scholarly journals Sensory Processing/Integration Dysfunction Affects Functional Mobility Of Children With Cerebral Palsy

2020 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Durga Prasad Mishra ◽  
Keyword(s):  
Cerebral Palsy ◽  
Sensory Processing ◽  
Functional Mobility ◽  
Children With Cerebral Palsy

Relationship between modified TUG and WeeFIM in children with cerebral palsy

2021 ◽  
Vol 9 (5) ◽  
pp. 4001-4007
Author(s):  
Praveen Baby ◽  
◽  
Haripriya S ◽  
Remya N ◽  
Manju Unnikrishnan ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Development ◽  
Brain Lesion ◽  
Functional Independence ◽  
The Body ◽  
Functional Mobility ◽  
Spastic Cerebral Palsy ◽  
Pearson’S Correlation ◽  
Children With Cerebral Palsy ◽  
Pearson's Correlation

Background: Cerebral Palsy (CP) refers to permanent, mutable motor development disorders stemming from a primary brain lesion, leading to secondary musculoskeletal alterations, and limitation of activities of daily living. Motor impairment is the main manifestation in children with CP, and it has consequent effects on the biomechanics of the body. The WeeFIM is a short and quick to administer assessment of functional outcome in paediatric rehabilitation. The modified Timed Up and Go test (mTUG) was designed for children with Cerebral Palsy and assesses mobility and requires both static and dynamic balance. Context and Purpose: Determining if a relationship exists between functional mobility and level of functional independence in daily activities will help to design treatment programs which target improvement in functional mobility in order to improve functional independence in children with Cerebral Palsy. The studies done correlating functional balance and functional performance in children with CP have largely yielded inconclusive results. Hence this study was designed with the aim of finding if a relationship exists between functional mobility measured by mTUG and functional independence measured by WeeFIM in children with CP. Methods: It was a correlation study conducted on 20 children with spastic cerebral palsy from different CP centers in and around Mangalore. Participants were evaluated using modified TUG and WeeFIM scales and the scores tabulated and subjected to statistical analysis to determine if there is a relationship exists between mTUG and WeeFIM. Results: When the measured variables were correlated with each other using Pearson’s correlation it was found that the Pearson’s correlation coefficient was - .470, indicating a moderate negative correlation between the mTUG and WeeFIMscores. Conclusion: There exists a positive relationship between functional mobility and functional independence in children with CP. Improving mobility in children with CP can help them to attain better functional independence. KEY WORD: Cerebral Palsy, GMFC, mTUG, WeeFIM.

scholarly journals Influence of functional mobility and manual function on play in preschool children with cerebral palsy

2018 ◽  
Vol 31 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Anaisa C Angelin ◽  
Amanda MP Sposito ◽  
Luzia I Pfeifer
Keyword(s):  
Cerebral Palsy ◽  
Preschool Children ◽  
Social Interaction ◽  
Pretend Play ◽  
Manual Dexterity ◽  
Functional Mobility ◽  
Typical Development ◽  
Factors Influencing ◽  
Children With Cerebral Palsy ◽  
Development Group

Introduction This study analysed the differences in play performance between preschool children with cerebral palsy and those with typical development and investigated the factors influencing functional mobility and manual dexterity on play in children with cerebral palsy. Method Sixty preschool children (30 with cerebral palsy; 30 with typical development), were assessed by the revised Knox Preschool Play Scale, being that children with cerebral palsy were also classified according to their functional mobility and manual dexterity. Results On average, all measures were significantly smaller in the cerebral palsy group than the typical development group (p≤ .002). Manual function and functional mobility were negatively correlated with material ( r = −.456, p = .011; r = −.487, p = .006) and space ( r = −.494, p = .006; r = −.784, p = .000). Also the results pointed out a significant correlation with topography and manual function ( r = .404, p = .027) and functional mobility ( r = .718, p = .000). Pretend play and participation showed no correlation with topography (r = −.051, p = .788; r = −.312, p = .093), manual function (r = −.019, p = .921; r = −.322, p = .083) and functional mobility (r = −.085, p = .657; r = −.308, p = .097). Conclusion Play performance of children with typical development was superior to those with cerebral palsy. The degree of impairment of functional mobility and manual function negatively was negatively associated with play exploration but did not relate to pretend play or social interaction in play.

scholarly journals Repercursões dos transtornos de processamento sensorial ao desempenho funcional de crianças com paralisia cerebral / Repercussions of sensory processing disorders in the functional skills of children with cerebral palsy

2017 ◽  
Vol 1 (3) ◽  
pp. 318-331
Author(s):  
Deyvianne Thayanara de Lima Reis ◽  
Renata Moura Da Costa ◽  
Lilian Voughan Lima De Oliveira
Keyword(s):  
Cerebral Palsy ◽  
Sensory Processing ◽  
Functional Performance ◽  
Sensory Profile ◽  
Neurological Dysfunction ◽  
Exclusion Criterion ◽  
Sensory Threshold ◽  
Children With Cerebral Palsy ◽  
El Sistema ◽  
Sensory Processing Disorders

A Paralisia Cerebral (PC) é definida como uma disfunção neurológica ou como lesão não progressiva do sistema nervoso central. É uma patologia com distúrbio de movimento e postura que pode coexistir com déficits de processamento sensorial. Poucos estudos mostram a associação entre esse déficit e as alterações do desempenho motor. Assim, o principal objetivo deste estudo é conhecer o Perfil Sensorial de crianças com Paralisia Cerebral e suas repercussões para o desempenho funcional nas atividades de vida diária. Em relação à metodologia a amostra foi composta por 29 crianças com paralisia cerebral na faixa etária entre 3 e 7 anos e meio. A coleta dos dados realizou-se através dos instrumentos “Perfil Sensorial” e “Inventário Pediátrico de Avaliação das Incapacidades (PEDI)”, o GMFCS ( Sistema de Classificação da Função Motora Grossa) foi usado como critério de exclusão. Os resultados mostraram que há relações entre essas dimensões. Houve correspondência entre o Pedi Funcional com o item respostas emocionais/sociais do Perfil Sensorial, assim identificou-se possíveis transtornos de processamento sensorial nas habilidades funcionais de crianças com Paralisia Cerebral. Cerebral palsy (CP) is defined as a neurological dysfunction or as a non-progressive central nervous system injury. It is a pathology with movement and posture disturbance that can coexist with sensory processing deficits. Few studies show the association between this deficit and changes in motor performance. Thus, the main objective of this study is to know the Sensory Profile of children with Cerebral Palsy and its repercussions for functional performance in daily life activities. The study sample consisted of 29 children with cerebral palsy in the age bracket between 3 and 7 and a half years. The data were collected through the instruments "Sensorial Profile" and "Pediatric Inventory of Disability Assessment (PEDI)." The Gross Motor Function Classifiction System (GMFCS) was used as the exclusion criterion. Showed that there are relationships between these dimensions. There was a correspondence between the Functional Pedi with the item emotional / social responses of the Sensory Profile, thus identified possible sensory processing disorders in the functional abilities of children with cerebral palsy. Keywords: Child; Independence; Sensory Threshold; Cerebral Palsy; Occupational therapy. La parálisis cerebral (CP) se define como una disfunción neurológica o como una lesión no progresiva en el sistema nervioso central. Es un trastorno del movimiento y la postura con la patología que puede coexistir con déficit de procesamiento sensorial. Pocos estudios muestran la asociación entre este déficit y los cambios en el rendimiento motor. Así, el objetivo de este estudio es conocer el perfil sensorial de los niños con parálisis cerebral y su impacto en el rendimiento funcional en relación con actividades de la vida diária. La metodología consistió en 29 niños con parálisis cerebral con edades comprendidas entre los 3 y 7 años y medio. La recopilación de datos se llevó a cabo a través de los instrumentos "del perfil sensorial" y "Inventario de evaluación Pediátrica de la Discapacidad (PEDI)". El Sistema de Classificación de la Función Bruto del motor (GMFCS) se utilizó como un criterio de exclusión. Ellos demostraron que existen relaciones entre éstos. Hubo corespondencia entre el elemento funcional PEDI con las respuestas emocionales / sociales del perfil sensorial, así que identifican posibles trastornos del procesamiento sensorial en las capacidades funcionales de los niños con parálisis cerebral.Palabras clave: Niño; la independencia; Los umbrales sensoriales; Parálisis Cerebral; Terapia ocupacional.

Neuroradiologic Features Associated With Severe Restriction of Functional Mobility in Children With Cerebral Palsy in North India

2021 ◽  
pp. 088307382199361
Author(s):  
Jayanti Prabha ◽  
Areesha Alam ◽  
Chandrakanta Kumar ◽  
Rashmi Kumar ◽  
Neera Kohli
Keyword(s):  
Cerebral Palsy ◽  
Gray Matter ◽  
Functional Mobility ◽  
White Matter Injury ◽  
Spastic Diplegia ◽  
Periventricular White Matter ◽  
Mri Findings ◽  
Spastic Quadriplegia ◽  
Children With Cerebral Palsy ◽  
Deep Gray Matter

Background: Few studies have focused on magnetic resonance imaging (MRI) brain findings associated with functional mobility in cerebral palsy. Objective: To determine association between MRI findings and Gross Motor Functional Classification System (GMFCS) levels in cerebral palsy. Methods: Prospective-observational study conducted in Pediatric Neurology Clinic at a public teaching hospital, Northern India. First 3 new cases of cerebral palsy were enrolled on particular neuro-clinic day per week for 1 year. Functional mobility was classified according to GMFCS. Association between MRI findings, cerebral palsy type, and GMFCS levels were evaluated using χ2 test. Results: A total of 138 cases (mean age 2.71 [SD = 1.91] years; male [64.5%]) were enrolled. Reported types of cerebral palsy were as follows: spastic quadriplegia (47.8%), spastic diplegia (28.35%), spastic hemiplegia (11.6%), extrapyramidal (6.5%), and ataxic/hypotonic (5.8%). GMFCS were classified into level 1 (13%), level 2 (7.2%), level 3 (4.3%), level 4 (10.9%), and level 5 (64.5%). Spastic quadriplegia and extrapyramidal cerebral palsy were significantly associated with higher (severe) levels (IV and V), whereas spastic diplegia and hemiplegia were significantly associated with lower (mild) levels (I-III) of GMFCS. MRI features of periventricular white matter injury, deep gray matter injury, basal ganglia and thalamic changes, and superficial gray matter injury were significantly associated with severe levels of GMFCS (V and IV). MRI was normal in 8 children (5 = mild category, 3 = severe category). Conclusion: Severe cerebral palsy is most often associated with spastic quadriplegia, extrapyramidal cerebral palsy, superficial gray matter lesions, deep gray matter lesions, and periventricular white matter injury. This information is useful for anticipating and addressing the needs of children with cerebral palsy and for prognostication.

scholarly journals Distribution and motor ability of children with cerebral palsy in Scotland: a registry analysis

2018 ◽  
Vol 64 (1) ◽  
pp. 16-21 ◽  
Author(s):  
Kate E Bugler ◽  
Mark S Gaston ◽  
James E Robb
Keyword(s):  
Cerebral Palsy ◽  
Functional Mobility ◽  
Lower Limbs ◽  
Health Board ◽  
Motor Ability ◽  
Time Data ◽  
Motor Abilities ◽  
Children With Cerebral Palsy ◽  
Integrated Pathway ◽  
First Time

Background and aims Cerebral palsy is the commonest long-term physical disability in children with a prevalence of between 1.77 and 2.11/1000 live births. In 2013, the Cerebral Palsy Integrated Pathway Scotland (CPIPS) surveillance programme was introduced in all 14 Health Boards in Scotland and provides a standardised musculoskeletal examination of the spine and lower limbs. The purpose of this study was to report the prevalence, subtypes, motor classification and motor ability of children with cerebral palsy in Scotland. Methods and results The family/carer’s postal address, the child’s neurological classification, motor subtypes, Gross Motor Functional Classification (GMFCS) Level and Functional Mobility Scale of 1972 children at first registration in CPIPS 2013–2018 were analysed. Their mean age at first assessment was 7.6 years. There was an overall prevalence of cerebral palsy in Scotland of 2.02/1000. GMFCS levels and Functional Mobility Scale data and prevalence were reported by Health Board and were comparable to that reported elsewhere. Conclusion For the first time, data are available on the motor abilities of the total population of children with cerebral palsy in Scotland. This information will be highly relevant to resource management of current and future motor needs of these children.

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