scholarly journals The Effects of Trunk Muscle Strengthening Exercises on Balance Performance of Sitting Posture and Muscle Tone of Children with Cerebral Palsy

2012 ◽  
Vol 13 (9) ◽  
pp. 4098-4106 ◽  
Author(s):  
Young-Chul Choi ◽  
Jung-Ho Lee ◽  
Jin-Sang Kim
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tone ◽  
Trunk Muscle ◽  
Balance Performance ◽  
Sitting Posture ◽  
Muscle Strengthening ◽  
Strengthening Exercises ◽  
Children With Cerebral Palsy

Effect of Individualized High-Velocity Resistance Training on Balance Performance in Children with Cerebral Palsy

2015 ◽  
Vol 47 ◽  
pp. 310
Author(s):  
Moataz Eltoukhy ◽  
Gabriela Wagener ◽  
Andrew Ordille ◽  
Kelly Drozdowicz ◽  
Casey Epstein ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Resistance Training ◽  
High Velocity ◽  
Balance Performance ◽  
Children With Cerebral Palsy

scholarly journals A series of case studies on the effect of a midfoot control ankle foot orthosis in the prevention of unresolved pressure areas in children with cerebral palsy

2001 ◽  
Vol 25 (3) ◽  
pp. 246-250 ◽  
Author(s):  
M. Bill ◽  
R. McIntosh ◽  
P. Myers
Keyword(s):  
Cerebral Palsy ◽  
Case Studies ◽  
Muscle Tone ◽  
Evidence Base ◽  
Triceps Surae ◽  
Orthotic Devices ◽  
Ankle Foot Orthosis ◽  
Children With Cerebral Palsy ◽  
Foot Position ◽  
Foot Orthosis

This paper reports on a series of case studies where improvements were sought in muscle tone and gait in children with cerebral palsy. A Midfoot Control Ankle Foot Orthosis (AFO) was developed to control foot position in a cohort of patients with cerebral palsy (CP). The concept of controlling midfoot and hindfoot with an encapsulated internal Supra-Malleolar AFO that fitted into an external AFO was shown to be effective in ambulant children with CP. Some initial problems of compliance were noted and postulated to be due to difficulties associated with previous orthotic devices. Evidence from the case studies suggest that the developed Supra-Malleolar AFO orthoses enables children with CP to maintain mobility without skin tissue damage, delays the need for surgery and at the same time maintains the length of the Triceps Surae (Gastrocnemius and Soleus) complex. Plans for further research are discussed which will contribute to the evidence base for this particular orthotic device.

The use of botulinum toxin therapy for lower-extremity spasticity in children with cerebral palsy

2006 ◽  
Vol 21 (2) ◽  
pp. E1 ◽  
Author(s):  
Susan R. Criswell ◽  
Beth E. Crowner ◽  
Brad A. Racette
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Lower Extremity ◽  
Muscle Tone ◽  
Botulinum Toxin A ◽  
Multidisciplinary Treatment ◽  
Safety Margin ◽  
Technical Information ◽  
Botulinum Toxin Therapy ◽  
Children With Cerebral Palsy

✓ Hypertonicity is a leading cause of disability for children with cerebral palsy (CP). Botulinum toxin A (BTA) chemically denervates muscle tissue and is commonly used in the management of lower-extremity hypertonicity in children with CP because of its focal effects and wide safety margin. Randomized controlled trials have demonstrated that BTA injections in the ankle flexors, hamstrings, and adductors reduce spasticity and result in improved passive and active range of motion. In other studies, improvements in gait and measurements of functional outcome were found in appropriately selected children who had been injected with BTA. A multidisciplinary treatment approach that includes physical therapists, occupational therapists, orthotists, neurologists, physicians with expertise in performing botulinum toxin injections, orthopedic surgeons, and neurosurgeons is critical to optimize care in children with lower-extremity tone due to CP. In this paper, the authors propose treatment algorithms based on clinical presentation, detailed dosing, and technical information to optimize the treatment of these children. With a multidisciplinary approach, children with lower-extremity hypertonicity due to CP can experience improvements in muscle tone and function.

scholarly journals Effectiveness of Physiotherapy Applying Atlant Suit for Children with Cerebral Palsy

2020 ◽  
Vol 2 (11) ◽  
Author(s):  
Lina Varnienė ◽  
Lina Kazlauskaitė ◽  
Juozas Raistenskis ◽  
Laima Mikulėnaitė ◽  
Tomas Aukstikalnis ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Muscle Tone ◽  
Treatment Method ◽  
Control Group ◽  
Gross Motor ◽  
Lack Of Information ◽  
Children With Cerebral Palsy ◽  
Scale Range ◽  
And Control

Research background. One of the newest children’s cerebral palsy abilitation techniques are special neuro – orthopedic suits, which are used in physiotherapy procedures. “Atlant” suit rehabilitation has been introduced relatively recently, and it has not yet been extensively studied, especially in comparison with other methods. In Lithuania, this treatment method was introduced only a year ago. There is still lack of information about these suits effect on the motor skills of children with cerebral palsy. The aim of the research was to evaluate the effectiveness of physiotherapy using Atlanto suit for children with cerebral palsy. Methods. The research included 20 subjects, 14 boys and 6 girls. Participants were divided into two groups: experimental and control (10 children each). Participants were evaluated twice; at the beginning and at the end of rehabilitation. Points of evaluation included: • lower limb muscle tone (according to the modified Asworth scale); • range of joint motion (goniometry); • balance and gait (according Tinetti scale); • gross motor function (according to the gross motor measure scale – GMFM-88). Results. The study showed that the experimental group, where “Atlant” suit was used figures were statistically significantly higher (p < 0.05) assessing: evaluating the changes of muscle tone; changes of balance and gait and changes of gross motor functions, in comparison with the control group, which did not apply to neuro – orthopedic suit. Evaluated figures changes of joint range of motion for the experimental and control groups it was established that they did not differ statistically significant (p > 0.05). Conclusion. Physiotherapy combined with “Atlant” suit is more effective than conventional methods of physiotherapy treatment, improving children’s, suffering from cerebral palsy, general motor function, balance and gait and also muscle tone reduction.Keywords: children, cerebral palsy, “Atlant” suit.

scholarly journals Combined Anterior and Posterior Lumbar Rhizotomy for Treatment of Mixed Dystonia and Spasticity in Children With Cerebral Palsy

Neurosurgery ◽  
2016 ◽  
Vol 79 (3) ◽  
pp. 336-344 ◽  
Author(s):  
Walid A. Abdel Ghany ◽  
Mohamed Nada ◽  
Mahmoud A. Mahran ◽  
Ahmed Aboud ◽  
Moustafa G. Mahran ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Daily Living ◽  
Intraoperative Monitoring ◽  
Muscle Tone ◽  
Operative Techniques ◽  
Postoperative Assessment ◽  
Joint Range Of Motion ◽  
Children With Cerebral Palsy ◽  
A Prospective Study ◽  
Joint Range

Abstract BACKGROUND: Children with cerebral palsy (CP) can present with severe secondary dystonia with or without associated spasticity of their extremities. OBJECTIVE: To assess the outcomes of combined anterior and posterior lumbar rhizotomy for the treatment of mixed hypertonia in the lower extremities of children with CP. METHODS: Fifty children with CP were subjected to combined anterior and posterior lumbar rhizotomies in a prospective study. Clinical outcome measurements were recorded preoperatively and were evaluated at 2, 6, and 12 months postoperatively. The operative techniques were performed by laminotomy from L1-S1, and intraoperative monitoring was used in all cases. All patients underwent intensive postoperative physiotherapy programs. RESULTS: Changes in muscle tone, joint range of motion, and dystonia were significant (P =.000) at postoperative assessment visits. CONCLUSION: This study demonstrated the potential of combined anterior and posterior lumbar rhizotomies to improve activities of daily living in children with CP and with mixed spasticity and dystonia.

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