Organizational and methodological aspects of the selection of a wheelchair for children with cerebral palsy

2021 ◽  
Vol 88 (2) ◽  
pp. 17-19
Author(s):  
Ye.V. Markelova ◽  
◽  
N.K. Zulina ◽  
O.I. Tomina ◽  
◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Rehabilitation Program ◽  
Children With Cerebral Palsy ◽  
Primary Disability ◽  
Correct Determination ◽  
Methodological Aspects ◽  
The City ◽  
Additional Fixation ◽  
Selection Of

The article gives definitions to the concepts of "rehabilitation", "habilitation", "individual rehabilitation program", "technical means of rehabilitation". The statistical data on primary disability of children with cerebral palsy in the city of Khabarovsk for the period 2016–2020 are presented. The characteristics of a wheelchair with additional fixation for patients with cerebral palsy are given. The requirements for the provision of disabled people with technical means of rehabilitation (wheelchairs) are noted, the principles of selection and the tasks that must be solved when using them are indicated. The method of correct determination of the parameters of the wheelchair is presented to help doctors of medical organizations in the preparation of referral documents for medical and social examination

Effect of an interval rehabilitation program with home-based, vibration-assisted training on the development of muscle and bone in children with cerebral palsy – an observational study

2020 ◽  
Vol 33 (8) ◽  
pp. 1083-1092 ◽  
Author(s):  
Ibrahim Duran ◽  
Kyriakos Martakis ◽  
Christina Stark ◽  
Leonie Schafmeyer ◽  
Mirko Rehberg ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Bone Growth ◽  
Muscle Growth ◽  
Rehabilitation Program ◽  
Whole Body ◽  
Cross Sectional ◽  
Home Based ◽  
Children With Cerebral Palsy ◽  
One Year ◽  
Intensive Rehabilitation

AbstractObjectivesIn children with cerebral palsy (CP), the most common cause of physical impairment in childhood, less muscle and bone growth has been reported, when compared with typically developing children. The aim of this study was to evaluate the effect of an intensive rehabilitation program including physiotherapy in combination with 6 months of home-based, vibration-assisted training on muscle and bone growth in children with CP.MethodsWe included children with CP, who participated in a rehabilitation program utilizing whole-body vibration (WBV). Muscle mass was quantified by appendicular lean mass index (App-LMI) and bone mass by total-body-less-head bone mineral content (TBLH-BMC) assessed by Dual-energy X-ray absorptiometry (DXA) at the beginning of rehabilitation and one year later. To assess the functional muscle-bone unit, the relation of TBLH-BMC to TBLH lean body mass (TBLH-LBM) was used.ResultsThe study population included 128 children (52 females, mean age 11.9 ± 2.7). App-LMI assessed in kg/m2 increased significantly after rehabilitation. The age-adjusted Z-score for App-LMI showed no significant change. TBLH-BMC assessed in gram increased significantly. The Z-scores for TBLH-BMC decreased lesser than expected by the evaluation of the cross-sectional data at the beginning of rehabilitation. The parameter $\frac{TBLH-BMC}{TBLH-LBM}$ did not change relevantly after 12 months.ConclusionsMuscle growth and to a lesser extent bone growth could be increased in children with CP. The intensive rehabilitation program including WBV seemed to have no direct effect on the bone, but the observed anabolic effect on the bone, may only been mediated through the muscle.

scholarly journals The Appendicular Lean Mass Index Is a Suitable Surrogate for Muscle Mass in Children with Cerebral Palsy

2019 ◽  
Vol 149 (10) ◽  
pp. 1863-1868
Author(s):  
Ibrahim Duran ◽  
Kyriakos Martakis ◽  
Mirko Rehberg ◽  
Christina Stark ◽  
Anne Koy ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Cerebral Palsy ◽  
Muscle Mass ◽  
Lean Mass ◽  
Skeletal Muscle Mass ◽  
Rehabilitation Program ◽  
Appendicular Lean Mass ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Level I

ABSTRACT Background Densitometrically measured lean body mass (LBM) is often used to quantify skeletal muscle mass in children with cerebral palsy (CP). Since LBM depends on the individual's height, the evaluation of $\frac{{{\rm{LBM}}}}{{heigh{t^2}}}\ $ (lean BMI) is often recommended. However, LBM includes not only skeletal muscle mass but also the mass of skin, internal organs, tendons, and other components. This limitation applies to a far lesser extent to the appendicular lean mass index (LMIapp). Objectives The aim of the study was to evaluate skeletal muscle mass in children with CP using total lean BMI (LMItot) and LMIapp. Methods The present study was a monocentric retrospective analysis of prospectively collected data among children and adolescents with CP participating in a rehabilitation program. In total, 329 children with CP [148 females; Gross Motor Function Classification Scale (GMFCS) I, 32 children; GMFCS II, 73 children; GMFCS III, 133 children; GMFCS IV, 78 children; and GMFCS V, 13 children] were eligible for analysis. The mean age was 12.3 ± 2.75 y. Pediatric reference centiles for age-adjusted LMIapp were generated using data from NHANES 1999–2004. Low skeletal muscle mass was defined as a z score for DXA determined LMItot and LMIapp less than or equal to −2.0. Results The z scores for LMIapp were significantly lower than LMItot in children with CP, GMFCS levels II–V (P < 0.001), with the exception of GMFCS level I (P = 0.121), where no significant difference was found. The prevalence of low LMItot (16.1%; 95% CI: 16.1, 20.1%) was significantly lower (P < 0.001) than the prevalence of LMIapp (42.2%; 95% CI: 36.9, 47.9%) in the study population. Conclusions The prevalence of low skeletal muscle mass in children with CP might be underestimated by LMItot. LMIapp is more suitable for the evaluation of skeletal muscle mass in children with CP.

INTERPRETATION OF THE RESULTS OF IMMUNOHEMATOLOGICAL TESTS IN HEMATOLOGICAL PATIENTS

2019 ◽  
Vol 64 (4) ◽  
pp. 221-224
Author(s):  
A. V. Yovdiy ◽  
E. V. Butina ◽  
E. A. Poponina ◽  
G. A. Zaitseva ◽  
N. V. Minaeva
Keyword(s):  
Red Blood Cells ◽  
Blood Cells ◽  
Blood Components ◽  
Blood Types ◽  
Hematological Patients ◽  
Correct Determination ◽  
Double Population ◽  
Transfusion Complications ◽  
Selection Of

The correct determination of the blood types of the recipient and the donor is very importante for the choice of blood components for transfusion. As a result of the study, it was established that 18.0% of patients, admitted to the hematology clinic, have difficulties in interpreting of the results of immunohematological tests. Most often, a double population of red blood cells was detected when determining antigens of the Rhesus system (10.9%), auto- (3.9%) and alloantibodies (2.8%). The proposed algorithm for the selection of donor red blood cells in difficult diagnostic cases helps to prevent the development of post-transfusion complications.

scholarly journals Membandingkan Metode SAW Dan MFEP Dalam Penentuan Jurusan di Tingkat SLTA

2019 ◽  
Vol 3 (1) ◽  
pp. 59-65
Author(s):  
Rini Sovia ◽  
Aulia Fitrul Hadi
Keyword(s):  
Social Sciences ◽  
Decision Making ◽  
Natural Sciences ◽  
State School ◽  
National Examination ◽  
Decision Making System ◽  
Leading Schools ◽  
The City ◽  
Selection Of

SMAN 10 Padang is one of the leading schools in the city of Padang State School which has two majors, namely Science (Science Knowledge) and Social Sciences (Social Sciences). A distinctive feature of this school is one of the international standard pilot schools (RSBI) by implementing bilingual and accelerating classes. On average students lack understanding in the selection of majors according to their abilities. Many people fail in the way they have found. To facilitate the determination of majors, a Decision Making System (SPK) is needed to find criteria. In SPK there are several methods in searching criteria, which are usually used by SAW with MFED. Based on the research carried out, by comparing the two methods, the data are grouped into three criteria, namely the value of the Natural Sciences National Examination, Psychology tests, and Interests. The results of this study show about MFEP method take a high accuration between SAW. An accuration of SAW have 38.3 % and MFEP have 70.5%.

scholarly journals Effects of Virtual Reality-Based Rehabilitation on Upper Extremity Function among Children with Cerebral Palsy

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 391
Author(s):  
Hyun Jung Chang ◽  
Kyo Hun Ku ◽  
Young Sook Park ◽  
Jin Gee Park ◽  
Eun Sol Cho ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Upper Extremity ◽  
Medical Records ◽  
Rehabilitation Program ◽  
Upper Extremities ◽  
Extremity Function ◽  
Children With Cerebral Palsy ◽  
Upper Extremity Function

Background: Deterioration in upper extremity function has been a common problem among children with cerebral palsy (CP). The present study evaluated the effects of virtual reality (VR)-based rehabilitation combined with conventional occupational therapy (COT) on upper extremity function and caregiver assistance among children with CP. Methods: Medical records of 17 children with CP who regularly participated in a rehabilitation program at Samsung Changwon Hospital were retrospectively reviewed. Ten children received VR-based rehabilitation, which utilized RAPAEL Smart Kids and video games combined with COT. Seven children received COT alone, which was provided by a trained occupational therapist and focused on their upper extremities. Clinical outcomes were determined using the Quality of Upper Extremity Skills Test (QUEST) and Pediatric Evaluation of Disability Inventory (PEDI), which were administered before and 8 weeks after the first intervention session. Results: The smart glove (SG) group showed significant improvements in all QUEST domains and five PEDI domains (p < 0.05), whereas the COT group showed a significant change only in total QUEST scores. A comparison between both groups revealed that the SG group had significantly greater improvements in five QUEST domains and two PEDI domains (p < 0.05). Conclusions: Our results suggest that VR-based rehabilitation combined with COT may improve the upper extremity functions and decrease caregiver burden among children with CP.

scholarly journals Association Between Pediatric Inpatient Rehabilitation Services and Children’s Functional Outcomes: King Fahad Medical City Experience

2020 ◽  
Vol 9 ◽  
pp. 117957272092839
Author(s):  
Sanaa Mohammed Madi ◽  
Naif Ibrahim Alraddadi
Keyword(s):  
Cerebral Palsy ◽  
Brain Tumors ◽  
Functional Performance ◽  
Inpatient Rehabilitation ◽  
Rehabilitation Program ◽  
Rehabilitation Unit ◽  
Children With Cerebral Palsy ◽  
Medical City ◽  
Pediatric Inpatient ◽  
The Mean

Background: Disability may affect children’s performance of functional activities. This may translate to difficulties in returning to home and/or school. It has been documented that intensive rehabilitation programs for children with disabilities lead to an improvement in their functional abilities. Wee-FIM is a valid and reliable outcome measure that is used commonly with children undergoing rehabilitation. Objectives: To study changes in the functional status of children admitted to a specialized pediatric inpatient rehabilitation unit. Design: A retrospective cohort study. Setting: King Fahad Medical City—Rehabilitation Hospital, Riyadh, Saudi Arabia. Methods: Investigators reviewed records of children admitted to a pediatric rehabilitation unit between January 1, 2012, and December 31, 2017. The outcome measures used were rehabilitation length of stay (LOS), Wee-FIM gain, and Wee-FIM efficiency. Results: The total number of records included in this study was 361 records. Sixty percent of the children were boys. The mean age was 8.7 ± 3.8 years (range, 3-17 years). Children with cerebral palsy accounted for 45.2% of the children. The mean LOS was 43 days. Children with brain tumors had the shortest LOS compared with children with other diagnoses. Mean (SD) Wee-FIM efficiency was 0.58 (±0.6). Highest Wee-FIM efficiency was observed in children with brain tumors. Average Wee-FIM gain was 20 (±15). The highest functional gain was 27 in children with brain tumors while the lowest was 16 in children with cerebral palsy. Conclusions: Intensive inpatient rehabilitation program is associated with improvement in functional performance in children with a variety of impairments and disabilities.

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