scholarly journals Rehabilitation Route for a Child with Cerebral Palsy: the Experience of Chuvashia

2021 ◽  
Vol 3 (1) ◽  
pp. 149-158
Author(s):  
Svetlana K. Yakovleva ◽  
Vera E. Andreeva ◽  
Elena V. Preobrazhenskaya ◽  
Roza V. Petrova ◽  
Oksana I. Milova ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Conservative Treatment ◽  
Medical Care ◽  
Risk Groups ◽  
High Tech ◽  
Highly Qualified ◽  
Gait Quality ◽  
Children With Cerebral Palsy ◽  
Chuvash Republic ◽  
The Moment

The most common cause of neurological disability in childhood is cerebral palsy. The objectives of the treatment of children with cerebral palsy are the acquisition and maintenance of new motor skills; prevention of the development of contractures and other secondary orthopedic complications; decrease in the level of pain; improving the level of childcare. At the same time, the provision of treatment and rehabilitation assistance to children with cerebral palsy requires an integrated, systematic approach. The article describes the route of rehabilitation of children with cerebral palsy in the Chuvash Republic from the moment of diagnosis until reaching the age of 18. The study was carried out on the basis of an analysis of data from the regional register of children with cerebral palsy at all stages of treatment and rehabilitation (habilitation). The first stage includes the identification of risk groups for cerebral palsy, conservative, surgical specialized medical care. The register of children with cerebral palsy made it possible to keep records of patients at the stages of treatment and rehabilitation with an assessment of the results. At the second stage, high-tech conservative and surgical treatment is carried out. After operations, patients are sent for rehabilitation to a 24-hour hospital or to a Rehabilitation Center for Children (over 3 years, 1.5 thousand children were treated, 25.7% after operations). The third stage is organized at the outpatient clinic level and in specialized sanatoriums. For 20142018 the coverage of children with cerebral palsy with conservative treatment increased 1.9 times, with botulinum therapy 2.6 times, the proportion of those who received surgery decreased to 22.4%. 92.7% of patients of the Register are covered by conservative treatment. 33.3% of operated children were referred for sanatorium-resort treatment. The control section of the rehabilitation results showed an increase in the proportion of children with improved gait quality, the ability to stand independently, walk (with support), and an increase in the average level of physical activity. A multi-level system of interagency interaction in the provision of treatment and rehabilitation assistance to children with cerebral palsy in Chuvash Republic made it possible to ensure a sufficient amount of basic and availability of highly qualified medical care, effective management and control of the stages of rehabilitation.

Improving the availability and quality of medical care and rehabilitation in children with cerebral palsy

2016 ◽  
Vol 7 (1) ◽  
pp. 65-72 ◽  
Author(s):  
Tatiana T Batysheva ◽  
Valentina I Guzeva ◽  
Oksana V Guzeva ◽  
Victoria V Guzeva
Keyword(s):  
Cerebral Palsy ◽  
Medical Care ◽  
Continuous Process ◽  
Scientific Data ◽  
High Tech ◽  
Rehabilitation Treatment ◽  
Children With Cerebral Palsy ◽  
Degree Of Disability ◽  
The Central Nervous System

Nowdays, cerebral palsy is a leader in the structure of chronic diseases of childhood. The earliest start of the rehabilitation of children with cerebral palsy, continuity and phasing their implementation, systematic and comprehensive, individual approach provide children with cerebral palsy to attain optimal physical, intellectual, psychological and/or social functional levels and to support it, thereby giving them tools designed to change their lives and expand their independence According to the latest scientific data in Russia today more than 40 % of newborns have various health disorders. Disease of the newborn, threatening the formation of cerebral palsy in almost half of cases partially or completely curable, but it requires time to diagnose them and begin proper rehabilitation treatment. It was in early childhood may successfully correct the existing neurological and orthopedic disorders, minimizing the effects of damage to the central nervous system. Introduction to the complex rehabilitation of patients with cerebral palsy high-tech methods of rehabilitation treatment will provide for pathogenetic treatment and significantly increase the speed of recovery of disturbed functions that will significantly reduce the degree of disability of such patients. Existing conditions of medical care and rehabilitation can not fully ensure a continuous process of complex rehabilitation of children with cerebral palsy. It is necessary to further improve the quality of treatment and rehabilitation, and their accessibility to children with cerebral palsy.

scholarly journals Effectiveness of Global Optimisation and Direct Kinematics in Predicting Surgical Outcome in Children with Cerebral Palsy

Life ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 1306
Author(s):  
Claude Fiifi Hayford ◽  
Emma Pratt ◽  
John P. Cashman ◽  
Owain G. Evans ◽  
Claudia Mazzà
Keyword(s):  
Cerebral Palsy ◽  
Clinical Decision Making ◽  
Three Dimensional ◽  
Clinical Decision ◽  
Contact Forces ◽  
Gait Quality ◽  
Children With Cerebral Palsy ◽  
Profile Score ◽  
Joint Contact ◽  
Direct Kinematics

Multibody optimisation approaches have not seen much use in routine clinical applications despite evidence of improvements in modelling through a reduction in soft tissue artifacts compared to the standard gait analysis technique of direct kinematics. To inform clinical use, this study investigated the consistency with which both approaches predicted post-surgical outcomes, using changes in Gait Profile Score (GPS) when compared to a clinical assessment of outcome that did not include the 3D gait data. Retrospective three-dimensional motion capture data were utilised from 34 typically developing children and 26 children with cerebral palsy who underwent femoral derotation osteotomies as part of Single Event Multi-Level Surgeries. Results indicated that while, as expected, the GPS estimated from the two methods were numerically different, they were strongly correlated (Spearman’s ρ = 0.93), and no significant differences were observed between their estimations of change in GPS after surgery. The two scores equivalently classified a worsening or improvement in the gait quality in 93% of the cases. When compared with the clinical classification of responders versus non-responders to the intervention, an equivalent performance was found for the two approaches, with 27/41 and 28/41 cases in agreement with the clinical judgement for multibody optimisation and direct kinematics, respectively. With this equivalent performance to the direct kinematics approach and the benefit of being less sensitive to skin artefact and allowing additional analysis such as estimation of musculotendon lengths and joint contact forces, multibody optimisation has the potential to improve the clinical decision-making process in children with cerebral palsy.

An Interdisciplinary Model of Treatment of Children with Cerebral Palsy in Poland. Recommendations of the Paediatric Rehabilitation Section of the Polish Rehabilitation Society

2020 ◽  
Vol 22 (1) ◽  
pp. 51-59 ◽  
Author(s):  
Jolanta Taczała ◽  
Olga Wolińska ◽  
Jules Becher ◽  
Piotr Majcher
Keyword(s):  
Cerebral Palsy ◽  
Medical Care ◽  
Medical Rehabilitation ◽  
Treatment Team ◽  
Rehabilitation Team ◽  
Leading Role ◽  
Children With Cerebral Palsy ◽  
Paediatric Rehabilitation ◽  
Good Medical Care

Medical rehabilitation plays an important leading role in the treatment of children with cerebral palsy (CP). Collaboration between specialists in medical rehabilitation and the rehabilitation team is a prerequisite for good medical care. The quality of medical services for children with CP depends chiefly on the level of expertise of the treatment team. Through training of specialists and sharing of knowledge, we can help more patients. This idea was developed and implemented by Dr Ewa Kooyman-Piskorz, the founder and president of Wandafonds Foundation. Between 2003 and 2014, Dutch specialists working with children with CP conducted a number of training workshops in Poland under the supervision of the Polish Rehabilitation Society and Prof. Jules Becher, a world-famous expert in the rehabilitation of children. Based on these experiences, we present the recommendations of the Paediatric Rehabilitation Section of the Polish Rehabilitation Society regarding an interdisciplinary model of treatment of children with CP in Poland.

scholarly journals Medical and social portrait of families raising children with cerebral palsy

2017 ◽  
Vol 98 (6) ◽  
pp. 1040-1043
Author(s):  
E S Tkachenko
Keyword(s):  
Cerebral Palsy ◽  
Medical Care ◽  
Family Relationships ◽  
Epidemiologic Study ◽  
Cross Sectional ◽  
Material Wealth ◽  
Raising Children ◽  
Children With Cerebral Palsy ◽  
Quality Of Medical Care

Aim. To perform medical and social characterization of families raising children with cerebral palsy. Methods. The study was performed among families raising children with cerebral palsy and living in Omsk. It is a cross-sectional epidemiologic study. Survey of parents based on our developed questionnaire was performed. A total of 324 families took part in the study. The following factors were evaluated: family structure, character of relationship between members, social and living conditions, satisfaction with the quality of medical care. Results. Medical and social characterization was performed in families raising children with cerebral palsy. In 77% of cases a child was brought up in a traditional family (but in about half of the families after developing apparent abnormalities in a child and making a diagnosis of cerebral palsy, worsening of family relationships occurs). Due to necessity for taking care of the child with cerebral palsy, most of mothers are forced to quit their job that negatively affects the level of material wealth. Availability of their own accommodation was revealed in 64% of responders. Mother’s age at the time of birth of a child with cerebral palsy was primarily in the range from 25 to 29 years. A number of factors adversely affecting the health of children, both in the period of prenatal development and the newborn period: pregnancy with complications, acute respiratory viral infection during pregnancy, smoking during early pregnancy. Role of these factors in developing cerebral palsy was detected by a number of researchers. A number of difficulties met by the family members after bearing a child with developmental disabilities were identified (deterioration of family relationships, decline in material wealth, dissatisfaction with the quality of medical care). Conclusion. After making a diagnosis, family relationships worsen; most families have houses not adapted for defects of a child with cerebral palsy; some features of medical organizations service are revealed that might negatively affect the quality of medical care for children with cerebral palsy.

scholarly journals Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

Children ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. 54 ◽  
Author(s):  
Clare MacFarlane ◽  
Wayne Hing ◽  
Robin Orr
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Gait Pattern ◽  
Spastic Diplegia ◽  
Foot Orthoses ◽  
Gait Quality ◽  
Spastic Quadriplegia ◽  
Ankle Foot Orthoses ◽  
Children With Cerebral Palsy ◽  
Gait Score

Gait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a valid observational gait analysis scale to measure gait quality. The aim of this study was to use the EVGS to determine what effect AFOs and SMotOs have on gait in children with CP. The inclusion criteria were: mobilizing children with a CP diagnosis, no surgery in the past six weeks, and currently using SMotOs and AFOs. Eleven participants were videoed walking 5 m (any order) barefoot, in SMotOs and AFOs. Of the participants (age range 3–13 years, mean 5.5 ± 2.9), two were female and six used assistive devices. Seven could walk barefoot. Participants had spastic diplegia (4), spastic quadriplegia (6), and spastic dystonic quadriplegia (1). Gross Motor Functional Classification System (GMFCS) levels ranged I–IV. The total score for SMotOs (7.62) and AFOs (14.18) demonstrated improved gait when wearing SMotOs (no significant differences between barefoot and AFOs). SMotOs may be a viable option to improve gait in this population. Additional study is required but SMotOs may be useful in clinical settings.

scholarly journals Developmental Dysplasia of the Hip: A Journey of 25 Years - A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Mir Sadat-Ali ◽  
Mir Sadat-Ali
Keyword(s):  
Cerebral Palsy ◽  
Case Report ◽  
Conservative Treatment ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Open Reduction ◽  
Developmental Dysplasia ◽  
Children With Cerebral Palsy ◽  
Second Surgery ◽  
Dysplasia Of The Hip

Developmental Dysplasia of the Hip (DDH) occurs 1 in 1,000 babies and progressive subluxation occurs in up to 50% of children with cerebral palsy (CP). Our patient was prematurely with suspected CP and dislocated hip. Initial conservative treatment and open reduction was expected to contain the dislocated head of femur in the acetabulum but did not. At the age of 4 years the hip started to subluxate and the second surgery only corrected half of the problem. At this time surgery to increase the depth of the acetabulum should have been done. As she grew up problem of the hip did not leave her and after 15 surgeries landed with arthritis for total hip replacement.

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot on Gait Pattern in Children with Cerebral Palsy: A Cross-Sectional Cohort Study

2019 ◽  
Author(s):  
Clare MacFarlane ◽  
Wayne Hing ◽  
Rob Orr
Keyword(s):  
Cerebral Palsy ◽  
Cohort Study ◽  
Gait Pattern ◽  
Foot Orthoses ◽  
Cross Sectional ◽  
Gait Quality ◽  
Ankle Foot Orthoses ◽  
Children With Cerebral Palsy ◽  
Gait Score ◽  
One Way Anova

Abstract Background: Gait analysis is one of the important aspects of evaluation in ambulatory children with cerebral palsy (CP). Typically prescribed for children with CP, ankle-foot orthoses (AFOs) improve gait and alignment through providing support and stability to the ankle complex. An alternative and under-researched orthosis being used in this population is the Sensomotoric orthotic (SMotO), which uses a different approach to correct alignment and improve gait. The Edinburgh Visual Gait Score (EVGS) is a valid, robust, reliable and easy-to-use observational gait analysis scale to measure of gait quality in CP. Improvements to gait could then be attributed to intervention, or regression of gait could be attributed to poor intervention or physical changes. Therefore, the aim of this study was to use the EVGS to determine the effect of SMotOs, AFOs and barefoot on gait pattern in children with CP. Methods: This cross-sectional cohort study investigated the differences in gait quality in children with CP between wearing SMotOs and AFOs through using the EVGS. Video imagery was taken when walking barefoot (where appropriate), in SMotOs and in AFOs for at least 5m at a self-directed pace. Individual scores and averages across the population were recorded. Data was analysed through SPSS statistics software (Version 20) and the Microsoft Office Excel 2007. A one-way ANOVA and post hoc Bonferroni were completed to identify significant differences with the alpha level set at p<.05. Results: One-way ANOVA analyses revealed significant differences between total left (p=0.011) and right (p=0.014) scores between SMotO and AFOs. Overall, results demonstrate improved gait in favour of SMotO vs AFO and that there are no significant differences between being barefoot and wearing AFOs. Conclusions: SMotOs are a viable orthotic option to improve gait in children with CP, but due to small yield of participants, a larger scale, blinded study should be performed to further determine results.

scholarly journals The role of the National Scientific Center of Traumatology and Orthopedics named after academician Batpenov N.D. in the formation and development of traumatology - orthopedic service of the Republic of Kazakhstan

2021 ◽  
pp. 4-15
Author(s):  
Olzhas Bekarissov ◽  
◽  
Arman Batpen ◽  
Kuanysh Ospanov ◽  
Galina Jaxybekova ◽  
...  
Keyword(s):  
Medical Care ◽  
Scientific Activity ◽  
High Tech ◽  
Highly Qualified ◽  
Scientific Center ◽  
Orthopaedic Care ◽  
Treatment Technologies ◽  
The Republic

The 20-year period of work of the National Center for Traumatology and Orthopedics named after academician Batpenov N.D., determined its role as an advanced center for the training of highly qualified scientific and pedagogical personnel, for the development and implementation of innovative diagnostic and treatment technologies in the field of traumatology and orthopedics. The material presents the results of the analysis of the center's activities, including its contribution to the development of the national traumatology and orthopedic service, as well as the scientific and pedagogical contribution. Keywords: organization of traumatological and orthopaedic care, traumatism, scientific activity, high-tech medical care, Kazakhsta

Sign in / Sign up

Export Citation Format

Share Document