scholarly journals Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review

2021 ◽  
Vol 11 (7) ◽  
pp. 604
Author(s):  
Maria Dolores Apolo-Arenas ◽  
Aline Ferreira de Araújo Jerônimo ◽  
Alejandro Caña-Pino ◽  
Orlando Fernandes ◽  
Joana Alegrete ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Gait Training ◽  
Physical Therapy Modalities ◽  
Spastic Diplegia ◽  
Evaluation Procedures ◽  
Outcomes Measures ◽  
Prisma Statement ◽  
Spastic Hemiplegia

Cerebral palsy (CP) treatment includes physical therapy and various complementary therapies to the standard clinical treatment. However, there are not many reviews that focus on the methods used and evaluation procedures. This study aims to analyze which tools are most suitable for the evaluation and methodology of patients with CP treated with physical therapy. Following the PRISMA statement, through a PICOS strategy, PubMed/MEDLINE, Web of Science (WOS), Scopus, Science Direct, and Scielo were searched with the following terms: cerebral palsy AND (physical therapy modalities OR therapeutics) AND outcome assessment. The methodological quality of the RCTs was assessed with the Evidence Project risk of bias tool. Thirty-seven RCTs and six RCT protocols, comprising 1359 participants with different types of CP: spastic hemiplegia/paresis, spastic diplegia/paresis, and spastic CP, met the inclusion criteria, uncovering 21 variables measured through 77 different instruments and several interventions. The therapies most widely used in CP are gaming or technology-assisted therapies, aerobic training, hippotherapy, music therapy, gait training, and aquatic exercises. This study provides an overview of what the authors used in the neurorehabilitation field through procedure evaluation and checking the technological advance that began to be used.

scholarly journals Faktor Risiko Prenatal Perinatal Dan Postnatal Pada Kejadian Cerebral Palsy

2019 ◽  
Vol 8 (2) ◽  
pp. 204-209
Author(s):  
Bambang Trisnowiyanto ◽  
Yohanes Purwanto
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Cerebral Palsy ◽  
Postnatal Period ◽  
Spastic Diplegia ◽  
Prenatal Risk ◽  
Prenatal Risk Factors ◽  
Spastic Hemiplegia ◽  
Postnatal Risk Factors ◽  
Observational Descriptive Study

Background: Cerebral Palsy (CP) is a disability disorder motor motorization is most common in children with a prevalence of 2-3 per 1000 live births. The term CP is explained as a group of movement and posture disorders that are often accompanied by impaired sensation, perception, cognition, communication, behavior, epilepsy, and secondary disorders of the musculoskeletal system. Disorders of CP occur in the immature central nervous system with non-progressive traits occurring in the prenatal, perinatal, and postnatal period. Methods:  The purpose of this study is to determine how much prenatal risk factors, perinatal, and postnatal events in CP at the Kitty Center Clinic in Jakarta for 5 year (2013 - 2017). Result: An observational descriptive study, which described prenatal perinatal, and postnatal risk factors for CP events at the Kitty Center Clinic in Jakarta for a period of 5 years (2013-2017) with a total of 523 study subjects. Based on the analysis of data obtained, based on the type of CP 35% quadripelgia spastic, 36% spastic diplegia, 6% spastic hemiplegia, 9% athetosis, and 14% hypotonia. Based on sex 62% are men, and 38% are women with a ratio of 1.6: 1.0. Based on the age of the child 11% <2 years, 34% 3-6 years, 33% 7-12 years, and 22%13-18 years. Conclusion:  Based on risk factors of 62% prenatal, 25% perinatal, and 12% postnatal. Prenatal risk factor is the biggest risk factor as much as 62% which causes Cerebral Palsy at the Kitty Center Clinic in Jakarta.

scholarly journals Anthropometrical Features of Para-Footballers According to Their Cerebral Palsy Profiles and Compared to Controls

2020 ◽  
Vol 17 (23) ◽  
pp. 9071
Author(s):  
José M. Sarabia ◽  
Carmen Doménech ◽  
Enrique Roche ◽  
Néstor Vicente-Salar ◽  
Raul Reina
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Spastic Diplegia ◽  
Football Players ◽  
International Level ◽  
Anthropometric Measures ◽  
Physical Impairments ◽  
Spastic Hemiplegia ◽  
Composition Profiles ◽  
Sports Coaches

Cerebral palsy (CP) football is a team para-sport practiced by para-athletes with eligible impairments of hypertonia, athetosis, and ataxia. This study aimed: (1) to describe the anthropometrical and body composition profiles of international CP para-footballers with different CP profiles (i.e., spastic diplegia, athetosis/ataxia, spastic hemiplegia, and minimum impairment); (2) to analyze the differences between both affected/nondominant and nonaffected/dominant sides; and (3) to compare the sample of international-level CP para-footballers (n = 141) with a sample of highly trained able-bodied footballers (n = 39). Anthropometric measures included four breadths, nine girths, and six skinfolds, while body composition was measured through fat mass (including Carter’s, Faulkner’s, and Withers’ equations), muscle mass (Lee’s equation), and bone mass (Rocha’s and Martin’s equations). This study found differences between the able-bodied footballers and the following impairment profiles: spastic diplegia (skinfolds); ataxia/athetosis (corrected calf of the nondominant side, and calf skinfolds for both sides); and spastic hemiplegia (all measurements excepting femur breadth, and thigh and ankle girths). No differences were found between para-athletes with minimum impairment and the able-bodied footballers. This study demonstrates that football players with or without physical impairments of hypertonia athetosis or ataxia may be considered homogeneous in shape when dominant size is compared. Besides, the study provides reference scores on anthropometric measures and body composition of international-level CP para-footballers that can help sports coaches and physical trainers to monitor physical fitness of their para-athletes.

scholarly journals Effects of Robot-Assisted Therapy on Gait Parameters in Pediatric Patients With Spastic Cerebral Palsy

2021 ◽  
Vol 12 ◽  
Author(s):  
Faustyna Manikowska ◽  
Sabina Brazevic ◽  
Anna Krzyżańska ◽  
Marek Jóźwiak
Keyword(s):  
Cerebral Palsy ◽  
Gait Training ◽  
Spastic Cerebral Palsy ◽  
Gait Symmetry ◽  
Double Support ◽  
Patient Profile ◽  
Gait Parameters ◽  
Gait Deviation Index ◽  
Spatiotemporal Parameters

Background: Gait dysfunction is a crucial factor that restricts independence and quality of life in children with cerebral palsy (CP). Gait training based on robotic-assisted therapy (RAT) is widely used, but information about effectiveness and ideal patient profile is not sufficient. Aim of this study was to assess the effect of RAT on gait parameters in spastic children with CP, and to determine whether changes in gait parameters are different among patients on different ambulatory levels.Method: A total of 26 children with bilateral spastic CP were divided into two groups based on their functional ability: non-assisted ambulator (NAS) or assisted ambulator (AS); and underwent a RAT program (30 training sessions of RAT during 10 weeks). Gait analysis was performed: before the therapy (t1), right after (t2), and 6 weeks later (t3).Results: No significant changes in spatiotemporal parameters or gait deviation index at t2 or t3. Double support symmetry significantly improved (t1 vs. t3, p = 0.03) for the whole group (NAS + AS). Walking speed symmetry significantly improved (t2 vs. t3, p = 0.02) for group AS.Conclusion: RAT based on our protocol did not change spatiotemporal parameters and kinematics of walking except limited improvement in some aspects of gait symmetry. We did not find differences in changes in selected objective gait parameters among children with CP in different ambulatory levels.

scholarly journals Physiotherapy approaches applied to patients with fibromyalgia: systematic review of clinical trials

2020 ◽  
pp. 1-8
Author(s):  
Yago Tavares Pinheiro ◽  
Marcelo Cardoso de Souza ◽  
Thiago Anderson Brito de Araújo ◽  
Rodrigo Scattone da Silva ◽  
Caio Alano de Almeida Lins
Keyword(s):  
Clinical Trials ◽  
Physical Therapy ◽  
Signs And Symptoms ◽  
Physical Therapy Modalities ◽  
Anxiety And Depression ◽  
Eligibility Criteria ◽  
Secondary Sources ◽  
Almost All ◽  
Main Effects

Background: Due to the complexity of the fibromyalgic patient’s condition, therapeutic resources are being recruited to manage the signs and symptoms of patients with this disorder. However, the range of options offered hinders the decision-making of therapists, since the approaches are often heterogeneous. Objectives: The objective was to characterize publications on the effects of physical therapy in patients with fibromyalgia and to investigate the main effects of these therapies. Methods: A search was performed between November 2017 and March 2018 by articles published in the databases PEDro, PUBMED and SciELO from the combination of the descriptors “Fibromyalgia” and “Physical Therapy Modalities”. We included clinical trials involving subjects with fibromyalgia and that approached some physiotherapeutic technique in at least one of the intervention groups. Results: A total of 861 studies were identified. Of these, 28 met the eligibility criteria. In addition, 02 studies were included from secondary sources. There was a predominance of studies published in the last nine years, in which the evaluation instruments of the type questionnaires, inventories and scales were used mainly. In addition, it was possible to observe an improvement in outcomes such as pain, quality of life, sleep, general health, functional capacity, balance, anxiety and depression in patients with Fibromyalgia submitted to techniques such as kinesiotherapy, hydrotherapy, electrothermo-therapy, bandages, among others. Conclusions: The evidences found support the use of physiotherapy as a therapeutic resource for patients with Fibromyalgia, since the techniques studied were beneficial in almost all cases. Record PROSPERO: CRD42018087432.

scholarly journals Comparative study between manual therapy and TENS Burst in patients with tension-type cephalalgia

2015 ◽  
Vol 28 (2) ◽  
pp. 327-337
Author(s):  
Denise Vasconcelos Fernandes ◽  
Fhelício Sampaio Viana ◽  
Jefferson Paixão Cardoso
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Manual Therapy ◽  
Intervention Group ◽  
Physical Therapy Modalities ◽  
Treatment Manual ◽  
Control Group ◽  
Exclusion Criteria ◽  
Transcutaneous Nerve Stimulation

Introduction Cephalgia or cephalalgia is one of the most common symptoms in the general population. Objective To compare the efficacy of physical therapy modalities, through manual therapy and the effect of Transcutaneous Nerve Stimulation (TENS) for tension-type cephalalgia. Materials and methods The study was compounded by 60 subjects, but only 40 of them completed it, due to the exclusion criteria. These were divided into control group and intervention group. The control group received treatment — manual therapy. The intervention group received TENS Burst. Patients underwent ten sessions of treatment, made at every two days on a week, lasting 30 minutes each session. Results The characteristics related to lifestyle, postural issues and range of motion are responsible for the main causes of tension-type cephalalgia. Discussion treatments showed effective results in all cases in relation to pain intensity, but the use of manual therapy techniques give the patient a better quality of life compared to the use of TENS. Final considerations The treatment of this condition deserves analysis and studies; however, there are only a few studying physical therapy techniques, especially regarding to the use of TENS.

Quantifying Active Ankle Range of Motion in Cerebral Palsy Following Selective Dorsal Rhizotomy

2004 ◽  
Vol 20 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Jack R. Engsberg ◽  
Sandy A. Ross ◽  
Tae S. Park
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Range Of Motion ◽  
Repeated Measures ◽  
Sagittal Plane ◽  
Quantitative Measure ◽  
Spastic Diplegia ◽  
Additional Information ◽  
Dorsal Rhizotomy ◽  
Post Hoc

This study was conducted to determine whether an objective and quantitative measure for active ankle range of motion would be sensitive to differences between persons of able body and those with cerebral palsy (CP), and between pre- and postselective dorsal rhizotomy (SDR). Twelve children with spastic diplegia CP were tested before undergoing an SDR, and again after 8 months of intensive physical therapy (SDR group). Fourteen other children with spastic diplegia were tested initially and again 8 months following no intervention but maintaining their existing level of physical therapy (CP group). Twenty age-matched children of able body were tested once (AB group). A video system recorded active sagittal plane ankle movements as the seated child independently performed maximum dorsiflexion and plantarflexion. The data were tracked and analyzed to determine end-range dorsiflexion and plantarflexion, and total active ankle range of motion. Repeated-measures ANOVA and Tukey post hoc tests were used to test for significant differences among and between groups, p < 0. 05. Results for the SDR group indicated a significant increase in end-range dorsiflexion and total range of motion following the surgery, with no changes in any measures for the CP group. Results for both groups with CP indicated differences vs. the AB group. The measure provided additional information from what has previously been reported for active ankle range of motion. The integration of this measure with other objective measures for quantifying impairments and presurgical function may be useful in predicting post-SDR gait status and other functional activities.

scholarly journals Cerebral Palsy and Epilepsy in Children: Clinical Perspectives on a Common Comorbidity

Children ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 16
Author(s):  
Piero Pavone ◽  
Carmela Gulizia ◽  
Alice Le Pira ◽  
Filippo Greco ◽  
Pasquale Parisi ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Epileptic Seizures ◽  
Motor Dysfunction ◽  
Clinical Aspects ◽  
Control Group ◽  
Spastic Diplegia ◽  
Childhood Disability ◽  
Spastic Quadriplegia ◽  
Spastic Hemiplegia ◽  
The University

Cerebral palsy (CP) is a frequent cause of childhood disability often associated with a complex group of disorders, including epilepsy, which is reported to impact approximately 40% of affected individuals. This retrospective study involved a group of children affected by CP, some of whom also had comorbid epilepsy. The aim of this study was to report our experience of analyzing, in particular, (a) some of the clinical aspects of the different type of CP, and (b) the relationship between the clinical data of children affected by CP plus epilepsy and each type of CP. Methods: This retrospective single-center study was performed with 93 children admitted to the Pediatric Department of the University of Catania, Italy, affected by CP and distinguished according to the type of motor clinical presentation, with 46 showing epileptic seizures, compared to a control group of 136 children affected by epilepsy without other neurologic disorders. Results: Among the 93 CP children, 25 (27%) had spastic quadriplegia (plus one patient with dystonic quadriplegia), 39 (42%) had spastic hemiplegia, 11 (12%) had spastic diplegia (plus two with ataxia and one with dyskinetic CP), and 14 (15%) did not have a well-defined type of CP. The frequency of epilepsy was higher in affected CP children who showed major motor dysfunction (GMFCS IV–V types). As regards the 46 children with CP plus epilepsy, compared to the group of the control, the age of epilepsy onset was found to be statistically significant: 21 ± 35.1 months vs. 67 ± 39.7. Conclusions: Epilepsy represents one of the most frequent comorbidities of cerebral palsy. In children with CP, particular attention should be paid to the early identification and treatment of comorbid epilepsy.

scholarly journals Using Decision Trees to Support Classifiers’ Decision-Making about Activity Limitation of Cerebral Palsy Footballers

2021 ◽  
Vol 18 (8) ◽  
pp. 4320
Author(s):  
José M. Sarabia ◽  
Alba Roldan ◽  
Matías Henríquez ◽  
Raul Reina
Keyword(s):  
Cerebral Palsy ◽  
Decision Trees ◽  
Activity Limitation ◽  
Step Test ◽  
Spastic Diplegia ◽  
Final Sample ◽  
Spastic Hemiplegia ◽  
Classification Tool ◽  
Functional Profiles ◽  
The Impact

This study aimed (1) to determine the appropriateness of using decision trees as a classification tool for determining the allocation of sport classes of para-footballers with “moderate vs. mild” cerebral palsy (CP) profiles of spastic diplegia/hemiplegia and ataxia/athetosis based on observational outcomes by international classifiers, and (2) to identify what key observational features were relevant to discriminating among different impairment levels. A sample of 16 experienced international classifiers from five world regions participated in this study, observing activity limitation of a final sample of 21 international CP footballers when performing 16 gross-motor and sports-specific tests for balance (n = 3), coordination (n = 5), running, accelerations and decelerations (n = 3), jumping (n = 4), and change of direction ability (n = 1). For the overall sample (336 observations), the model included eight decision nodes and 24 branches with 17 leaves, including side-step, side-stepping, and triple hop as the tests with the best sensitivity (precision = 67.0%). For those with spastic diplegia (64 observations: Two nodes, six branches with five leaves), the range of motion in the side-step test and the balance in the tandem walk tests correctly classified 89.1% of the observations. In those with athetosis and ataxia (96 observations), the model included five nodes, 15 branches, and 11 leaves (176 observations, precision = 86.5%). For those with spastic hemiplegia, a model containing two nodes, six branches, and five leaves had 90.9% accuracy, including observational features of balance in the side-step test and symmetry in the side-stepping test. The observational tool used in this study, based on the impact of specific impairment measurements of hypertonia, athetosis, and ataxia, can be used to determine which assessments are more appropriate for discriminating between functional profiles in para-footballers with CP.

scholarly journals THE INFLUENCE OF COMPREHENSIVE REHABILITATION MEASURES COMBINED WITH THE OSTEOPATHIC TREATMENT ON THE BALANCE FUNCTION COEFFICIENT IN CHILDREN SUFFERING FROM CEREBRAL PALSY

2021 ◽  
Vol 83 (3) ◽  
pp. 10-18
Author(s):  
Irina Egorova ◽  
Artem Dyupin ◽  
Larisa Rotai ◽  
Sufia Alyusheva
Keyword(s):  
Cerebral Palsy ◽  
Upright Position ◽  
Spastic Diplegia ◽  
Balance Function ◽  
Function Coefficient ◽  
Level Ii ◽  
Osteopathic Treatment ◽  
Comprehensive Rehabilitation ◽  
Rehabilitation Measures

The article highlights the study records on the infl uence of comprehensive rehabilitation measures combined with osteopathic treatment on the balance function quality in children suff ering from cerebral palsy. The study involved children aged 7 to 12 with spastic diplegia (level II according to GMFCS), intact intelligence, and the ability to move independently without technical devices. The study showed that, if the osteopathic treatment was included in the set of rehabilitation measures, the quality of life and postural control in the upright position improved in children, the latter manifested itself in an increased indicator of the balance function quality.

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