scholarly journals The Pediatric Motor Activity Log-Revised: Assessing real-world arm use in children with cerebral palsy.

2012 ◽  
Vol 57 (2) ◽  
pp. 149-158 ◽  
Author(s):  
Gitendra Uswatte ◽  
Edward Taub ◽  
Angi Griffin ◽  
Laura Vogtle ◽  
Jan Rowe ◽  
...  
2016 ◽  
Vol 70 (4_Supplement_1) ◽  
pp. 7011500060p1
Author(s):  
Patty Coker-Bolt ◽  
Jackie Connelly ◽  
Na Jin Seo ◽  
Reagin Hoover ◽  
Ryan Downey ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. 159-168
Author(s):  
Igor E. Nikityuk ◽  
Galina A. Ikoeva ◽  
Elizaveta L. Kononova ◽  
Irina Yu. Solokhina

Background. The improvement in existing methods and the development of new principles for treating children with cerebral palsy necessitates a quantitative assessment of the parameters of motor activity. However, because of the explicit and complex abnormalities in motor skills in patients with severe forms of cerebral palsy, an evaluation of their locomotor function dynamics using instrumental diagnostic methods remains a serious problem. Aim. This work aimed to study the walking function in patients with cerebral palsy before and after motor rehabilitation using a biomechanical method with biometric sensors. Materials and methods. We examined 14 patients with cerebral palsy aged 8 to 13 years with III level of restriction of motor activity according to the gross motor function classification system (GMFCS). All patients underwent rehabilitation in the Lokomat robotic simulator for three weeks. The course consisted of 15 sessions of 45 min each. The temporal and dynamic parameters of walking were studied in 14 patients with cerebral palsy before and after a course of locomotor training. The biometry of the step cycle was studied using the STEDIS hardware-software complex, including the Neurosens set of wireless biometric sensors. The temporal characteristics of the step cycle and the force interaction of the lower extremities with the supporting surface during walking were recorded. For comparison, we conducted a biomechanical examination of 18 healthy children of the same age who did not have signs of orthopedic disorders. Results. Although after a course of mechanotherapy, the indices of the support phases in biometry in children with cerebral palsy did not reach the level of healthy individuals, a physiological tendency to roll foot was observed in the phase of pushing and accelerating the foot. Active braking of the lower limb increased. The studied time parameters showed a relative improvement in the step structure because of the emerging tendency to normalize the ratio of the periods of the double support of the contralateral lower extremities. Conclusion. Robotic mechanotherapy helps to change the biomechanical pattern of walking of a child with a severe degree of cerebral palsy. An instrumental analysis of walking using wireless biometric sensors allows you to evaluate the results and effectiveness of rehabilitation measures in patients with severe motor impairment objectively.


Author(s):  
Yuri A. BRUYKOV ◽  
Alexey A. BRUYKOV

Abstract. For the first time, we ranked effective means of adaptive physical education used in corrective education of children of primary school age with cerebral palsy using indicators of total motor density and fine motor coordination. The purpose of the work is to study the influence of hippotherapy, swimming, fixation massage with ontogenetic gymnastics on the motor activity of children with cerebral palsy 8–10 years old in the process of adaptive physical education. To achieve the goal, we determined parameters of total motor activity and fine motor coordination among children with cerebral palsy aged 8–10 years. We investigated the parameters studied using the Longitud computer program. We revealed that the most effective and promising means of adaptive physical education among children with cerebral palsy in the development of general motor activity and fine motor coordination is fixation massage with ontogenetic gymnastics. We noted that as a result of the use of fixation massage with ontogenetic gymnastics, children with cerebral palsy improved their overall motor development by an average of 22.5 %, and fine motor coordination by 25.6 %.


2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.


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