Design of walking assistive device for children with cerebral palsy, Vestmiles

2019 ◽  
Vol 1 (2) ◽  
pp. 10-15
Author(s):  
Agnes Budiarti ◽  
Ferida Yuamita ◽  
Suci Miranda
Keyword(s):  
Cerebral Palsy ◽  
Cost Effective ◽  
Assistive Device ◽  
Proper Treatment ◽  
Independent Mobility ◽  
Physiotherapy Program ◽  
Children And Parents ◽  
Children With Cerebral Palsy ◽  
User Friendly ◽  
The Brain

Celebral Palsy (CP) is a disorder of muscle control which results from some damage to part of the brain. Children with cerebral palsy can have problems such as muscle weakness, awkardness, slowness, shakiness, and difficulty with balance. In severe cerebral palsy, the child may have many difficulties in performing everyday tasks and movements.  However, a proper treatment often brings an improvement, though not a cure. In terms of independent mobility particularly walking and standing, this study aims to design a walking assistive device called Vestmiles. The product design includes four parts: a belt, vest, sandals for parents, and sandals for children with the length and height successively: 47.3 cm and a 23 cm; 39.3 cm and 59 cm; 26.9 cm and 9.9 cm (parents’ size of slippers); 23.9 cm and 6 cm (children’s size of slippers). To design the product, it is used the measurement gained from 3 Celebral Palsy children. This work is not only to support physiotherapy program, but also increasing relationship between children and parents. Vestmiles is a user friendly, lightweight, adaptable, efficient and cost effective device.

scholarly journals Backward walking highlights gait asymmetries in children with cerebral palsy

2018 ◽  
Vol 119 (3) ◽  
pp. 1153-1165 ◽  
Author(s):  
Germana Cappellini ◽  
Francesca Sylos-Labini ◽  
Michael J. MacLellan ◽  
Annalisa Sacco ◽  
Daniela Morelli ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Activation ◽  
Pattern Generation ◽  
Comprehensive Assessment ◽  
Emg Activity ◽  
Backward Walking ◽  
Spinal Circuitry ◽  
Children With Cerebral Palsy ◽  
Control Circuits ◽  
The Brain

To investigate how early injuries to developing motor regions of the brain affect different forms of gait, we compared the spatiotemporal locomotor patterns during forward (FW) and backward (BW) walking in children with cerebral palsy (CP). Bilateral gait kinematics and EMG activity of 11 pairs of leg muscles were recorded in 14 children with CP (9 diplegic, 5 hemiplegic; 3.0–11.1 yr) and 14 typically developing (TD) children (3.3–11.8 yr). During BW, children with CP showed a significant increase of gait asymmetry in foot trajectory characteristics and limb intersegmental coordination. Furthermore, gait asymmetries, which were not evident during FW in diplegic children, became evident during BW. Factorization of the EMG signals revealed a comparable structure of the motor output during FW and BW in all groups of children, but we found differences in the basic temporal activation patterns. Overall, the results are consistent with the idea that both forms of gait share pattern generation control circuits providing similar (though reversed) kinematic patterns. However, BW requires different muscle activation timings associated with muscle modules, highlighting subtle gait asymmetries in diplegic children, and thus provides a more comprehensive assessment of gait pathology in children with CP. The findings suggest that spatiotemporal asymmetry assessments during BW might reflect an impaired state and/or descending control of the spinal locomotor circuitry and can be used for diagnostic purposes and as complementary markers of gait recovery.NEW & NOTEWORTHY Early injuries to developing motor regions of the brain affect both forward progression and other forms of gait. In particular, backward walking highlights prominent gait asymmetries in children with hemiplegia and diplegia from cerebral palsy and can give a more comprehensive assessment of gait pathology. The observed spatiotemporal asymmetry assessments may reflect both impaired supraspinal control and impaired state of the spinal circuitry.

scholarly journals GANGGUAN BERBAHASA PADA PENDERITA CEREBRAL PALSY SEBUAH KAJIAN LINGUISTIK KLINIS

2020 ◽  
Vol 6 (2) ◽  
pp. 175-186
Author(s):  
Agus Syahid
Keyword(s):  
Cerebral Palsy ◽  
Brain Damage ◽  
Language Disorders ◽  
Motor Center ◽  
The People ◽  
Children With Cerebral Palsy ◽  
The Brain ◽  
Motor Disturbances

This study describes language disorders in the people with cerebral palsy and what kind of treatments to people with cerebral palsy related to language disorders. Cerebral palsy is a series of disorders with problems regulating muscle movements where it is as a result of some damage to the motor centers in the brain. Damage to the motor center in the brain that causes cerebral palsy can occur prenatal (before birth), perinatal (during the birth), or even postnatal (immediately after birth). There are several main problems that are often found and faced by children with cerebral palsy, they are: (1) difficulty in eating and swallowing caused by motor disturbances in the mouth, (2) difficulty in speaking, (3) difficulty in hearing, and (4) language disorders.

Chronic Cerebral Fever in Cerebral Palsy: Temperature Athetosis

PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 761-761
Keyword(s):  
Cerebral Palsy ◽  
Disease Process ◽  
Thermal Regulation ◽  
Children With Cerebral Palsy ◽  
The Relationship ◽  
The Brain

The term "brain fever" is often applied clinically to individuals suffering recurrent and at times hectic courses of fever and who are known to have had excessive damage to the brain. Few documented reports of this condition have appeared in the literature to support the concept. The authors provide detailed study of two children with cerebral palsy who exhibited prolonged episodes of fever which could not be accounted for by any disease process other than the fixed lesion in the brain. The authors discuss the relationship between the tendency towards such episodes of fever and areas within the brain which have been found to be damaged. The authors consider that this so-called cerebral fever may arise from a disturbed thermal regulation, resulting from lesions in the hypothalamus or from lesions elsewhere in the brain.

scholarly journals Redesign walker for children with diplegic cerebral palsy using TRIZ method

2021 ◽  
Vol 5 (1) ◽  
pp. 8-14
Author(s):  
Putu Yoga Kurniawan Laksana ◽  
R. Hari Setyanto ◽  
Lobes Herdiman
Keyword(s):  
Cerebral Palsy ◽  
Assistive Device ◽  
Design Stage ◽  
Design Criteria ◽  
Satisfaction Level ◽  
Rehabilitation Centers ◽  
Children With Cerebral Palsy ◽  
Walking Rehabilitation

Children with cerebral palsy at rehabilitation centers had difficulty performing walking rehabilitation with the existing walker. The resulted in children with cerebral palsy feeling dissatisfied with existing walkers, and this dissatisfaction resulted in their interest in ongoing rehabilitation. The existing walker does not accommodate the needs of cerebral palsy children, resulting in lousy form and dissatisfaction when using a walker for rehabilitation and reduce their interest in rehabilitation. Therefore it is necessary to redesign the walker to prevent bad form and increase the satisfaction level of children with cerebral palsy. The QUEST 2.0 questionnaire was used as a reference for designing. Based on the dimensions from the QUEST 2.0 questionnaire, the walker design criteria were determined. Then use the TRIZ method to resolve any technical contradictions that occur at the design stage. Assistive device

scholarly journals Analysis of type and frequency dynamics of rehabilitation assistive devices in children with cerebral palsy

2020 ◽  
Vol 8 (2) ◽  
pp. 169-178
Author(s):  
Andrey A. Koltsov ◽  
Elnur I. Dzhomardly
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Assistive Devices ◽  
Assistive Device ◽  
Foot Orthoses ◽  
Gross Motor ◽  
Technical Device ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Orthopedic Shoes

Background. Currently, cerebral palsy is the most common neuromuscular disease in the pediatric population. Spastic forms of cerebral palsy are characterized by secondary musculoskeletal complications. They are corrected by the use of assistive devices and, especially, orthoses, along with surgical treatment, botulinum toxin, and others. Aim. The aim of this study was to assess the type and frequency dynamics of rehabilitation assistive devices in children with spastic forms of cerebral palsy, depending on the level of the gross motor function of the patient. Materials and methods. A prospective analysis was conducted by questioning 214 parents of children with spastic forms of cerebral palsy who were treated for the period from 2017 to 2019. The patients were divided into five groups according to the gross motor function classification (GMFCS). The statistical processing was performed using the application package Statistica 10 and Microsoft Excel. Results. Statistically significant differences in variances (p 0.05) were obtained between the number of rehabilitation assistive devices used in the anamnesis in the year before the questionnaire (period I) and assistive devices used in the last six months before the questionnaire (period II). Repeatedly, patients used orthopedic shoes the most often, and the trunk-hip-knee-ankle-foot orthoses the most rarely. We found five main causes groups of assistive device use failure for children with cerebral palsy. Conclusion. Statistically significant differences in variances were obtained between the frequency of rehabilitation assistive devices used in the anamnesis and during the last six months before the questionnaire was obtained. It has been confirmed that patients used orthopedic shoes most regularly; of all functional orthoses, hip adductor orthosis was used most often repeatedly, whereas the trunk-hip-knee-foot orthoses were the least common. Factors such as a negative attitude of the child towards the orthosis, uncomfortable in life, the presence of construction errors of the product, the absence of appropriate appointments in the individual rehabilitation and habilitation programs for the patient, have led to the most frequent rejection of the reuse of the technical device for rehabilitation. At the same time, positive or negative dynamics on the condition of the patient affected the regularity of the use of a technical device for rehabilitation in only one in six patients.

Effects of Yoga on Sleep Quality, Depression in Children with Cerebral Palsy

2018 ◽  
pp. 135-143
Author(s):  
Ozden Gokcek
Keyword(s):  
Cerebral Palsy ◽  
Sleep Quality ◽  
Motor Development ◽  
Demographic Data ◽  
Motor Impairment ◽  
Standing Position ◽  
Assistive Device ◽  
Timed Up And Go ◽  
Exercise Tests ◽  
Children With Cerebral Palsy

Cerebral palsy [CP] which occurs in the developing brain as a result of injury in the fetal or perinatal period, is the most common developmental movement and motor impairment in childhood. The aim of the study was to investigate the effects of physiotherapy yoga on sleep quality, depression in children with cerebral palsy.40 patients who were in the walking period [walking independently or with assistive device], with diagnosed CP and age between 5-17 were included the study. Individual’s demographic data were recorded and normal motor development was assessed with Gross Motor Function Measure [GMFM], postural analysis with New York Posture Rating Test, sleep quality with Pittsburgh Sleep Quality Index and depression status with Childhood Depression Inventory. Timed Up and Go Test and Stair Ascending and Descending Test were applied. Yoga techniques which were breathing techniques, warm-up exercises [warming up in standing position], Surya Namaskar, Asanas, were performed for a total of 10 sessions, on alternate days and once a day for 45 minutes.32.5% of the individuals were female, 67,5% were male and their mean age was 10,77 ± 3,49.It was seen that after yoga there was a significant improvement in posture [p = 0.003], Timed Up and Go Test [p = 0,003] , Stair Ascending and Descending Test [p = 0.001], depression [p = 0.001] and sleep quality [p=0,012]. Yoga improved psychological condition, pain, sleep quality, posture in the child with CP. Also an improvement was found in exercise tests. As a consequence we believe that yoga should be applied safely and funly in children with SP. Keywords: Cerebral Palsy, Physiotherapy yoga, Sleep Quality, Depression

scholarly journals Kinect V2-Based Gait Analysis for Children with Cerebral Palsy: Validity and Reliability of Spatial Margin of Stability and Spatiotemporal Variables

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2104
Author(s):  
Yunru Ma ◽  
Kumar Mithraratne ◽  
Nichola Wilson ◽  
Yanxin Zhang ◽  
Xiangbin Wang
Keyword(s):  
Cerebral Palsy ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Cost Effective ◽  
Stability Assessment ◽  
Validity And Reliability ◽  
Gait Stability ◽  
Kinect V2 ◽  
Margin Of Stability ◽  
Children With Cerebral Palsy

Children with cerebral palsy (CP) have high risks of falling. It is necessary to evaluate gait stability for children with CP. In comparison to traditional motion capture techniques, the Kinect has the potential to be utilised as a cost-effective gait stability assessment tool, ensuring frequent and uninterrupted gait monitoring. To evaluate the validity and reliability of this measurement, in this study, ten children with CP performed two testing sessions, of which gait data were recorded by a Kinect V2 sensor and a referential Motion Analysis system. The margin of stability (MOS) and gait spatiotemporal metrics were examined. For the spatiotemporal parameters, intraclass correlation coefficient (ICC2,k) values were from 0.83 to 0.99 between two devices and from 0.78 to 0.88 between two testing sessions. For the MOS outcomes, ICC2,k values ranged from 0.42 to 0.99 between two devices and 0.28 to 0.69 between two test sessions. The Kinect V2 was able to provide valid and reliable spatiotemporal gait parameters, and it could also offer accurate outcome measures for the minimum MOS. The reliability of the Kinect V2 when assessing time-specific MOS variables was limited. The Kinect V2 shows the potential to be used as a cost-effective tool for CP gait stability assessment.

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