scholarly journals Dental characteristics of children with cerebral palsy

2004 ◽  
Vol 132 (7-8) ◽  
pp. 214-218 ◽  
Author(s):  
Radoje Stevanovic ◽  
Olivera Jovicic
Keyword(s):  
Cerebral Palsy ◽  
Dental Care ◽  
Dental Health ◽  
Lower Percentage ◽  
Control Group ◽  
Healthy Children ◽  
Protective Measures ◽  
Children With Cerebral Palsy ◽  
Untreated Caries ◽  
Dental Diseases

Cerebral palsy is one of the commonest children's physical handicaps with frequency of 1.5-3/1000. Beside many other disturbances, these children may have serious disorders caused by dental diseases. Concerning this fact, the objective of our study was to examine children with cerebral palsy in our country and determine condition of dental health and suggest adequate protective measures. A total of 116 children, 3-18 years old, with cerebral palsy were examined and the results were compared to the control group of healthy children of the same age. Among healthy children, 7-10 years old, 66.3% had healthy parodontium, while none of children with cerebral palsy had healthy parodontium. Children, 11-14 years old with cerebral palsy had higher percentage of untreated caries, but lower percentage of filled teeth (18.7%) compared to healthy children (55.0%). Children, 15-18 years old with cerebral palsy had significantly higher percentage of extracted teeth (10.6%) than healthy children (4.1%) and more often orthodontic anomalies (70.6%), compared to healthy children (46.9%). Results of these study indicate that children with cerebral palsy need special and planned dental care.

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 Dependence Of Protein-Energy Insufficiency On The Degree Of Motor Disorders In Infantile Cerebral Palsy

2020 ◽  
Vol 02 (11) ◽  
pp. 32-41
Author(s):  
Mavlyanova Zilola Farhadovna ◽  
◽  
Velilyaeva Aliye Sabrievna ◽  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Control Group ◽  
Motor Disorders ◽  
Healthy Children ◽  
Chi Square ◽  
Feeding Difficulties ◽  
Protein Energy ◽  
Children With Cerebral Palsy ◽  
The Impact

Purpose of research. To assess the impact of the severity of motor disorders in children with cerebral palsy on nutritional status. Materials and methods of research. The study included 102 children with cerebral palsy aged 2 to 17 years, 60 boys (58.8%) and 42 girls (41.2%). The average age of the children was 7.23 ± 4.9 years. Patients were ranked by age group in accordance with the age classification of the GMFCS scale. All children underwent a comprehensive clinical and neurological examination, nutritional status assessment, and anthropometry (measurement of shoulder circumference and plicometry). During anthropometry, the control group included 30 healthy children with an average age of 7.7±4.2 years. Results. It was found that with an increase in the severity of motor disorders, the number of children with protein-energy deficiency increases from 50% at level I to 100% at level V on the GMFCS scale (the significance of differences in Pearson's Chi-square was confirmed statistically: 9.32, p = 0.002069). At the same time, a severe degree of protein-energy insufficiency was observed mainly in double hemiplegia (amounting to 40.9%). Prognostically, cerebral palsy was the most favorable type of spastic hemiparesis and spastic diplegia, with a predominance of protein-energy insufficiency of a mild degree, amounting to 45.8% and 60%, respectively. In 71.6% of cases (n=73), children with cerebral palsy were diagnosed with oral-motor dysfunction of varying severity, problems with food consumption and, as a result, a noticeable lag in anabolic processes. Statistically significant differences were found in the frequency of feeding difficulties in children with levels I and V of motor abilities (Pearson's Chi-square: 20.12, p = 0.000005).

Multi-modal (visual, acoustic, cognitive) evoked potentials in children with cerebral palsy

2020 ◽  
pp. 52-55
Author(s):  
V. V. Dulnev ◽  
Т. A. Slyusar
Keyword(s):  
Cerebral Palsy ◽  
Evoked Potentials ◽  
Sensory Processing ◽  
Motor Deficit ◽  
Control Group ◽  
Healthy Children ◽  
Sensory Abnormalities ◽  
Children With Cerebral Palsy ◽  
Course Control ◽  
Experimental Group

The objective. To assess and compare the multi-modal evoked potentials (EP) (flash visual [fVEP], brainstem acoustic [BAEP] and cognitive evoked responses [CER]) parameters in children with cerebral palsy (CP) and healthy ones.Materials and methods. There are 100 children aged 3–17 years were examined. Experimental group included 55 children with CP, diagnosed according to International cerebral palsy criteria (P. Rosenbaum et al., 2006), and mild motor deficit (levels I–II of Gross Motor Function Classification Scale), undergoing rehabilitation course. Control group was presented by 45 healthy children aged 3–17 years with no neurological signs. Registration of the fVEP, BAEP and CER and their comparative analysis with non-parametric tests was performed. Neurophysiological recording performed on EMG-VP4 system (MBN Scientific Company, Moscow, Russia).Results. Slowing of maturation and significant delaying of main EP components were observed in experimental group.Conclusion. Findings in this investigation indicate the retardation of cortical sensory processing in children with CP. Analyzing multi-modal EP may be helpful in early detecting sensory abnormalities as complications of CP.

scholarly journals Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study

2017 ◽  
Vol 7 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Nabila Ahmed Sedky
Keyword(s):  
Cerebral Palsy ◽  
Health Status ◽  
Dental Caries ◽  
Oral Hygiene ◽  
Dental Health ◽  
Predictor Variable ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
Children With Cerebral Palsy ◽  
Dental Health Status

ABSTRACT Objectives Evaluating oral and dental health status in Egyptian children with cerebral palsy (CP) in relation to gross motor skills and types of CP. Materials and methods Cross-sectional study was conducted at el-Shatby Hospital for Children, Alexandria, Egypt. Oral examination for 62 children with CP between the age range 3 and 12 years was performed, and decayed, missing, and filled permanent teeth (DMFT)/decayed and filled primary teeth (dft), simplified oral hygiene index (OHI-S), and modified gingival index (MGI) were charted. Maxillofacial defects, dental problems, and drooling of saliva were assessed. Children's CP type, motor milestone, and gross motor skills were determined. All statistical analyses were carried out at p<0.05 and 0.01. Results About 84.0% of children had spastic quadriplegia, 41.9% were sit-supported, 32.3% had level IV Gross Motor Function Classification System (GMFCS), 29.0% had level V no maxillofacial defects, 14.5% had dentin exposure greater than one-third of the surface, and 22.6% had frequent/severe drooling saliva. Caries prevalence comprised 54.8%, 53.2% had poor oral hygiene (OHI-S), and 43.6% had severe gingival inflammation (MGI). The first best predictor variable for dft was “motor milestone” The GMFCS (levels IV and V) was the first best predictor variable for DMFT, OHI-S, and MGI. Conclusion The majority of children had dental caries, poor oral hygiene, and severe gingival inflammation. Children who were sit-supported, had no neck support, and stand-supported were suffering from dental caries (dft) more than children who were sitting and walking alone. Children with levels IV/V GMFCS were prone to have dental caries (DMFT), susceptible to suffer from bad oral hygiene, and older children experiencing severe gingivitis more than younger ones. How to cite this article Sedky NA. Assessment of Oral and Dental Health Status in Children with Cerebral Palsy: An Exploratory Study. J Contemp Dent 2017;7(1):1-11.

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 Effect of child's cerebral palsy on the mother: a case control study in Ahvaz, Iran

2014 ◽  
Vol 31 (1) ◽  
pp. 75-79
Author(s):  
Samira Borzoo ◽  
Mansoureh Nickbakht ◽  
Mehrdad Jalalian
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Speech Therapy ◽  
Short Form ◽  
Healthy Children ◽  
Medical Sciences ◽  
Normal Children ◽  
Sf 36 ◽  
Children With Cerebral Palsy

SUMMARY Quality of life (QOL) in families can be affected when a child has cerebral palsy (CP). The aim of this research was to determine the effect of a child’s disability on the mother’s quality of life by comparing mothers of children with CP and mothers of normal children. Two sample groups were chosen from a total of 42 mothers to answer a short-form health survey (SF-36) questionnaire. The first group included 21 mothers of children with cerebral palsy who were referred to the speech therapy clinic of Jundishapur University of Medical Sciences in Ahvaz. The second group consisted of 21 mothers of normal children living in Ahvaz. T-tests by SPSS were used for statistical analysis. There were significant differences in all domains of QOL between mothers of healthy children and mothers of children with cerebral palsy (p=0.001). This research found that the quality of life of mothers of children with CP was significantly different compared to mothers of healthy children. Therefore, appropriate planning is necessary to improve their quality of life in different domains.

scholarly journals CLINICAL AND PSYCHOLOGICAL SUPPORT FOR PRESCHOOL CHILDREN WITH CEREBRAL PALSY

2020 ◽  
pp. 204-220
Author(s):  
Olga S. Kovshova ◽  
Tatiana I. Kireeva
Keyword(s):  
Cerebral Palsy ◽  
Preschool Children ◽  
Emotional Disorders ◽  
Psychological Support ◽  
Social Adaptation ◽  
Cognitive Behavioral ◽  
Healthy Children ◽  
Parent Relationships ◽  
Children With Cerebral Palsy ◽  
Parent Child

Relevance. Timely comprehensive diagnostics of psycho-social factors involved in the formation of cerebral palsy in children, their influence on the formation of child-parent relationships is relevant and practically significant. Inharmonious upbringing, emotional disorders and personal characteristics of the parent can affect the child’s mental development, contribute to violations of psycho-social adaptation. Objective of the study: to reveal the psychological characteristics of children with cerebral palsy and those of their mothers, to determine the characteristics of upbringing and parent-child relationships, to conduct clinical and psychological support of children with this disabling disease and their parents with elements of cognitive-behavioral correction of the identified disorders. Methods of research. Clinical conversation and experimental psychological method including: “Assembling Figures” method according to the 4th Wechsler subtest; method of drawing associations by S. Rosenzweig (children’s version) modified by N.V. Tarabrina(1978); René Gilles method, 1950; test “SMOL” ( V.P. Zaitsev, 1981); “PARI” method by E.S. Schaefer and R.K. Bell, adapted by T. V. Neshcheret (1984). Methods of statistical analysis were used as well. The sample consisted of: Group1 (n1) — 37 pre-school children with cerebral palsy aged 5–6 years (17 girls and 20 boys) and their mothers in the MCU of Samara RC “Zhuravushka”; Group 2 (n2) — 37 conditionally healthy children of the same age and gender in the SBU SAMARA city children’s polyclinic No. 9. Research results. It was found that in children with cerebral palsy, emotional response in a situation of frustration is accompanied by high self-accusatory reactions, low socio-psychological adaptation and low self-esteem. Child-parent relationships are in the suboptimal emotional range. An effective program of clinical and psychological cognitive-behavioral psychological correction of emotional and behavioral cerebral palsy disorders in the parent-child group was carried out. Conclusions. Psychosocial factors affecting the adaptation processes of preschool children with cerebral palsy were identified. Families with children with chronic disabling diseases such as cerebral palsy, need to organize training and education, including psycho-corrective and correction-developmental classes.

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