scholarly journals The difference between the pain self-perceptions of children with cerebral palsy and those of their caregivers

2020 ◽  
pp. 89-89
Author(s):  
Rastislava Krasnik ◽  
Jelena Zvekic-Svorcan ◽  
Cila Demesi-Drljan ◽  
Lidija Dimitrijevic ◽  
Nensi Lalic ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Musculoskeletal Pain ◽  
Pain Perception ◽  
Youth Health ◽  
Motor Disability ◽  
Self Perceptions ◽  
Children With Cerebral Palsy ◽  
Vas Scores ◽  
The Difference ◽  
Caregiver Rating

Introduction/Objective. Pain is often an under-recognized entity in children with cerebral palsy. The aim of this study was to determine whether there are differences in pain self-perception between children with cerebral palsy and their caregivers. Methods. This retrospective study included 70 children with cerebral palsy and 70 of their caregivers, treated at the Institute of Child and Youth Health Care of Vojvodina, Serbia. Pain intensity ratings on the Visual Analog Scale (VAS) provided by children and/or their caregivers were analyzed. Results. The research involved 70 children with cerebral palsy and the same number of their caregivers. While only 43 (61.4%) of these children were testable, all 70 caregivers participated. Pain was reported by 19 (44.2%) children and 42 (60%) caregivers, while 17 (39.5%) children suffered from musculoskeletal pain, which was noted by 39 (55.7%) caregivers. Average caregiver rating for musculoskeletal pain for children at Level V, I and III on the Gross Motor Function Classification System (GMFCS) was 6.20 ? 2.10, 2.67 ? 2.18, and 2.50 ? 2, respectively. Average self- and caregiver-reported VAS rating for headache/stomachache was 2.73 ? 1.86 and 2.35 ? 1.49, respectively (p > 0.05). Statistically significant differences were noted in the musculoskeletal pain VAS scores provided by the caregivers for children at different GMFCS levels (p < 0.01). Conclusion: Although no differences in pain perception between children with cerebral palsy and their caregivers have been established, in children with the most severe level of motor disability, caregivers report a statistically higher level of musculoskeletal pain.

scholarly journals DIFFERENCES INFLUENCE OF AQUATIC THERAPY AND NEURO DEVELOPMENTAL TREATMENT ON THE MOTOR FUNCTIONAL DEVELOPMENT ABILITY OF CHILDREN WITH CEREBRAL PALSY

2020 ◽  
Vol 2 (2) ◽  
pp. 165-171
Author(s):  
Bambang Trisnowiyanto ◽  
M Mudatsir Syatibi
Keyword(s):  
Cerebral Palsy ◽  
Aquatic Therapy ◽  
Motor Disability ◽  
Functional Activities ◽  
Functional Development ◽  
Special Service ◽  
Children With Cerebral Palsy ◽  
Quasi Experimental ◽  
The Difference ◽  
Test Use

Cerebral Palsy (CP) is a motor disability disorder that most commonly occurs in children so that sufferers are unable to perform functional activities independently and need special service. Aquatic therapy and neuro developmental are interventions of physical therapy to help improve the motor functional development ability. The purpose of research is to find out the difference between aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy. The type of research is quasi-experimental research with a pretest and posttest design. The subject of the research is the cerebral palsy community in Yogyakarta, namely Wahana Keluarga Cerebral Palsy (WKCP). The mann-whitney test use to test the hypothesis statistically.The results are difference in influence from aquatic therapy and neuro developmental treatment on the motor functional development ability of children with cerebral palsy, especially in the dimension of sitting, crawling and kneeling, standing, walking, running and jumping, and not for dimension of supine and prone. The conclusion is aquatic exercise is more influential on the motor functional development ability of children with cerebral palsy compared to neuro developmental treatment.

scholarly journals Cerebral Palsy: Enhancing Movement Opportunity with Help from the Care Team

2020 ◽  
Vol 9 (4) ◽  
pp. 27-30
Author(s):  
Carrah Nelson ◽  
Kirsten Fuchs ◽  
Lacie W Pennington ◽  
Colin G Pennington
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Physical Health ◽  
Cognitive Skills ◽  
Physical Therapist ◽  
Care Team ◽  
Physical Educators ◽  
Motor Disability ◽  
Children With Cerebral Palsy

Cerebral palsy is the most common motor disability in childhood. Cerebral palsy can significantly impact the amount of physical activity and individual obtains, and the scope and quality of the physical activity may be limited by cerebral palsy. High-quality physical education can integrate children with cerebral palsy into movement programing, as to enable children with cerebral palsy to achieve goals related to cognitive skills associated with exploring physical health, maintaining physical health, as well as affective values towards physical health, movement, play, and general wellbeing. This article provides a basic overview of the physical characteristics of cerebral palsy, as well as outlines ways the child’s educational care-team can work with physical educators and physical therapist to enhance movement skills and health behavior.

scholarly journals A PROSPECTIVE EVALUATION OF ORTHOTIC DEVICE IMPLICATION ON THE LOWER LIMB IN CHILDREN WITH CEREBRAL PALSY

2021 ◽  
Vol 11 (1) ◽  
pp. 12-16
Author(s):  
Akshay Kumar ◽  
◽  
Vinita N/A ◽  
Keyword(s):  
Cerebral Palsy ◽  
Lower Limb ◽  
Financial Burden ◽  
Gait Pattern ◽  
Orthotic Devices ◽  
Motor Disability ◽  
Children With Cerebral Palsy ◽  
The Relationship

CP is the foremost cause of motor disability in children and affects two to five children in 1000 live births worldwide. It is been recognized as a global concern medically, socially, and economically due to the increasing financial burden to the states. About half of the children with cerebral palsy suffer a range of motion difficulties. The study aims to understand the role of orthotic devices and its efficacy in the treatment of the patient with cerebral palsy and gait improvement. An online database of Pubmed, Science Direct, Google Scholar, etc. searched to find the articles with the keywords, cerebral palsy, orthotic devices, orthosis, lower limb, and results were synthesized and narrated to explore the effectiveness of the devices on the gait pattern and quality of life of a patient with cerebral palsy. The database search was done without the barrier of dates and regions. Orthoses applied externally appear to be supported and had a diverse effect on gait depending on the type of orthosis. However, the relationship between gait pattern and AFOs and ankle properties is yet to be established. Additional research in this area is needed to complement the development of passive and active AFOs to provide larger improvements in walking capabilities.

scholarly journals Analysis of the Rehabilitation Effect of Modern Rehabilitation Concept Combined with Acupuncture and Massage on Infantile Cerebral Palsy

2020 ◽  
Vol 185 ◽  
pp. 03016
Author(s):  
Xiaosu Jie ◽  
Haijun Shan ◽  
Yujin Hou ◽  
Hua Shi ◽  
Yuanjun Lou ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Research Work ◽  
Intervention Group ◽  
Effective Rate ◽  
Control Group ◽  
Adverse Conditions ◽  
Children With Cerebral Palsy ◽  
Rehabilitation Concepts ◽  
The Difference ◽  
Experimental Group

Objective: To explore the effect of combining modern rehabilitation concepts with acupuncture and massage therapy on the rehabilitation of children with cerebral palsy. Methods: Research work was carried out in our hospital. The work was carried out from September 2018 to September 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy. The 100 patients with cerebral palsy were divided into two groups：the control group who was given modern rehabilitation concept intervention, and the intervention group who was given modern rehabilitation concept combined with acupuncture and massage. The recovery condition of the two groups of cerebral palsy children was compared and analyzed. Results: There were 5 patients in the treatment group who were ineffective, the effective rate was 90.00%, and 11 people in the control group were ineffective, the effective rate was 78.00% which has existential meaning. The incidence of sequelae of the children in the experimental group was 14.00%, and the incidence of sequelae of the children in the control group was 32.00%. In contrast, the incidence of the experimental group was low and the effect was good. The difference in data was significant (P <0.05). Conclusion: The combination of modern rehabilitation concepts and TCM acupuncture and massage intervention methods in children with cerebral palsy has a significant effect, which can improve the child ’s adverse conditions, promote the child ’s recovery, and improve the child ’s motor function, it can be promoted.

The use of artificial neural networks to predict the muscle behavior

2013 ◽  
Vol 3 (3) ◽  
Author(s):  
Patrik Kutilek ◽  
Slavka Viteckova ◽  
Zdenĕk Svoboda ◽  
Pavel Smrcka
Keyword(s):  
Neural Networks ◽  
Cerebral Palsy ◽  
Artificial Neural Networks ◽  
Human Gait ◽  
Healthy Children ◽  
Children With Cerebral Palsy ◽  
Time Dependencies ◽  
Artificial Neural ◽  
The Difference ◽  
Force Time

AbstractThe aim of this article is to introduce methods of prediction of muscle behavior of the lower extremities based on artificial neural networks, which can be used for medical purposes. Our work focuses on predicting muscletendon forces and moments during human gait with the use of angle-time diagram. A group of healthy children and children with cerebral palsy were measured using a Vicon MoCap system. The kinematic data was recorded and the OpenSim software system was used to identify the joint angles, muscle-tendon forces and joint muscle moment, which are presented graphically with time diagrams. The musculus gastrocnemius medialis that is often studied in the context of cerebral palsy have been chosen to study the method of prediction. The diagrams of mean muscle-tendon force and mean moment are plotted and the data about the force-time and moment-time dependencies are used for training neural networks. The new way of prediction of muscle-tendon forces and moments based on neural networks was tested. Neural networks predicted the muscle forces and moments of healthy children and children with cerebral palsy. The designed method of prediction by neural networks could help to identify the difference between muscle behavior of healthy subjects and diseased subjects.

scholarly journals The Paley ilioischial limb modification of the Dega osteotomy

2020 ◽  
Vol 3 (4) ◽  
pp. e000143
Author(s):  
Noam Bor ◽  
Eytan Dujovny ◽  
Nimrod Rozen ◽  
Guy Rubin
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
San Diego ◽  
Related Literature ◽  
Triradiate Cartilage ◽  
Hinge Point ◽  
Radiological Indices ◽  
Children With Cerebral Palsy ◽  
Osteotomy Technique ◽  
The Difference

BackgroundWe aim to describe a modified Dega osteotomy technique in detail, emphasizing its eventual advantages in comparison to the original Dega osteotomy and ‘San Diego’ modification. We also present our related literature review on various osteotomy techniques.MethodsWe reviewed the radiological indices of 27 dysplastic hips in 25 children with cerebral palsy and developmental dislocation of the hips (9 boys, 16 girls; mean age, 5 years) who underwent a modified Dega osteotomy according to Paley.ResultsComparing the radiological indices results between our patients and those reported by the various authors in the literature, the data are almost identical.ConclusionsThe modified Dega osteotomy is the only technique wherein all two limbs of the triradiate cartilage are true, which becomes a single hinge where the osteotomy turns. Despite the similar results in the radiological indices between our patients and those in the literature, we still consider that the entire triradiate cartilage is a better hinge point for the iliac osteotomy. The difference between the osteotomy adopted in our institution and the modality described by most authors in the literature is that the latter mostly ignore or miss the ischial limb of the triradiate cartilage.

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