scholarly journals KINESITHERAPEUTIC APPROACH IN CHILD CEREBRAL PALSY

2019 ◽  
Vol 32 (2) ◽  
pp. 239-245
Author(s):  
Edis Rustemi ◽  
Danche Vasileva
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tone ◽  
Epileptic Seizures ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Diagnostic Methods ◽  
Intellectual Deficiency ◽  
Depth Analysis ◽  
The Central Nervous System ◽  
Cognitive Problems

Child Cerebral Palsy (CCP) is a non-progressive, chronic brain injury that can occur during pregnancy - prenatal period, during childbirth - perinatal period or postnatal period. It is characterized by a disorder of muscle tone, disturbance of balance, coordination, speech, hearing, etc. Also, some children may experience some degree of cognitive and intellectual deficiency. Damage mainly occurs at the upper motor neuron affecting the cerebellum. This disorder of the central nervous system leads to disruption of the normal development of motor functions, muscle tone, and coordination. Children's cerebral palsy is a disease that very often leads to severe disability, and to successfully battle with the consequences and serious disabilities, early detection, and the onset of treatment is needed from the first days of the child's life. The treatment of CCP is complex in which, besides medical, pedagogical and social rehabilitation, kinesitherapy is included. The aim of the study is to evaluate the effect of the kinesitherapeutic approach and the specialized kinesitherapeutic method in children with CP. Material and Methods: The study was conducted with 8 children with CP due to premature birth and complications at birth and with spastic diplexia after periventricular leucomalation, the leg being more affected than the hand and with no signs of cortical damage and spastic hemiplegia.The study excludes patients with severe and frequent epileptic seizures and serious cognitive problems. For the purpose of the study, a set of diagnostic methods was applied, and the results were scored at the beginning, 3rd month, and 6th month of treatment initiation and were applied to a working datasheet. Were Evaluated: the functionality of a modified test Chedoke-McMaster (Chedoke-McMaster Stroke Assessment), muscle tone with a modified scale of Ashworth and the balanace capabilities with test Berg (Berg Balanace Ssale-BBS). Results: The specialized kinesitherapeutic methodology permanently stabilizes the functional opportunities for rehabilitation and balanced opportunities for children with CP. Conclusion: The complete and in-depth analysis of the tangible results gives us reason to assert that the applied kinesitherapy has both an early and a late therapeutic effect that is related to the duration of administration, the structure of performance and the purpose of the included kinesitherapeutic means.

scholarly journals ANÁLISE DA MARCHA EM PACIENTES COM PARALISIA CEREBRAL APÓS TREINO LOCOMOTOR EM ESTEIRA ERGOMÉTRICA

2019 ◽  
pp. 1-15
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tone ◽  
Postnatal Period ◽  
Quantitative Character ◽  
Locomotor Training ◽  
Neurological Patient ◽  
Functional Maturation ◽  
Before And After ◽  
The Central Nervous System ◽  
The Individual

PFEIFER, S; ORIQUES DA SILVA, T.K. e TESTONI, V.G. Análise da marcha em pacientes com paralisia cerebral após treino locomotor em esteira ergométrica. Revista Científica JOPEF, Vol.28, n.1, pp.1-15, 2019. Cerebral palsy (CP) is a consequence of a static brain injury, occurring in the pre, peri or postnatal period, which affects the central nervous system (CNS) in the structural and functional maturation phase, characterized primarily by a persistent but not invariable disorders of muscle tone, posture and voluntary movement. Because of these disorders, children with CP have some changes in gait, such as decreased walking speed, insufficient force generation and higher energy expenditure during walking, which is why gait acquisition is one of the focus of attention in rehabilitation. individuals with CP, and for this purpose several approaches can be used, such as the use of the treadmill. This study aims to analyze the gait of a neurological patient, more specifically a patient with CP, before and after locomotor training on the treadmill. The research has a quantitative character, through a case study as a research instrument, being collected in a private physiotherapy clinic. Gait evaluation was performed by measuring foot and foot variables, measuring the distance between them in a brown paper, and other variables such as speed and cadence, before and after a neuropediatrician rehabilitation protocol. using the treadmill. After data analysis, the patient's locomotor training improved with a significant increase in speed and cadence variables. Exercise walking on treadmill can improve gait activity in children with CP thus achieving better functionality and quality of life for the individual. KEYWORDS: Cerebral Palsy. Locomotive Training. Gait.

scholarly journals Hemiparetic cerebral palsy: etiological risk factors and neuroimaging

2001 ◽  
Vol 59 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Ana Maria Sedrez Gonzaga Piovesana ◽  
Maria Valeriana Leme de Moura-Ribeiro ◽  
Verônica de Araújo Zanardi ◽  
Vanda Maria Gimenes Gonçalves
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Perinatal Period ◽  
Prenatal Period ◽  
Premature Births ◽  
Ventricular Enlargement ◽  
Resonance Imaging ◽  
Risk Period ◽  
The Central Nervous System ◽  
Ct And Mri

The purpose of this paper, which was conducted on 175 children with hemiparetic cerebral palsy (H-CP), was to verify the etiological risk period for this disease. Etiological risk factors (ERF) were detected through anamnesis: 23% in the prenatal period, 18% in the perinatal period and 59% of the patients the period was undefined (ERF in the prenatal and perinatal period was 41% and no ERF was 18% of the cases. The computerized tomographic scan (CT) and MRI were performed on all the patients, who were then classified according to their etiopathogenic data: CT1= normal (18%); CT 2= unilateral ventricular enlargement (25%); CT 3= cortical/ subcortical cavities (28%); CT4= hemispheric atrophy and other findings (14%); CT 5= malformations (15%). CT 5 was associated with physical malformations beyond the central nervous system and with prenatal ERF's , while CT 2 was associated with the perinatal ERF's, mainly in premature births. Magnetic resonance imaging was performed on 57 patients and demonstrated a good degree of concordance with the CT. Etiology remained undefined in only 37% of the cases after neuroimaging was related to ERF. A high perinatal RF frequency (59%) was observed and emphasized the need for special care during this period.

Cerebral abscess caused by Streptococcus agalactiae, an unusual presentation

2021 ◽  
Vol 6 (1) ◽  
pp. 01-03
Author(s):  
Angelica Fuentes
Keyword(s):  
Muscle Tone ◽  
Group B Streptococcus ◽  
Epileptic Seizures ◽  
Acute Stage ◽  
Cerebral Abscess ◽  
Antibiotic Management ◽  
Left Caudate ◽  
The Central Nervous System ◽  
Group B

During the first three months of life, Group B streptococcus or Agalactiae (GBS) can cause meningitis and be associated with cerebrovascular accidents resulting from sepsis and infection of the central nervous system. This article presents the unusual case of a female infant who was afflicted with GBS, meningitis, sepsis complicated by septic shock, ischemic lesions secondary to inflammatory vasculitis and a cerebral abscess accompanied by epileptic seizures with a hypsarrythmia electroencephalographic pattern. A long-term NICU stay with antibiotic management, inotropic support and antiepileptic treatment succeeded in resolving the acute stage of the illness. Out-patient follow-up revealed increased muscle-tone, but delayed neurological development. While this improved significantly with integral rehabilitative therapy, a slight delay still remained. Neuroimaging follow-up at 18 months found malacia-area and core retractions in the left caudate nucleus.

scholarly journals Noninvasive diagnostic methods for perceptual and motor disabilities in children with cerebral palsy

2009 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Renee Lampe
Keyword(s):  
Cerebral Palsy ◽  
Musculoskeletal System ◽  
Basic Research ◽  
Diagnostic Methods ◽  
Motor Disabilities ◽  
Measuring Methods ◽  
Technical Examination ◽  
The Central Nervous System ◽  
Examination Methods ◽  
Insight Into

The field of neuroorthopedics centers on chronic diseases demanding close clinical monitoring. We shall use several examples to show how the various noninvasive diagnostic instruments can be used to obtain insight into the central nervous system as well as into the musculoskeletal system and its morphology. The choice of the most appropriate method depends on the problem; that is, whether the method is to be applied for clinical use or for basic research. In this report we introduce various technical examination methods that are being used successfully in the fields of pediatrics, orthopedics, and neurology. The major examination instrument in pediatric diagnostics is sonography, which is being used in this report as a research instrument for the biomechanics of the musculoskeletal system, but which also gives insight into neurofunctional sequences. In orthopedics, pedography is used for diagnosing deformities of the feet. In neuroorthopedics for children pedography acts as a functional monitor for apraxia and thus allows, for example, a classification of the degree of neurological malfunctions in the lower extremities. The 3D bodyscan is used to minimize x-raying in patients with neurogenic scoliosis. This report introduces examples of the application of MRI and fMRI for basic research. The biometric measuring methods introduced provide precise data in the areas of diagnostics and monitoring and are highly valuable for further neuroorthopedic basic research. In future we expect the ever-evolving technical measuring methods to enable a deeper understanding of the primary neurological causes of and the implications for patients with cerebral palsy and other neuroorthopedic conditions. This may allow the development of new forms of therapy not necessarily predictable today.

scholarly journals Experience of application of proproceptive modeling of walking in children of early age with motor disorders

2020 ◽  
Vol 14 (3) ◽  
pp. 16-27
Author(s):  
A. G. Prityko ◽  
N. V. Chebanenko ◽  
V. P. Zykov ◽  
P. L. Sokolov ◽  
E. A. Bukreeva ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Muscle Tone ◽  
Age Groups ◽  
Lower Extremities ◽  
Rehabilitation Treatment ◽  
The Central Nervous System ◽  
Spastic Paresis ◽  
Treatment Pressure

Background. In the pathogenesis of cerebral palsy, the pathology of the proprioceptive modality plays an important role. Proprioceptive correction is an effective method for habilitation of children suffering from this disease. "Stimulation of the feet" is one of the methods of proprioceptive correction. In the process of treatment, pressure is applied to the receptor zones of the feet with pneumatic elements. The pressure is produced in walking mode and simulates the effect of the step on the foot. Objective: the rehabilitation treatment of children with the consequences of perinatal damage to the central nervous system and various forms of cerebral palsy.Materials and methods. The results of the rehabilitation treatment of 51 children with the consequences of perinatal damage to the central nervous system in 2 age groups: from 7 months to 1 year and from 1 year to 2 years are described. The average age of children was 1.8 ± 0.054 years, standard deviation 0.385. Among them, 27 (52.9 %) were boys, 24 (47.1 %) girls. The children had various motor dysfunctions. Children with a predominance of spasticity in the muscles of the lower extremities were 70.6 %, children with a predominance of reduced tone in the muscles of the lower extremities were 29.4 %. Rehabilitation treatment was carried out from the simulator of the base load "Сorvit". The course of basic stimulation was 10 procedures lasting from 10 to 15 minutes. The mode of stimulation was selected individually as in the classroom for physiotherapy. The duration and intensity of the pressure on the foot were selected.Results. As a result of treatment, positive dynamics of motor functions was noted. It was expressed in the normalization of muscle tone and with its decrease, and with an increase. The effect of tonic reflexes decreased. In the older group, normalization of the step structure was revealed. A reliable positive dynamics of speech and mental development was recorded. In children aged 7 months to a year with severe spastic paresis, it was statistically significant (p <0.05).Conclusions. Support stimulation is an effective and safe method of physical habilitation of children with the effects of perinatal brain lesions and cerebral palsy.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

scholarly journals Cholinergic Signaling, Neural Excitability, and Epilepsy

Molecules ◽  
2021 ◽  
Vol 26 (8) ◽  
pp. 2258
Author(s):  
Yu Wang ◽  
Bei Tan ◽  
Yi Wang ◽  
Zhong Chen
Keyword(s):  
Cholinergic Neurons ◽  
Epileptic Seizures ◽  
Brain Disorder ◽  
Neural Excitability ◽  
Cholinergic Signaling ◽  
The Central Nervous System ◽  
Muscarinic And Nicotinic Receptors ◽  
Cumulative Evidence ◽  
Precise Role

Epilepsy is a common brain disorder characterized by recurrent epileptic seizures with neuronal hyperexcitability. Apart from the classical imbalance between excitatory glutamatergic transmission and inhibitory γ-aminobutyric acidergic transmission, cumulative evidence suggest that cholinergic signaling is crucially involved in the modulation of neural excitability and epilepsy. In this review, we briefly describe the distribution of cholinergic neurons, muscarinic, and nicotinic receptors in the central nervous system and their relationship with neural excitability. Then, we summarize the findings from experimental and clinical research on the role of cholinergic signaling in epilepsy. Furthermore, we provide some perspectives on future investigation to reveal the precise role of the cholinergic system in epilepsy.

Torsional Problems in Cerebral Palsy

Foot & Ankle ◽  
1984 ◽  
Vol 4 (4) ◽  
pp. 180-184 ◽  
Author(s):  
Howard A. King ◽  
Lynn T. Staheli
Keyword(s):  
Cerebral Palsy ◽  
Literature Review ◽  
Lower Limb ◽  
Muscle Tone ◽  
Therapeutic Challenge ◽  
Treatment Plans

Lower limb rotational problems in the patient with cerebral palsy represent a diagnostic and therapeutic challenge to the clinician. A literature review suggests that increased muscle tone may be the cause of these problems. This article proposes a simple diagnostic plan and discusses the various treatment plans and options.

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