scholarly journals Redesign walker for children with diplegic cerebral palsy using TRIZ method

2021 ◽  
Vol 5 (1) ◽  
pp. 8-14
Author(s):  
Putu Yoga Kurniawan Laksana ◽  
R. Hari Setyanto ◽  
Lobes Herdiman
Keyword(s):  
Cerebral Palsy ◽  
Assistive Device ◽  
Design Stage ◽  
Design Criteria ◽  
Satisfaction Level ◽  
Rehabilitation Centers ◽  
Children With Cerebral Palsy ◽  
Walking Rehabilitation

Children with cerebral palsy at rehabilitation centers had difficulty performing walking rehabilitation with the existing walker. The resulted in children with cerebral palsy feeling dissatisfied with existing walkers, and this dissatisfaction resulted in their interest in ongoing rehabilitation. The existing walker does not accommodate the needs of cerebral palsy children, resulting in lousy form and dissatisfaction when using a walker for rehabilitation and reduce their interest in rehabilitation. Therefore it is necessary to redesign the walker to prevent bad form and increase the satisfaction level of children with cerebral palsy. The QUEST 2.0 questionnaire was used as a reference for designing. Based on the dimensions from the QUEST 2.0 questionnaire, the walker design criteria were determined. Then use the TRIZ method to resolve any technical contradictions that occur at the design stage. Assistive device

scholarly journals Inclusion of children with cerebral palsy in basic education

2014 ◽  
Vol 21 (1) ◽  
pp. 40-46
Author(s):  
Geovana Sôffa Rézio ◽  
Cibelle Kayenne Martins Roberto Formiga
Keyword(s):  
Cerebral Palsy ◽  
School Environment ◽  
Basic Education ◽  
Gross Motor ◽  
Rehabilitation Centers ◽  
School Participation ◽  
Children With Cerebral Palsy ◽  
Level I ◽  
Function Assessment ◽  
Gmfcs Level

The aim of the study was to analyze the inclusion of children with cerebral palsy in elementary schools. The sample consisted of 31 children between 1 and 11 years old, with a mean of 5 years and 2 months, coming from 2 rehabilitation centers and their leaders and teachers. As for functionality, 71% are Gross Motor Function Classification System (GMFCS) level I, 51.6% are diplegic and 58.1% had cerebral palsy during the prenatal stage. Regarding economic classification, 54.8% of the families were in class C. A neurological evaluation form was applied. A gross motor evaluation using the GMFCS; a socioeconomic assessment using the Brazilian Criteria for Economic Classification and the School Function Assessment were done. The results revealed that these children perform their activities in all aspects of the school participation, although they require constant supervision, moderate assistance and minimal adaptation. These results may be useful to better adapt the school environment, for a better targeting of assistance provided and to plan clinical interventions with these children.

Design of walking assistive device for children with cerebral palsy, Vestmiles

2019 ◽  
Vol 1 (2) ◽  
pp. 10-15
Author(s):  
Agnes Budiarti ◽  
Ferida Yuamita ◽  
Suci Miranda
Keyword(s):  
Cerebral Palsy ◽  
Cost Effective ◽  
Assistive Device ◽  
Proper Treatment ◽  
Independent Mobility ◽  
Physiotherapy Program ◽  
Children And Parents ◽  
Children With Cerebral Palsy ◽  
User Friendly ◽  
The Brain

Celebral Palsy (CP) is a disorder of muscle control which results from some damage to part of the brain. Children with cerebral palsy can have problems such as muscle weakness, awkardness, slowness, shakiness, and difficulty with balance. In severe cerebral palsy, the child may have many difficulties in performing everyday tasks and movements.  However, a proper treatment often brings an improvement, though not a cure. In terms of independent mobility particularly walking and standing, this study aims to design a walking assistive device called Vestmiles. The product design includes four parts: a belt, vest, sandals for parents, and sandals for children with the length and height successively: 47.3 cm and a 23 cm; 39.3 cm and 59 cm; 26.9 cm and 9.9 cm (parents’ size of slippers); 23.9 cm and 6 cm (children’s size of slippers). To design the product, it is used the measurement gained from 3 Celebral Palsy children. This work is not only to support physiotherapy program, but also increasing relationship between children and parents. Vestmiles is a user friendly, lightweight, adaptable, efficient and cost effective device.

scholarly journals Analysis of type and frequency dynamics of rehabilitation assistive devices in children with cerebral palsy

2020 ◽  
Vol 8 (2) ◽  
pp. 169-178
Author(s):  
Andrey A. Koltsov ◽  
Elnur I. Dzhomardly
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Assistive Devices ◽  
Assistive Device ◽  
Foot Orthoses ◽  
Gross Motor ◽  
Technical Device ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Orthopedic Shoes

Background. Currently, cerebral palsy is the most common neuromuscular disease in the pediatric population. Spastic forms of cerebral palsy are characterized by secondary musculoskeletal complications. They are corrected by the use of assistive devices and, especially, orthoses, along with surgical treatment, botulinum toxin, and others. Aim. The aim of this study was to assess the type and frequency dynamics of rehabilitation assistive devices in children with spastic forms of cerebral palsy, depending on the level of the gross motor function of the patient. Materials and methods. A prospective analysis was conducted by questioning 214 parents of children with spastic forms of cerebral palsy who were treated for the period from 2017 to 2019. The patients were divided into five groups according to the gross motor function classification (GMFCS). The statistical processing was performed using the application package Statistica 10 and Microsoft Excel. Results. Statistically significant differences in variances (p 0.05) were obtained between the number of rehabilitation assistive devices used in the anamnesis in the year before the questionnaire (period I) and assistive devices used in the last six months before the questionnaire (period II). Repeatedly, patients used orthopedic shoes the most often, and the trunk-hip-knee-ankle-foot orthoses the most rarely. We found five main causes groups of assistive device use failure for children with cerebral palsy. Conclusion. Statistically significant differences in variances were obtained between the frequency of rehabilitation assistive devices used in the anamnesis and during the last six months before the questionnaire was obtained. It has been confirmed that patients used orthopedic shoes most regularly; of all functional orthoses, hip adductor orthosis was used most often repeatedly, whereas the trunk-hip-knee-foot orthoses were the least common. Factors such as a negative attitude of the child towards the orthosis, uncomfortable in life, the presence of construction errors of the product, the absence of appropriate appointments in the individual rehabilitation and habilitation programs for the patient, have led to the most frequent rejection of the reuse of the technical device for rehabilitation. At the same time, positive or negative dynamics on the condition of the patient affected the regularity of the use of a technical device for rehabilitation in only one in six patients.

Effects of Yoga on Sleep Quality, Depression in Children with Cerebral Palsy

2018 ◽  
pp. 135-143
Author(s):  
Ozden Gokcek
Keyword(s):  
Cerebral Palsy ◽  
Sleep Quality ◽  
Motor Development ◽  
Demographic Data ◽  
Motor Impairment ◽  
Standing Position ◽  
Assistive Device ◽  
Timed Up And Go ◽  
Exercise Tests ◽  
Children With Cerebral Palsy

Cerebral palsy [CP] which occurs in the developing brain as a result of injury in the fetal or perinatal period, is the most common developmental movement and motor impairment in childhood. The aim of the study was to investigate the effects of physiotherapy yoga on sleep quality, depression in children with cerebral palsy.40 patients who were in the walking period [walking independently or with assistive device], with diagnosed CP and age between 5-17 were included the study. Individual’s demographic data were recorded and normal motor development was assessed with Gross Motor Function Measure [GMFM], postural analysis with New York Posture Rating Test, sleep quality with Pittsburgh Sleep Quality Index and depression status with Childhood Depression Inventory. Timed Up and Go Test and Stair Ascending and Descending Test were applied. Yoga techniques which were breathing techniques, warm-up exercises [warming up in standing position], Surya Namaskar, Asanas, were performed for a total of 10 sessions, on alternate days and once a day for 45 minutes.32.5% of the individuals were female, 67,5% were male and their mean age was 10,77 ± 3,49.It was seen that after yoga there was a significant improvement in posture [p = 0.003], Timed Up and Go Test [p = 0,003] , Stair Ascending and Descending Test [p = 0.001], depression [p = 0.001] and sleep quality [p=0,012]. Yoga improved psychological condition, pain, sleep quality, posture in the child with CP. Also an improvement was found in exercise tests. As a consequence we believe that yoga should be applied safely and funly in children with SP. Keywords: Cerebral Palsy, Physiotherapy yoga, Sleep Quality, Depression

scholarly journals Validation of a Model of Gross Motor Function for Children With Cerebral Palsy

2000 ◽  
Vol 80 (10) ◽  
pp. 974-985 ◽  
Author(s):  
Robert J Palisano ◽  
Steven E Hanna ◽  
Peter L Rosenbaum ◽  
Dianne J Russell ◽  
Stephen D Walter ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Rehabilitation Centers ◽  
Level Ii ◽  
Children With Cerebral Palsy ◽  
Stratified Sample ◽  
Level I ◽  
Gmfcs Level

Abstract Background and Purpose. Development of gross motor function in children with cerebral palsy (CP) has not been documented. The purposes of this study were to examine a model of gross motor function in children with CP and to apply the model to construct gross motor function curves for each of the 5 levels of the Gross Motor Function Classification System (GMFCS). Subjects. A stratified sample of 586 children with CP, 1 to 12 years of age, who reside in Ontario, Canada, and are known to rehabilitation centers participated. Methods. Subjects were classified using the GMFCS, and gross motor function was measured with the Gross Motor Function Measure (GMFM). Four models were examined to construct curves that described the nonlinear relationship between age and gross motor function. Results. The model in which both the limit parameter (maximum GMFM score) and the rate parameter (rate at which the maximum GMFM score is approached) vary for each GMFCS level explained 83% of the variation in GMFM scores. The predicted maximum GMFM scores differed among the 5 curves (level I=96.8, level II=89.3, level III=61.3, level IV=36.1, and level V=12.9). The rate at which children at level II approached their maximum GMFM score was slower than the rates for levels I and III. The correlation between GMFCS levels and GMFM scores was −.91. Logistic regression, used to estimate the probability that children with CP are able to achieve gross motor milestones based on their GMFM total scores, suggests that distinctions between GMFCS levels are clinically meaningful. Conclusion and Discussion. Classification of children with CP based on functional abilities and limitations is predictive of gross motor function, whereas age alone is a poor predictor. Evaluation of gross motor function of children with CP by comparison with children of the same age and GMFCS level has implications for decision making and interpretation of intervention outcomes.

Children's and parents' beliefs regarding the value of walking: rehabilitation implications for children with cerebral palsy

2011 ◽  
Vol 38 (1) ◽  
pp. 61-69 ◽  
Author(s):  
B. E. Gibson ◽  
G. Teachman ◽  
V. Wright ◽  
D. Fehlings ◽  
N. L. Young ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Children With Cerebral Palsy ◽  
Walking Rehabilitation

DESIGN OF WEARABLE DEVICE TO ASSIST CEREBRAL PALSY CHILDREN IN STANDING AND WALKING

2015 ◽  
Vol 76 (7) ◽  
Author(s):  
Farid Mahamud ◽  
Adzly Anuar
Keyword(s):  
Cerebral Palsy ◽  
Lower Limb ◽  
Special Care ◽  
Anthropometric Measurements ◽  
Wearable Device ◽  
Assistive Device ◽  
3D Cad ◽  
Children With Cerebral Palsy ◽  
Child Caregivers ◽  
Design Requirements

Most children with cerebral palsy (CP) have difficulties in standing and walking. They would normally require assistive device to help in standing and walking. This paper describes the process that was carried out to design a wearable brace for the lower limb. This brace is intended to provide support during standing and walking for ambulant CP children. Design requirements were drawn up by conducting surveys and interviews with parents, CP child caregivers, and CP children. Safety is very crucial for the device, where special care is made to ensure it would not pose any hazard to the children and also the caregivers. Based on these information and the anthropometric measurements, the device has been designed and analyzed using 3D CAD software. From the analysis, the device shown to function as expected.

scholarly journals Nutritional status of children with cerebral palsy attending rehabilitation centers

2020 ◽  
Vol 62 (12) ◽  
pp. 1383-1388
Author(s):  
María de las Mercedes Ruiz Brunner ◽  
Maria E Cieri ◽  
Maria P Rodriguez Marco ◽  
A Sebastian Schroeder ◽  
Eduardo Cuestas
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Rehabilitation Centers ◽  
Children With Cerebral Palsy ◽  
Nutritional Status Of Children

Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gestational Age ◽  
Augmentative And Alternative Communication ◽  
Alternative Communication ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Communicative Abilities ◽  
Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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