scholarly journals The cognitive impairments and their correction for children with cerebral palsy by intensive neurophysiological rehabilitation system

Author(s):  
Volodymyr Kozyavkin ◽  
Liudmyla Shestopalova ◽  
Nataliia Melekh

The aim of the study was to examine the dynamics of cognitive impairments in children and teenagers with cerebral palsy during rehabilitation using Intensive neurophysiological rehabilitation system (INRS). To evaluate the eff ectiveness of cognitive impairments by INRS 174 patients with cerebral palsy were examined, before and after completion of rehabilitation. Main positive eff ects of using INRS for correction of cognitive impairment in children with cerebral palsy consisted in improving the functions of verbal memory, voluntary attention, neurodynamic and operational components of mental operations, improving performance of verbal and nonverbal intelligence. Proven that intensive neurophysiological rehabilitation system is an eff ective corrective method of cognitive impairments in children with cerebral palsy. Key words: cerebral palsy, cognitive impairments, rehabilitation, intensive neurophysiological rehabilitation system.

Author(s):  
Sana Raouafi ◽  
Maxime Raison ◽  
Sofiane Achiche

Aim: To develop an index for quantitative assessment of the upper limb motor function in children with cerebral palsy before and after robot-assisted therapy. Method: An upper limb motor function index was developed using kinematic, surface electromyography and three-axis inertial measurements unit data collected from 15 children with cerebral palsy (CP) and 15 typically developed children. Children with CP underwent 18 robot-assisted therapy sessions with the REAplan device. All children were evaluated, using kinematic data from the REAplan, electromyography and three-axis inertial measurements unit readings from its accelerometer. A principal component analysis was conducted to produce an evaluation index, which is able to detect the deviation from the upper limb motor function of typically developing children group. Children with CP were evaluated twice before and after the intervention with Box and Blocks test and Finger-To-Nose test. The discriminative and concurrent validity of the upper limb motor function index were investigated. Results: The upper limb motor function index was higher in children with CP post therapy (p<0.001). Finger-To-Nose test values improved after robot-assisted therapy (p<0.03). A weak but positive correlation was observed between upper limb motor function index and clinical tests (r=0.012, p=0.95 and r=0.13, p= 0.54 for Box and Blocks test and Finger-To-Nose test respectively). Interpretation: The upper limb motor function index successfully differentiated between the typically developing children and children with CP and was effective in assessing the improvement of the upper limb motor function after robot-assisted therapy. The upper limb motor function index could be extended to assess and monitor rehabilitation therapies of other populations, such as those with stroke and Parkinson’s disease.


2021 ◽  
Author(s):  
◽  
Hong Ching Kho

<p>This research was conducted as an exploratory case study as identified by Yin (2009) using primarily qualitative data gathered from a clinical practice setting with young children. The primary aim was to find out how music therapy could promote communication and socialisation for children with cerebral palsy at an Early Intervention Conductive Education Centre. This case study research involved two indepth cases of children diagnosed with Cerebral Palsy at different levels of severity at aged four to five years old. It documents individual music therapy sessions over a three month period. Assessments of the two children’s communication and socialisation skills were made using the Assessment, Evaluation, and Programming System for Infants and Children (AEPS) to provide a comparison before and after the intervention. Staff perceptions about the nature of the children’s communication and socialisation in music therapy were sought using a short and informal interview with two staff members at the Centre. These three data sources were triangulated in the analysis and the findings are discussed individually. Each child showed diverse observable improvement in communication and socialisation based on perspectives of staff members interviewed, on clinical notes and on the AEPS evaluations. It is hoped that this mixed methods study could lead towards a more specific quantitative inquiry in the future about the effectiveness of music therapy for children with cerebral palsy.</p>


1998 ◽  
Vol 160 (3 Part 2) ◽  
pp. 1092-1092
Author(s):  
A.M. HOULE ◽  
O. VERNET ◽  
R. JEDNAK ◽  
J.L. PIPPI SALLE ◽  
J.P. FARMER

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Marco Iosa ◽  
Manuela de Sanctis ◽  
Aurora Summa ◽  
Elena Bergamini ◽  
Daniela Morelli ◽  
...  

Background. Despite the increasing use of wearable magnetoinertial measurement units (MIMUs) for gait analysis, the efficacy of MIMU-based assessment for planning rehabilitation has not been adequately documented yet. Methods. The usefulness of a MIMU-based assessment was evaluated comparing the data acquired by three MIMUs located at the pelvis, sternum, and head levels in 12 children with cerebral palsy (CP, age: 2–9 years) and 12 age-matched children with typical development (TD). Gait stability was quantified in terms of acceleration attenuation coefficients from pelvis to head, pelvis to sternum, and sternum to head. Children with CP were randomly divided in two groups: in the first group (CPI), MIMU-based parameters were used by therapists for planning patient-tailored rehabilitation programs, whereas in the second group (CPB), therapists were blind to the MIMU-based assessment results. Both CPI and CPB were tested before and after the relevant neurorehabilitation program. Ad hoc questionnaires were also administered to therapists of the CPI group to assess the degree of usefulness perceived about the information provided by the MIMU-based assessment. Results. Significant differences were found between children with CP and those with TD for the acceleration attenuation coefficient from pelvis to head (p=0.048) and from pelvis to sternum (p=0.021). After neurorehabilitation, this last parameter increased more in CPI (35%) than in CPB (6%, p=0.017 for the interaction group per time). The results of the questionnaires showed that therapists agreed with the usability (100% judged it as “easy to use”) and usefulness of the MIMU-based assessment in defining patient-oriented interventions (87%). Conclusions. There is a large debate in literature about the efficacy of classical gait analysis that should be enlarged to new technological approaches, such as that based on MIMUs. This study is a first proof of concept about the efficacy of this approach for neurorehabilitation of children with CP.


Author(s):  
Sergio Albiol-Pérez ◽  
Edwin-Patricio Pruna-Panchi ◽  
Ivón-Patricia Escobar-Anchaguano ◽  
Marco-Antonio Pilatasig-Panchi ◽  
Luis-Enrique Mena-Mena ◽  
...  

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