to emit piano tones. Motor functions were assessed by an extensive test battery. MST yielded significant improvement in fine as well as gross motor skills with respect to speed, precision, and smoothness of movements. These improvements were greater than after CIT or conventional physiotherapy. In conclusion, with equal treatment intensity, MST leads to more pronounced improvements of motor functions after stroke than CIT.

scholarly journals Motor learning-based activities may improve functional ability in adults with severe cerebral palsy: A controlled pilot study

2021 ◽  
pp. 1-11
Author(s):  
Helle Hüche Larsen ◽  
Rasmus Feld Frisk ◽  
Maria Willerslev-Olsen ◽  
Jens Bo Nielsen
Keyword(s):  
Cerebral Palsy ◽  
Motor Learning ◽  
Motor Function ◽  
Functional Ability ◽  
Active Group ◽  
Control Group ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Learning Principles

BACKGROUND: Cerebral palsy (CP) is a neurodevelopmental disturbance characterized by impaired control of movement. Function often decreases and 15% of adults are classified as severely affected (Gross Motor Function Classification Scale III-V). Little is known about interventions that aim to improve functional abilities in this population. OBJECTIVE: To evaluate a 12-week intervention based on motor learning principles on functional ability in adults with severe CP. METHODS: 16 adults (36±10 years, GMFCS III-V) were enrolled and divided into an intervention group (Active group) and a standard care group (Control group). Primary outcome measure was Gross Motor Function Measure (GMFM-88). Secondary measures were neurological status. The Active group were measured at baseline, after the intervention and at one-month follow-up. The Control group were measured at baseline and after one month. RESULTS: Analysis showed statistically significant improvement in GMFM-88 for the Active group from baseline to post assessment compared with the Control group (group difference: 5 points, SE 14.5, p = 0.008, CI: 1.2 to 8.7). Improvements were maintained at follow-up. Results from the neurological screening showed no clear tendencies. CONCLUSIONS: The study provides support that activities based on motor learning principles may improve gross motor function in adults with severe CP.

scholarly journals The Influence of the Physiotherapeutic Program on Selected Static and Dynamic Foot Indicators and the Balance of Elderly Women Depending on the Ground Stability

2021 ◽  
Vol 18 (9) ◽  
pp. 4660
Author(s):  
Joanna Matla ◽  
Katarzyna Filar-Mierzwa ◽  
Anna Ścisłowska-Czarnecka ◽  
Agnieszka Jankowicz-Szymańska ◽  
Aneta Bac
Keyword(s):  
Elderly Women ◽  
Statistical Significance ◽  
Exercise Program ◽  
Control Group ◽  
Balance Assessment ◽  
Motor Functions ◽  
Static Test ◽  
Group A ◽  
Group B ◽  
The Impact

Seniors are a constantly growing group of people in many societies. It is necessary to develop physiotherapeutic programs to improve their mobility. The aim of this study was to assess the impact of the physiotherapeutic program conducted unstable ground on selected indicators of motor functions of elderly women. Sixty women (60–80 years) participated in the research. Group A (N = 20) underwent a 12-week physiotherapeutic program on stable ground, group B (N = 20) followed an exercise program on unstable ground, and group C (N = 20) (control group) had no therapeutic intervention. The effects of the therapy were assessed by using a FreeMed platform (foot load analysis) and a Biosway balance system. The results were compared using ANOVA (the one-way analysis), the Kruskal–Wallis test and also the post hoc tests (Tukey’s test and the multiple comparison test). In group A, a statistically significant change was observed in the static test and balance assessment, in group B this was observed in the static and dynamic foot tests and balance assessment, in group C, no statistical significance was achieved. The authors’ physiotherapeutic program had a statistically significant effect on changes in the balance and selected indicators of the motor functions of the examined people. Comparing the results before and after the therapy more improvement changes were noted in women training on an unstable ground compared to women training on a stable ground.

scholarly journals Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
L. Žalienė ◽  
D. Mockevičienė ◽  
B. Kreivinienė ◽  
A. Razbadauskas ◽  
Ž. Kleiva ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Long Term Effects ◽  
Short Term ◽  
Gross Motor ◽  
Motor Functions ◽  
Gross Motor Skills ◽  
Gross Motor Function ◽  
Group I

Aim. To evaluate the effects of riding for beginners (short-term) and advanced (long-term) riders with cerebral palsy on their whole mobility. The study involved 15 subjects (two girls and eleven boys). The subjects were aged from 3 to 19 years (8.73 years ± 5.85). All of the subjects had been diagnosed with a spastic form of cerebral palsy. The duration of the participation differed as follows: the advanced subjects had been riding for 1-4 years (2.66 years ± 1.16), while the beginners have been riding for two weeks (10 sessions). Group I (advanced riders) consisted of eight subjects (7 boys and 1 girl) who had therapy sessions regularly once a week and differed only in terms of the duration of their participation in the experiment. Group II (beginners) consisted of seven children (1 girl and 6 boys) who participated in only 10 riding sessions. All of the subjects were assessed according to the Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System for CP (GMFCS) both before the investigation and after it. Conclusions. Ten riding lessons did not have an influence on the beginner riders with cerebral palsy gross motor functions and their gross motor function level did not change. However, in half of the advanced riders with cerebral palsy, the gross motor functions significantly improved. Meanwhile, the level of the performance of the gross motor skills in the four advanced riders increased, but this difference was not statistically significant.

scholarly journals THE IMPORTANCE OF EDUCATION TO REDUCE SELF-DESTRUCTIVE NAIL HABITS

2021 ◽  
Vol 4 ◽  
pp. 491-499
Author(s):  
Ilze Upeniece ◽  
Monta Beltiņa
Keyword(s):  
Clinical Practice ◽  
General Education ◽  
Statistical Significance ◽  
Target Population ◽  
Control Group ◽  
Age Related ◽  
Nail Changes ◽  
Group 2 ◽  
And Control ◽  
Traumatic Damage

Onychophagia and onychotillomania are rarely seen in clinical practice and are considered undervalued. The study aims were to determine the prevalence of onychophagia and onychotillomania habit in the patient group with hand nail damage and control group, to determine which would be the target population to educate. Patients were interviewed about self-destructive habits. Excel and SPSS were used for data analysis. In the nail damage group, 28.6% of the respondents showed self-destructive habits and past habits – 31.4%. In the control group, the result was 22.9% and 31.4%. For 74.3% of patients the cause of nail damage was skin disease (including 61.54% of respondents with nail damage who have psoriasis), for 5.7% it was age-related nail changes, for 20% traumatic damage and for 57.14% of them it was a result of self-destructive habit. In the nail damage group both – present and past self-destructive habits are higher than in the control group, but it has no statistical significance (p=0.785). 1)The prevalence of onychophagia and onychotillomania does not differ between patients and control group. 2)General education of the population is necessary to actualize this problem, which can worsen nail changes.

scholarly journals EVALUATION OF EFFECTIVENESS OF PSYCHOACTIVE SUBSTANCE ABUSE PREVENTION PROGRAM “MY WAY”: TRANSFORMATIONS IN THE 9TH-12TH GRADES PUPILS’ PERCEPTIONS ABOUT PSYCHOACTIVE SUBSTANCE USE

2019 ◽  
Vol 17 (0) ◽  
pp. 21-35
Author(s):  
Sandra Valantiejienė ◽  
Regina Saveljeva
Keyword(s):  
Substance Abuse ◽  
General Education ◽  
Prevention Program ◽  
Science Studies ◽  
Prevention Programs ◽  
Control Group ◽  
Abuse Prevention ◽  
Psychoactive Substance ◽  
Psychoactive Substances ◽  
Quasi Experiment

Purpose – The purpose of the article is to describe the transformations in the perceptions of the consequences of the use of psychoactive substances between 9-12’th grades pupils in the context of the implementation of the psychoactive substances abuse prevention program “My Way”. Research methodology – the authors performed a quasi-experiment and according to the methodological requirements related to the use of such scientific method in the educology studies, used an unequal control group and the primary/initial (pre-test) as well as final (post-test) measurements to achieve the aim of the research/article. Findings – the data of the quasi-experiment research showed that as the whole after intervention the pupil’s perceptions about the use of psychoactive substances in the experimental group has changed; the pupils who were assigned to the control group assessed the effects of the use of psychoactive substances better than those who were assigned to the control group. Research limitations – during the implementation of the program and the experiment, the activities related to the quasi-experiment were held only by social pedagogues in certain selected schools and classes (considering various factors such as the behaviour of children or their attributability to the families at social risk). Accordingly, in the next similar studies, children can be sampled evenly, without differentiating them based on their behavioural problems. Practical implications – the results of the research could be used in practice in the following ways: (i) by motivating the schools of general education in the Republic of Lithuania to choose prevention programs as the purposeful and meaningful instrument to develop healthy life skills; (ii) to develop and expand the range of new prevention programs based on the experience of the program “My Way” which is presented and evaluated in this article. Originality/Value – there are no similar previous educological and other educational science studies (in Lithuania) how the pupils’ attitudes change during the pre-planned and systematically implemented preventive activities in general education schools; the article presents and outlines the experience and practice of the first such Lithuanian program for the prevention of psychoactive substance abuse (“My Way”).

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