Thermovision techniques for evaluation of the effect of hippotherapy on changes in lower limb temperature in children with cerebral palsy (CP) – a pilot study

Physiotherapy ◽  
2013 ◽  
Vol 21 (1) ◽  
Author(s):  
Alicja Katarzyna Dziuba ◽  
Krzysztof Dudek ◽  
Krystyna Kobel-Buys ◽  
Grzegorz Żurek ◽  
Ewa Smajda
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tension ◽  
Circulatory System ◽  
Lower Limbs ◽  
Wilcoxon Test ◽  
Positive Effects ◽  
Non Invasive ◽  
Abnormal Pressure ◽  
Children With Cerebral Palsy ◽  
Before And After

AbstractIntroduction: of the study. The elevated muscle tension in lower limbs (LL) in children with cerebral palsy (CP) results in the abnormal pressure on major blood vessels. Consequently, this leads to the disturbances in the circulatory system and a reduction in the temperature in lower limbs. This study assesses thermal effects of a single-session hippotherapy in LL in CP children by means of a non-invasive thermovision technique. Materials and methods: The study included 9 children with CP aged 11,8 ± 4,5 who were treated with hippotherapy. A thermovision camera was used for measurements of the temperature on the surface of lower limbs in anterior, posterior, lateral and medial parts before and after the hippotherapy. Results: The increase in the temperature was observed in the areas of lower limbs which remain directly in contact with the horse’s body. The Wilcoxon test (p<0,01) revealed statistically significant changes in the temperature of the posterior regions in lower limbs. Conclusions: Hippotherapy causes an increase in the temperature of lower limbs in the areas directly involved in contact with the horse’s body. When continuing the study, the factors required for positive effects of the hippotherapy, such as the quality of the therapy and patient’s activation should also be taken into consideration.

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.

scholarly journals Pengaruh Penggunaan Ankle Foot Orthosis Dinamis Terhadap Kecepatan Jalan Pada Anak Penderita Cerebral Palsy

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Cica Trimandasari M ◽  
Sri Surini Pudjiastuti
Keyword(s):  
Cerebral Palsy ◽  
Walking Speed ◽  
Wilcoxon Test ◽  
Spastic Cerebral Palsy ◽  
Motor Disorder ◽  
Ankle Foot Orthosis ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Quasi Experimental ◽  
Foot Orthosis

Background: cerebral palsy is a non-progressive motor disorder that causes limited activity, paralysis, inability to control motion and is often accompanied by cognitive impairment or visual deficits.Children who experience cerebral palsy will definitely have limitations in the process of mobility. To help limitation of activity that occurs in children with cerebral palsy, ankle foot orthosis is used. Ankle foot orthosis is expected to help the patient in performing his activities at all times to give effect on the walking speed. In this research, actions performed by taking data before and after using dynamic ankle foot orthosis. Purpose of this research to determine the effect of the use of dynamic ankle foot orthosis on walking speed ​​in children with cerebral palsy ". Methods: This type of research is quasi experimental pre and post test design. The subjects used were spastic cerebral palsy spherical patients in the Pediatric & Neurodevelopmental Therapy Center (PNTC) who had determined the inclusion and exclusion criteria. Number of subjects 15 people. Result: This research is based on data analysis result that wilcoxon test value got p = 0,001 (p <0,05). Conclusion: This result indicates that there is an effect of the use of ankle foot orthosis dynamic on road speed in children with cerebral palsy.

scholarly journals Three-dimensional evaluation of skeletal deformities of the pelvis and lower limbs in ambulant children with cerebral palsy

2016 ◽  
Vol 49 ◽  
pp. 102-107 ◽  
Author(s):  
Abir Massaad ◽  
Ayman Assi ◽  
Ziad Bakouny ◽  
Christophe Sauret ◽  
Nour Khalil ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Three Dimensional ◽  
Lower Limbs ◽  
Skeletal Deformities ◽  
Children With Cerebral Palsy

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&lt;0.001). Finger-To-Nose test values improved after robot-assisted therapy (p&lt;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&rsquo;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>

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