scholarly journals Dependence Of Protein-Energy Insufficiency On The Degree Of Motor Disorders In Infantile Cerebral Palsy

2020 ◽  
Vol 02 (11) ◽  
pp. 32-41
Author(s):  
Mavlyanova Zilola Farhadovna ◽  
◽  
Velilyaeva Aliye Sabrievna ◽  
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Control Group ◽  
Motor Disorders ◽  
Healthy Children ◽  
Chi Square ◽  
Feeding Difficulties ◽  
Protein Energy ◽  
Children With Cerebral Palsy ◽  
The Impact

Purpose of research. To assess the impact of the severity of motor disorders in children with cerebral palsy on nutritional status. Materials and methods of research. The study included 102 children with cerebral palsy aged 2 to 17 years, 60 boys (58.8%) and 42 girls (41.2%). The average age of the children was 7.23 ± 4.9 years. Patients were ranked by age group in accordance with the age classification of the GMFCS scale. All children underwent a comprehensive clinical and neurological examination, nutritional status assessment, and anthropometry (measurement of shoulder circumference and plicometry). During anthropometry, the control group included 30 healthy children with an average age of 7.7±4.2 years. Results. It was found that with an increase in the severity of motor disorders, the number of children with protein-energy deficiency increases from 50% at level I to 100% at level V on the GMFCS scale (the significance of differences in Pearson's Chi-square was confirmed statistically: 9.32, p = 0.002069). At the same time, a severe degree of protein-energy insufficiency was observed mainly in double hemiplegia (amounting to 40.9%). Prognostically, cerebral palsy was the most favorable type of spastic hemiparesis and spastic diplegia, with a predominance of protein-energy insufficiency of a mild degree, amounting to 45.8% and 60%, respectively. In 71.6% of cases (n=73), children with cerebral palsy were diagnosed with oral-motor dysfunction of varying severity, problems with food consumption and, as a result, a noticeable lag in anabolic processes. Statistically significant differences were found in the frequency of feeding difficulties in children with levels I and V of motor abilities (Pearson's Chi-square: 20.12, p = 0.000005).

scholarly journals Evaluation of Autonomic Nervous System in Children With Cerebral Palsy: Clinical and Electophysiological Study

2021 ◽  
Author(s):  
Hanan Galal Azouz ◽  
Ali M Abdel Mohsen ◽  
Rana M Mohamed ◽  
hayam mostafa abdelghany
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Cerebral Palsy ◽  
Autonomic Dysfunction ◽  
Sympathetic Skin Response ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Healthy Children ◽  
Children With Cerebral Palsy ◽  
Skin Response

Abstract Cerebral palsy (CP) is the most prevalent severe motor disability among children. The aim of this work was to assess autonomic dysfunction in children with cerebral palsy clinically and electrophysiologically .The study was carried out on forty children with cerebral palsy their age ranged from 4-12 years and twenty healthy children with matched age and sex as control group. CP children were subjected to questionnaire for autonomic dysfunction symptoms. Both CP children and Control group were assessed for Sympathetic Skin Response and Heart rate variability. Most of children had quadriplegic spastic cerebral palsy (82.5%). Based on Gross motor function classification system (GMFCS) classification the majority of children were in levels 4 and 5. The prevalence of autonomic dysfunction symptoms was 80% for thermoregulatory abnormalities (cold extremities), chronic constipation 65%, sleep disturbance 52.5%, loss of appetite 47.5%, sweating abnormalities 40% , recurrent nausea and/or vomiting 25%, increased sensitivity to light or dark 22.5% and bloating 15%. The percentage of unelicited Sympathetic skin response in CP children was 47.5% and 60% in upper limbs and lower limbs respectively, all of them were in level 4 and 5 of GMFCS. 20% of CP children had postural hypotension. Mean Heart rate of CP children was significantly increased more than healthy children upon head tilt test. Sympathetic Skin Response and Heart rate variability were proven to be simple and non invasive procedures in investigating autonomic dysfunction in CP children.

scholarly journals Evaluation of anthropometric parameters and body composition in children with cerebral palsy

2019 ◽  
Vol 64 (5) ◽  
pp. 204-208
Author(s):  
R. F. Rakhmaeva ◽  
A. A. Kamalova ◽  
V. A. Ayupova
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Nutritional Status ◽  
Bioelectrical Impedance ◽  
Physical Development ◽  
Lean Body Weight ◽  
Anthropometric Parameters ◽  
Energy Deficiency ◽  
Protein Energy ◽  
Children With Cerebral Palsy

Children with cerebral palsy (CP) often develop nutritional disorders, their incidence reaches 80% (according to the literature data).Purpose. To analyze the frequency of nutritional disorders and features of nutritional status in children with CP.Characteristics of children and research methods. We studied the anthropometric indicators (weight, height, body mass index, triceps and subscapular skin fold thickness), physical development characteristics depending on the motor abilities of the child according to the Gross Motor Function Classification System scale and body composition by bioelectrical impedance.Results. Nutritional status disorders were detected in 88.8% of patients, while the diagnostic was based on a reduced physical development in 55.5% of patients. 22.2% of patients had protein-energy deficiency of the first degree, 15.5% of patients had protein-energy deficiency of the second degree, 6.7% of patients had protein-energy deficiency of the third degree, 11.1% of patients suffered from overweight. Besides, nutritional disorders were diagnosed in 33.3% of patients with normal physical development, but with altered body composition, namely, with the imbalance of fat and lean body weight, the isolated increase of the percentage of fat mass, the decrease of active cellular and musculoskeletal weight. These patients also require nutritional correction.Conclusion. These data confirm the dependence of physical development and body composition on the patient’s motor activity and demonstrate the need for complex comprehensive study of nutritional status in children with CP.

scholarly journals Dental characteristics of children with cerebral palsy

2004 ◽  
Vol 132 (7-8) ◽  
pp. 214-218 ◽  
Author(s):  
Radoje Stevanovic ◽  
Olivera Jovicic
Keyword(s):  
Cerebral Palsy ◽  
Dental Care ◽  
Dental Health ◽  
Lower Percentage ◽  
Control Group ◽  
Healthy Children ◽  
Protective Measures ◽  
Children With Cerebral Palsy ◽  
Untreated Caries ◽  
Dental Diseases

Cerebral palsy is one of the commonest children's physical handicaps with frequency of 1.5-3/1000. Beside many other disturbances, these children may have serious disorders caused by dental diseases. Concerning this fact, the objective of our study was to examine children with cerebral palsy in our country and determine condition of dental health and suggest adequate protective measures. A total of 116 children, 3-18 years old, with cerebral palsy were examined and the results were compared to the control group of healthy children of the same age. Among healthy children, 7-10 years old, 66.3% had healthy parodontium, while none of children with cerebral palsy had healthy parodontium. Children, 11-14 years old with cerebral palsy had higher percentage of untreated caries, but lower percentage of filled teeth (18.7%) compared to healthy children (55.0%). Children, 15-18 years old with cerebral palsy had significantly higher percentage of extracted teeth (10.6%) than healthy children (4.1%) and more often orthodontic anomalies (70.6%), compared to healthy children (46.9%). Results of these study indicate that children with cerebral palsy need special and planned dental care.

scholarly journals Nutritional status of children with infantile cerebral palsy

2021 ◽  
Vol 1 (1) ◽  
pp. 82-88
Author(s):  
Z. F. Mavlyanova
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Group Versus ◽  
Physical Development ◽  
Control Group ◽  
Spastic Diplegia ◽  
Fatty Tissue ◽  
Healthy Children ◽  
Anthropometric Parameters ◽  
Rate Of Increase

Purpose of the study. Reveal the typical disorders of nutritional status and identify characteristic disorders of the physical development of patients with cerebral palsy.Materials and methods. The features of the nutritional status of 128 children with various forms of cerebral palsy and 20 healthy children aged 3 to 14 years were studied. Physical development was assessed using standard public anthropometric parameters: weight, height, measurement of the circumference of the upper and lower extremities, determination of the thickness of the skin-fat fold using an electronic caliper according to the Durnin-Womersly method, as well as the calculated indices of Rohrer, Pigne, Vervac.Results. In children with cerebral palsy in compare with healthy children a decrease in the rate of increase in muscle mass, the absence of significant changes in the severity of subcutaneous fatty tissue and various variants of disharmonious types of development with characteristic anthropometric features were determined (85.9% in the main group versus 5% in the control group; Р <0.001). The most prominent disorders of the nutritional status were observed in patients with double hemiplegia and hyperkinetic form of cerebral palsy and were significant in relation to patients with hemiparetic, atonic-astatic forms and spastic diplegia (P <0.05–0.001)

Multi-modal (visual, acoustic, cognitive) evoked potentials in children with cerebral palsy

2020 ◽  
pp. 52-55
Author(s):  
V. V. Dulnev ◽  
Т. A. Slyusar
Keyword(s):  
Cerebral Palsy ◽  
Evoked Potentials ◽  
Sensory Processing ◽  
Motor Deficit ◽  
Control Group ◽  
Healthy Children ◽  
Sensory Abnormalities ◽  
Children With Cerebral Palsy ◽  
Course Control ◽  
Experimental Group

The objective. To assess and compare the multi-modal evoked potentials (EP) (flash visual [fVEP], brainstem acoustic [BAEP] and cognitive evoked responses [CER]) parameters in children with cerebral palsy (CP) and healthy ones.Materials and methods. There are 100 children aged 3–17 years were examined. Experimental group included 55 children with CP, diagnosed according to International cerebral palsy criteria (P. Rosenbaum et al., 2006), and mild motor deficit (levels I–II of Gross Motor Function Classification Scale), undergoing rehabilitation course. Control group was presented by 45 healthy children aged 3–17 years with no neurological signs. Registration of the fVEP, BAEP and CER and their comparative analysis with non-parametric tests was performed. Neurophysiological recording performed on EMG-VP4 system (MBN Scientific Company, Moscow, Russia).Results. Slowing of maturation and significant delaying of main EP components were observed in experimental group.Conclusion. Findings in this investigation indicate the retardation of cortical sensory processing in children with CP. Analyzing multi-modal EP may be helpful in early detecting sensory abnormalities as complications of CP.

Berat Badan, Panjang Badan dan Faktor Genetik sebagai Prediktor Terjadinya Stunted pada Anak Sekolah

2017 ◽  
Vol 19 (2) ◽  
pp. 95
Author(s):  
Hetriana Leksananingsih ◽  
Slamet Iskandar ◽  
Tri Siswati
Keyword(s):  
Birth Weight ◽  
Nutritional Status ◽  
School Children ◽  
Genetic Factors ◽  
Control Group ◽  
Case Group ◽  
Normal Birth Weight ◽  
Chi Square ◽  
Normal Birth ◽  
Chi Square Test

Background: Riskesdas in 2013 showed that Yogyakarta (DIY) had a prevalence of stunted new kid in school is less than the national average, which is 14.9% (MOH, 2013). Stunted or short, is a linear growth retardation has been widely used as an indicator to measure the nutritional status of individuals and community groups. Stunted can be influenced by several factors: birth weight, birth length match and genetic factors. Objective: To determine the weight, length of low birth weight and genetic factors as predictors of the occurrence of stunted on elementary school children. Methods: The study was a case control analytic. Research sites in SD Muhammadiyah Ngijon 1 Subdistrict Moyudan. The study was conducted in May and June 2015. The subjects were school children grade 1 to grade 5 the number of cases as many as 47 children and 94 control children. With the inclusion criteria of research subjects willing to become respondents, was present at the time of the study, they have a father and mother, and exclusion criteria have no data BB and PB birth, can not stand upright. The research variables are BBL, PBL, genetic factors and TB / U at this time. Data were analyzed by chi-square test and Odd Ratio (OR) calculation. Results: In case group as much as 91.5% of normal birth weight and length of 80.9% of normal birth weight, most of the height of a normal mother and father as many as 85.1%. In the control group as much as 78.7% of normal birth weight and 61.7% were born normal body length, height mostly normal mom and dad that 96.7% of women and 90.4% normal normal father. Statistical test result is no significant correlation between height mothers with stunted incidence in school children, and the results of chi-square test P = 0.026 with value Odd Ratio (OR) of 3.9 and a range of values from 1.091 to 14.214 Cl95%. Conclusion: High maternal body of mothers can be used as predictors of the occurrence of stunted school children and mothers with stunted nutritional status have 3.9 times the risk of having children with stunted nutritional status.

The impact of being overweight on the mobility, temporal-spatial and kinematic aspects of gait in children with cerebral palsy

2021 ◽  
Vol 15 (2) ◽  
pp. 138-144
Author(s):  
Anita J. Mudge ◽  
Sinu Thilak ◽  
Elizabeth A. Wojciechowski ◽  
Joshua Burns ◽  
Simon P. Paget
Keyword(s):  
Cerebral Palsy ◽  
Children With Cerebral Palsy ◽  
The Impact

scholarly journals How to Predict the Impact of Methylphenidate on Cardiovascular Risk in Children with Attention Deficit Disorder: Methylphenidate Improves Autonomic Dysfunction in Children with ADHD

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Reiner Buchhorn ◽  
Christian Müller ◽  
Christian Willaschek ◽  
Kambiz Norozi
Keyword(s):  
Sudden Cardiac Death ◽  
Attention Deficit ◽  
Attention Deficit Disorder ◽  
Cardiac Death ◽  
Control Group ◽  
Healthy Children ◽  
Children With Adhd ◽  
Heart Defect ◽  
Adhd Children ◽  
The Impact

Background. Although stimulants have long been touted as treatments for attention deficit disorder with or without hyperactivity (ADHD), in recent years, increasing concerns have been raised about the cardiovascular safety of these medications. We aimed to prove if measurements of autonomic function with time domain analysis of heart rate variability (HRV) in 24-hour Holter ECG are useful to predict the risk of sudden cardiac death in ADHD children and adolescents. Methods. We analysed HRV obtained from children with the diagnosis of ADHD prior to (N=12) or during medical therapy (N=19) with methylphenidate (MPH), aged 10.8±2.0 years (mean ± SD), who were referred to our outpatient Paediatric Cardiology Clinic to rule out heart defect. As a control group, we compared the HRV data of 19 age-matched healthy children without heart defect. Results. Average HRV parameters from 24-hour ECG in the ADHD children prior to MPH showed significant lower values compared to healthy children with respect to rMSSD (26±4 ms versus 44±10 ms, P≤0.0001) and pNN50 (6.5±2.7% versus 21.5±9.0%, P≤0.0001). These values improved in MPH-treated children with ADHD (RMSSD: 36±8 ms; pNN50: 14.2±6.9%). Conclusion. Children who suffer from ADHD show significant changes in HRV that predominantly reflects diminished vagal tone, a well-known risk factor of sudden cardiac death in adults. In our pilot study, MPH treatment improved HRV.

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