scholarly journals Effect of Seat Surface Inclination on Postural Control During Reaching in Preterm Children With Cerebral Palsy

2007 ◽  
Vol 87 (7) ◽  
pp. 861-871 ◽  
Author(s):  
Mijna Hadders-Algra ◽  
Jolanda C van der Heide ◽  
Johanna M Fock ◽  
Elisabeth Stremmelaar ◽  
Leo A van Eykern ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Motor Function ◽  
Reaching Movements ◽  
Sitting Position ◽  
Kinematic Data ◽  
Preterm Children ◽  
Children With Cerebral Palsy ◽  
Surface Inclination

Background and Purpose Because it is debatable whether seat surface inclination improves motor function in children with cerebral palsy (CP), the effect of seat surface tilting on postural control and quality of reaching was studied. Subjects The subjects were 58 children with CP aged 2 to 11 years (34 with unilateral spastic CP, 24 with bilateral spastic CP). Methods During the task of reaching movements, surface electromyographic and kinematic data were recorded for posture and reaching with the dominant arm in 3 sitting conditions: horizontal seat surface, seat surface tilted forward 15 degrees, and seat surface tilted backward 15 degrees. Results In the children with unilateral spastic CP, forward tilting improved postural efficiency and quality of reaching. In the children with bilateral spastic CP, both forward and backward tilting of the seat surface was associated with more postural instability and did not affect the quality of reaching. Discussion and Conclusion The results suggest that, in terms of postural control and quality of reaching, children with unilateral spastic CP benefit from a forward-tilted position and children with bilateral spastic CP benefit from a horizontal sitting position.

scholarly journals Changes in children with cerebral palsy after six months of hippotherapy: A clinical trial applying rehabilitation treatment taxonomy

2019 ◽  
Author(s):  
Juliana MP Starling ◽  
Ana Paula B Gontijo ◽  
Rosana F Sampaio ◽  
Juliana V Mambrini ◽  
Sergio T Fonseca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Outcome Measures ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy

Abstract Background Hippotherapy is a complementary therapeutic modality that seeks to promote functional changes in children with cerebral palsy (CP). Knowledge of the direct and indirect changes resulting from this therapy will help identify which groups of children with cerebral palsy can benefit from this type of therapy. The present study aimed to analyze the effects of hippotherapy for children with cerebral palsy with regard to age, topography, and severity using the rehabilitation treatment taxonomy. Methods We conducted a before-after clinical trial. Thirty-one children with CP, stratified by age (4-7 years; 8-12 years), severity (mild, moderate, severe), topography (hemiplegia, diplegia, quadriplegia) and previous time in hippotherapy (3-6 months, over 6 months) underwent individual weekly 30-minute hippotherapy sessions for 6 months in addition to regular rehabilitation. Postural control and balance were evaluated by the Early Clinical Assessment of Balance (ECAB). Secondary outcome measures included the Gross Motor Function Measure (GMFM) and the Cerebral Palsy Quality of Life for Children self-report of the primary caregiver questionnaire. Blinding was used for scoring the outcome measures. Results Postural control and balance and gross motor function showed small improvements after 6 months of intervention, with larger effects in dimensions D and E of the children’s gross motor function. These changes were influenced by the severity and topography of the CP. The taxonomy of rehabilitation treatments structured the interpretation of the hippotherapy effects, identifying the possible mechanism of action (horse’s step and movement demands), active ingredients (activation of muscles involved in postural correction, vestibular and visual stimuli), target outcomes (postural control and balance) and indirect outcomes (gross motor function and quality of life). Conclusion Hippotherapy sessions, in addition to rehabilitation, produced small, but positive changes in motor and psychosocial outcomes in children with CP. The benefits varied from 3 to 7 points in postural control and balance (ECAB) and in all dimensions of the GMFM. The changes in gross motor function were influenced by the type and severity of CP.

scholarly journals Therapeutic effects of a horse riding simulator in children with cerebral palsy

2011 ◽  
Vol 69 (5) ◽  
pp. 799-804 ◽  
Author(s):  
Maria Beatriz Silva Borges ◽  
Maria José da Silva Werneck ◽  
Maria de Lourdes da Silva ◽  
Lenora Gandolfi ◽  
Riccardo Pratesi
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Qualité De Vie ◽  
Spastic Diplegia ◽  
Therapeutic Effects ◽  
Sitting Position ◽  
Post Intervention ◽  
Horse Riding ◽  
Children With Cerebral Palsy ◽  
Maximal Displacement

OBJECTIVE: To evaluate the efficacy of horse ridding simulator on the sitting postural control of children with spastic diplegia. METHOD: Forty children were randomly divided in a group using the simulator (RS) and a group performing conventional physical therapy (CT). FScan/Fmat equipment was used to register maximal displacement in antero-posterior (AP) and medio-lateral (ML) directions with children in sitting position. At the pre and post intervention stage both groups were classified according to the Gross Motor Function Classification System (GMFCS) and, after intervention, by the AUQEI questionnaire (Autoquestionnaire Qualité de vie Enfant Image). RESULTS: Comparison between groups disclosed statistically significant pos-intervention improvement both in the AP (p<0.0001) as in the ML (p<0.0069) direction in the RS group. CONCLUSION: The horse ridding simulator produced significant improvement in the postural control of children in sitting position, additionally showing a higher motor functionality and a better acceptance of the therapeutic intervention.

Clinical response of Abhaya Ghrita and procedure based therapy on Gross Motor Functions in children with Cerebral Palsy : An Open Label, Randomized Clinical Trial

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Sonam . ◽  
Mahapatra Arun Kumar ◽  
Rajagopala Shrikrishna
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Birth Weight ◽  
Motor Function ◽  
Gross Motor ◽  
Live Births ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
History Of

Introduction - Cerebral Palsy (CP) being the leading cause of disability in children is a symptom complex, whichv has worldwide incidence of 2.1/1000 live births, and for India it is 3/1000 live births. In Ayurveda, the cerebral palsy can be correlated with various conditions due to Vata predominance. There is no satisfactory criterion in managing this condition is developed till date. The present study is planned with Abhaya Ghrita and procedure based therapy to provide possible improvement in gross motor function of children with cerebral palsy and thereby improving their quality of life. Material and Methods - A Trial was conducted at a tertiary health care setting to evaluate the clinical efficacy of Ayurvedic Intervention (Abhaya Ghrita and procedure based therapy Udvartana, Sarvanga Abhyanga, Nadi Sweda and Matra Basti). Diagnosed children of cerebral palsy, aged 1-12 years of either gender were selected. The scale gross motor function manual (GMFM) and Cerebral Palsy quality of life (CP-QOL) were used for assessment. Results - Total 20 patients were registered in the present study. 70% patients were below 8 years of age with clear male predominance comprised of 85% of the total sample size. As per the birth history of the patients 15% were preterm, home delivery was present in 20%. 45% and 10% were Low birth weight (LBW) and Very Low birth weight (VLBW) after birth respectively. History of delayed cry was present in 80% cases. 45% required Hospitalization and 65% were subjected to Resuscitation and need of incubator just after birth was present in 25% patients. Discussion - Gross Motor Function scale has shown significant improvement in motor activities like lying and rolling, sitting and total score with pandlt;0.001, on crawling and kneeling and standing with pandlt;0.01 and on walking and running with pandlt;0.02. The CP-QOL has also shown significant results on health and family and friends component. Conclusion - Thus, it may be concluded that the Ayurveda approach is effective in improving the gross motor function and quality of life of children with cerebral palsy.

Postural control during reaching in preterm children with cerebral palsy

2004 ◽  
Vol 46 (04) ◽  
Author(s):  
Jolanda C van der Heide ◽  
Co Begeer ◽  
Johanna M Fock ◽  
Bert Otten ◽  
Elisabeth Stremmelaar ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Preterm Children ◽  
Children With Cerebral Palsy

scholarly journals The Relationship Between Gross Motor Function and Quality of Life Among Children with Cerebral Palsy

2014 ◽  
Vol 24 (4) ◽  
pp. 57 ◽  
Author(s):  
Meisa Puspitasari ◽  
Kusnandi Rusmil ◽  
Dida Gurnida
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
The Relationship

Effect of The Disability Integrating Health Post on The Quality of Life of Children with Cerebral Palsy: A Path Analysis Evidence from Sukoharjo, Central Java

2020 ◽  
Author(s):  
Retno Dwi Rohaniyati ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Quality Of Service ◽  
Cerebral Palsy ◽  
Path Analysis ◽  
Motor Function ◽  
Health Post ◽  
Gross Motor ◽  
Central Java ◽  
Children With Cerebral Palsy

ABSTRACT Background: Children with cerebral palsy (CP) often represent a subgroup within children with special healthcare needs (CSHCN), children with medical complexity, and/or children with disabilities. Poor disability integrating health post access may leads to healthcare disparities and poor quality of life in children with CP. This study aimed to investigate effect of the disability integrating health post on the quality of life of children with cerebral palsy using a path analysis model. Subjects and Method: A cross-sectional study was carried out at 12 inclusion studio in Sukoharjo, Central Java, Indonesia, in October 2019. A sample of 100 children with cerebral palsy aged 4-18 years was selected by fixed disease sampling. The dependent variable was quality of life. The independent variables were gross motor function, parental cope, frequency of visit, and quality of service. Quality of life was measured by the cerebral palsy-quality of life (CP-QoL) questionnaire version parental proxy. Gross motor was measured by gross motor function classification system (GMFCS). The other variables were collected by questionnaire. The data were analyzed by path analysis run on Stata 13. Results: Good quality of life in children with cerebral palsy was directly decreased by high GMFCS score (b= -49.66; 95% CI= -69.58 to -29.75; p= 0.001). Good quality of life was directly increased by strong parental cope (b= 32.51; 95% CI= 9.45 to 55.58; p= 0.006) and good quality of service (b= 33.70; 95% CI= 10.98 to 56.42; p= 0.004). Quality of life was indirectly affected by frequency of visit through parental cope and quality of service. Conclusion: Good quality of life in children with cerebral palsy is directly decreased by high GMFCS score. Good quality of life is directly increased by strong parental cope and good quality of service. Quality of life is indirectly affected by frequency of visit through parental cope and quality of service. Keywords: quality of life, cerebral palsy, disability Correspondence: Retno Dwi Rohaniyati, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 081546268418. DOI: https://doi.org/10.26911/the7thicph.03.98

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