Muscle Force and Range of Motion as Predictors of Standing Balance in Children with Cerebral Palsy

2012 ◽  
pp. 69-90
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Muscle Force ◽  
Standing Balance ◽  
Children With Cerebral Palsy

Muscle Force and Range of Motion as Predictors of Standing Balance in Children with Cerebral Palsy

2004 ◽  
Vol 24 (1-2) ◽  
pp. 57-77 ◽  
Author(s):  
Linda Pax Lowes ◽  
Sarah L. Westcott ◽  
Robert J. Palisano ◽  
Susan K. Effgen ◽  
Margo N. Orlin
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Muscle Force ◽  
Standing Balance ◽  
Children With Cerebral Palsy

scholarly journals Effectiveness of Virtual Reality and Visual Feedback on Balance and Leg Function in Children with Cerebral Palsy

2019 ◽  
Vol 1 (18) ◽  
Author(s):  
Arūnė Dūdaitė ◽  
Vilma Juodžbalienė
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Range Of Motion ◽  
Visual Feedback ◽  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Children With Cerebral Palsy ◽  
Stretching Exercises

Research background. Virtual reality and visual feedback improve motor performance, motor function and balance, so we want to fnd if it affects the function of legs and balance of children with spastic hemiplegia. Research aim was to establish if the use of virtual reality and visual feedback with traditional physiotherapy improve the function of legs and balance of children with cerebral palsy. Methods. Nine children with cerebral palsy participated in the research. Participants were randomly divided into two groups – virtual reality group (n = 6) and control (n = 3). Virtual reality group practised exergaming and stretching exercises for 10 weeks, twice a week. Control group practiced conventional physiotherapy and stretching exercises for 6 weeks, twice a week. We measured the range of motion of the lower limb, spasticity of the lower limb using Modifed Ashworth’o Scale, static, dynamic balance, trunk coordination using Trunk Impairment Scale at the start and the end of the research, and balance using Pediatric Balance Scale. Results. Virtual reality and visual feedback reduced the spasticity of the lower limb, improved balance and postural control for children with cerebral palsy, but it did not improve the range of motion of the lower limb of children with cerebral palsy. Conclusions. Virtual reality and visual feedback did not improve the range of motion of the lower limb of children with cerebral palsy. Virtual reality and visual feedback reduced spasticity of the lower limb, improved balance and postural control for children with cerebral palsy.Keywords. Cerebral palsy, virtual reality, visual feedback, postural control, muscle architecture.

A DYNAMIC SEATING SYSTEM FOR CHILDREN WITH CEREBRAL PALSY

2009 ◽  
Vol 12 (01) ◽  
pp. 21-30 ◽  
Author(s):  
Michael E. Hahn ◽  
Sheri L. Simkins ◽  
Jacob K. Gardner ◽  
Gaurav Kaushik
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Motor Function ◽  
Control Group ◽  
Significant Group ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Muscle Spasticity ◽  
Children With Cerebral Palsy ◽  
Dynamic Seating

The study's aim was to determine the initial effects of a dynamic seating system as a therapeutic intervention in children with cerebral palsy. A two-factor, repeated-measures design was used. Twelve children with neuromuscular dysfunction (mean age 6.0, SD 2.7 years) were included in the study, randomly assigned to an experimental or a control group. At study initiation the experimental group received a wheelchair with dynamic seating components that allows limited range of motion in the hip and knee, and the control group received a static setting wheelchair. Participants were evaluated for range of motion, muscle spasticity (Modified Ashworth Scale), motor function (Gross Motor Function Measure), and level of disability (Pediatric Evaluation of Disability Inventory) at study initiation, 3-months, and 6-months post intervention. Both groups improved in motor function over time, particularly in the categories of Sitting and Crawl/Kneel. Measures of disability improved in both groups for the categories of self-care, mobility, and social function. A larger, more homogeneous sample would likely show significant group differences in measures of muscle spasticity, gross motor function and disability.

scholarly journals Changes in Ankle Range of Motion, Gait Function and Standing Balance in Children with Bilateral Spastic Cerebral Palsy after Ankle Mobilization by Manual Therapy

Children ◽  
2020 ◽  
Vol 7 (9) ◽  
pp. 142
Author(s):  
Pong Sub Youn ◽  
Kyun Hee Cho ◽  
Shin Jun Park
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Ankle Joint ◽  
Center Of Pressure ◽  
Standing Balance ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Walk Test ◽  
Joint Mobilization ◽  
Gait Function

The aim of this study was to investigate the effect of ankle joint mobilization in children with cerebral palsy (CP) to ankle range of motion (ROM), gait, and standing balance. We recruited 32 children (spastic diplegia) diagnosed with CP and categorized them in two groups: the ankle joint mobilization (n = 16) group and sham joint mobilization (n = 16) group. Thus, following a six-week ankle joint mobilization, we examined measures such as passive ROM in ankle dorsiflexion in the sitting and supine position, center of pressure (COP) displacements (sway length, area) with eyes open (EO) and closed (EC), and a gait function test (timed up and go test (TUG) and 10-m walk test). The dorsiflexion ROM, TUG, and 10-m walk test significantly increased in the mobilization group compared to the control group. Ankle joint mobilization can be regarded as a promising method to increase dorsiflexion and improve gait in CP-suffering children.

scholarly journals Validity and clinimetric properties of the Spinal Alignment and Range of Motion Measure in children with cerebral palsy

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Chia-Ling Chen ◽  
Katie P H Wu ◽  
Wen-Yu Liu ◽  
Hsin-Yi Kathy Cheng ◽  
I-Hsuan Shen ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Spinal Alignment ◽  
Children With Cerebral Palsy

omparison of the effects of Kinesio tape and neuromuscular electrical stimulation on hand extensors in children with cerebral palsy

2020 ◽  
Vol 27 (7) ◽  
pp. 1-12
Author(s):  
Ece Acıkbas ◽  
Devrim Tarakcı ◽  
Miray Budak
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Range Of Motion ◽  
Classification System ◽  
Neuromuscular Electrical Stimulation ◽  
Left Shoulder ◽  
Kinesio Taping ◽  
Skill Test ◽  
Children With Cerebral Palsy ◽  
Joint Range

Background/aims Cerebral palsy is a lifelong condition resulting in weakness in the muscles, difficulty moving and excessive tension in the muscles of the arms and legs. This study aimed to investigate the effects of adding Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment on joint range of motion, muscle tone and functional ability in children with cerebral palsy. Methods A total of 30 children were included in the study. They were allocated to one of two groups: Kinesio taping (n=15) or neuromuscular electrical stimulation (n=15). The children in both groups received 20 sessions of twice-weekly neurodevelopmental treatment. Range of motion, Modified Ashworth Scale, Duruoz Hand Index, Manual Ability Classification System, Gross Motor Function Classification System, Minnesota Hand Skill Test and Jebsen Hand Function Test were assessed before and after the treatment programme. Results Statistically significant improvements (P<0.05) were found in all measures except Gross Motor Function Classification System in both groups. Significant between-group differences in left shoulder flexion, left shoulder abduction and unilateral Minnesota Hand Skill Test were found in favour of neuromuscular electrical stimulation; whereas significant improvement in left elbow flexion was found in favour of Kinesio taping. Conclusions The addition of Kinesio taping and neuromuscular electrical stimulation to neurodevelopmental treatment improved the joint range of motion and functional ability of children with cerebral palsy.

scholarly journals Stability of Serial Range-of-Motion Measurements of the Lower Extremities in Children With Cerebral Palsy: Can We Do Better?

2014 ◽  
Vol 94 (7) ◽  
pp. 987-995 ◽  
Author(s):  
Johanna Darrah ◽  
Lesley Wiart ◽  
Jan Willem Gorter ◽  
Mary Law
Keyword(s):  
Cerebral Palsy ◽  
Range Of Motion ◽  
Repeated Measures ◽  
Secondary Data ◽  
Relevant Information ◽  
Measurement Variability ◽  
Serial Measurement ◽  
Group Data ◽  
Children With Cerebral Palsy ◽  
The Stability

Background Serial joint range-of-motion (ROM) measurements are an important component of assessments for children with cerebral palsy. Most research has studied ROM stability using group data. Examination of longitudinal intraindividual measures may provide more clinically relevant information about measurement variability. Objective The aim of this study was to examine the stability of intraindividual longitudinal measurements of hip abduction (ABD), popliteal angle (POP), and ankle dorsiflexion (ADF) ROM measures of children with cerebral palsy. Design Secondary data analyses were performed. Methods The stability patterns of individual serial measurements of ABD, POP, and ADF from 85 children (mean age=3.8 years, SD=1.4) collected at baseline (T1), 3 months (T2), 6 months (T3), and 9 months (T4) were examined using T1 as the anchor and bandwidths of ±15 degrees (ABD and POP) and ±10 degrees (ADF) as acceptable variability. Frequencies of stability categories (0°–5°, 5.1°–10°, 10.1°–15°, and &gt;15°) were calculated. Patterns of stability across the 4 time periods also were examined. Group means (T1–T4) were compared using repeated-measures analysis of variance. Results No significant differences in group means were found except for ABD. Stability patterns revealed that 43.3% to 69.5% of joint measurements were stable with T1 measurements across all 3 subsequent measurements. Stability category frequencies showed that many measurements (ABD=17%, POP=29.9%, and ADF=37.1%) went outside the variability bandwidths even though 39% or more of joint measurements had a change of 5 degrees or less over time. Limitations Measurement error and true measurement variability cannot be disentangled. The results cannot be extrapolated to other joint ROMs. Conclusions Individual ROM serial measurement exhibits more variability than group data. Range-of-motion data must be interpreted with caution clinically and efforts made to ensure standardization of data collection methods.

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