The impact of combined constraint-induced and bimanual arm training program on the perceived hand-use experience of children with unilateral cerebral palsy

2016 ◽  
Vol 20 (6) ◽  
pp. 355-360 ◽  
Author(s):  
Marilyn Cohen-Holzer ◽  
Gilad Sorek ◽  
Julie Kerem ◽  
Michal Katz-Leurer
Keyword(s):  
Cerebral Palsy ◽  
Training Program ◽  
Unilateral Cerebral Palsy ◽  
The Impact

scholarly journals Effect of pelvic girdle stability training on functional sitting control in children with hypotonic cerebral palsy

2021 ◽  
Vol 9 (1) ◽  
pp. 24-33
Author(s):  
W. S. Ahmed ◽  
◽  
R. M. Gharib ◽  
H. M. Salah El-Din ◽  
H. A. El-Talawy ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Training Program ◽  
Pelvic Girdle ◽  
Trunk Muscles ◽  
Control Group ◽  
Upper Limbs ◽  
Significant Difference ◽  
Strengthening Exercises ◽  
Stability Training ◽  
The Impact

The aim of this research was to examine the impact of pelvic girdle stability training in children with hypotonic cerebral palsy on functional sitting control. Thirty children with hypotonic cerebral palsy in both sexes, with their ages ranging from two to four years were used in the study. There were fifteen children in the experimental group and fifteen children in the control group. The study group received pelvic girdle stability training program in addition to a selected program for upper limbs and trunk muscles strengthening exercises, while the control group received only the selected program for upper limbs and trunk muscles strengthening exercises. Results revealed significant difference of GMFM88 (sitting domain) (P < 0.01), stationary raw scores and stationary standard scores of PDMS-2 (P < 0.05) but no significant difference of age equivalent of PDMS-2 (P > 0.05). GMFM88, on the other hand, had a significant difference (sitting domain) (P < 0.05) but no significant difference of stationary raw scores, stationary standard scores and age equivalent of PDMS-2 (P > 0.05) in the control group. Paired t-test were conducted for comparison between pre and post treatment mean values of sitting domain and stationary scores in each group. From the obtained results of the present study, we conclude that pelvic girdle stability training program was more effective in generating core muscle activity for functional sitting control compared to traditional physical therapy of upper limbs and trunk muscles strengthening exercises in children with hypotonic cerebral palsy. Keywords: Pelvic girdle stability, functional sitting control, hypotonic cerebral palsy.

scholarly journals Understanding the impact of bilateral brain injury in children with unilateral cerebral palsy

2020 ◽  
Vol 41 (10) ◽  
pp. 2794-2807 ◽  
Author(s):  
Alex M. Pagnozzi ◽  
Kerstin Pannek ◽  
Jurgen Fripp ◽  
Simona Fiori ◽  
Roslyn N. Boyd ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Brain Injury ◽  
Unilateral Cerebral Palsy ◽  
The Impact

scholarly journals Sensorimotor functional connectivity in unilateral cerebral palsy: influence of corticospinal tract wiring pattern and clinical correlates

2019 ◽  
Author(s):  
Cristina Simon-Martinez ◽  
Ellen Jaspers ◽  
Kaat Alaerts ◽  
Els Ortibus ◽  
Joshua Balsters ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Functional Connectivity ◽  
Upper Limb ◽  
Corticospinal Tract ◽  
Motor Deficits ◽  
Periventricular White Matter ◽  
Healthy Controls ◽  
Sensorimotor Network ◽  
Unilateral Cerebral Palsy ◽  
The Impact

ABSTRACTIn children with unilateral cerebral palsy (uCP), the corticospinal tract (CST) wiring patterns may differ (contralateral, ipsilateral or bilateral), partially determining motor deficits. However, the impact of such CST wiring on functional connectivity remains unknown. Here, we explored differences in functional connectivity of the resting-state sensorimotor network in 26 uCP with periventricular white matter lesions (mean age (SD): 12.87m (±4.5), CST wiring: 9 contralateral, 9 ipsilateral, 6 bilateral) compared to 60 healthy controls (mean age (SD): 14.54 (±4.8)), and between CST wiring patterns. Functional connectivity from each M1 to three bilateral sensorimotor regions of interest (primary sensory cortex, dorsal and ventral premotor cortex) and the supplementary motor area was compared between groups (healthy controls vs. uCP; and healthy controls vs. each CST wiring group). Results from the seed-to-voxel analyses from bilateral M1 were compared between groups. Additionally, relations with upper limb motor deficits were explored. Aberrant sensorimotor functional connectivity seemed to be CST-dependent rather than specific from all the uCP population: in the dominant hemisphere, the contralateral CST group showed increased connectivity between M1 and premotor cortices, whereas the bilateral CST group showed higher connectivity between M1 and somatosensory association areas. These results suggest that functional connectivity of the sensorimotor network is CST wiring-dependent, although the impact on upper limb function remains unclear.

scholarly journals The impact of brain lesion characteristics and the corticospinal tract wiring pattern on mirror movement characteristics in unilateral cerebral palsy

2020 ◽  
Author(s):  
Cristina Simon-Martinez ◽  
Ingar Zielinski ◽  
Brian Hoare ◽  
Lisa Decraene ◽  
Jacqueline Williams ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Basal Ganglia ◽  
Corpus Callosum ◽  
Corticospinal Tract ◽  
Brain Lesion ◽  
Periventricular White Matter ◽  
Lesion Type ◽  
Unilateral Cerebral Palsy ◽  
Combined Impact ◽  
The Impact

ABSTRACTBackgroundMirror movements (MM) influence bimanual performance in children with unilateral cerebral palsy (uCP). Whilst MM are related to brain lesion characteristics and the corticospinal tract (CST) wiring pattern, the combined impact of these neurological factors remains unknown.ObjectiveTo investigate the combined impact of neurological factors on MM.MethodsForty-nine children with uCP (mean age 10y6mo) performed a repetitive squeezing task to quantify similarity between MM activity (MM-similarity) and strength of the MM activity (MM-intensity). We used MRI to evaluate lesion type (periventricular white matter, N=30) cortico-subcortical, N=19), the extent of ipsilesional damage and damage to basal ganglia, thalamus and corpus callosum. The CST wiring pattern (17 CSTcontralateral, 16 CSTipsilateral, 16 CSTbilateral) was assessed with Transcranial Magnetic Stimulation. Data was analyzed with simple and multiple regression analyses.ResultsMM-similarity in the more-affected hand was higher with more damage to the corpus callosum. MM-intensity was higher in children with CSTcontralateral with damage to the basal ganglia and thalamus. In the less-affected hand, MM-similarity was explained by the interaction between lesion type and CST wiring pattern, with higher MM-similarity in children with cortico-subcortical lesions in the CSTcontralateral group. MM-intensity was higher with larger damage to the corpus callosum and unilateral lesions.ConclusionsA complex combination of neurological factors influences MM characteristics and the mechanisms differ between hands.

scholarly journals Determinants of participation and quality of life of young adults with cerebral palsy: longitudinal approach and comparison with the general population – SPARCLE 3 study protocol

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Arnaud ◽  
Carine Duffaut ◽  
Jérôme Fauconnier ◽  
Silke Schmidt ◽  
Kate Himmelmann ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Cerebral Palsy ◽  
Young People ◽  
General Population ◽  
Transition Period ◽  
Well Being ◽  
Personal Factors ◽  
The Impact

Abstract Background Effective inclusion in society for young people with disabilities is increasingly seen as generating opportunities for self-development, and improving well-being. However, significant barriers remain in the vast majority of activities meaningful for young adults. Research argues that various personal (disabilities, health) and environmental (access to the resources needed, accessible environment, discrimination, lack of personal economic independence) factors contribute to limited participation. However, previous studies conducted in young people with cerebral palsy (CP) mainly investigated the transition period to adulthood, and did not fully consider the whole range of impairment severity profiles or environmental barriers. In this study, we will use the follow-up of the SPARCLE cohort and a comparison group from the general population (1) to investigate the impact of the environment on participation and quality of life of young adults with CP, (2) to determine predictors of a successful young adulthood in educational, professional, health and social fields, (3) to compare quality of life and frequency of participation in social, work and recreational activities with the general population, (4) to document on participation and quality of life in those with severe disabilities. Methods The SPARCLE3 study has a combined longitudinal and cross-sectional design. Young adults with CP aged 22 to 27 years in 6 European regions previously enrolled in the SPARCLE cohort or newly recruited will be invited to self-complete a comprehensive set of questionnaires exploring participation (daily life and discretionary activities), health-related quality of life, body function, personal factors (health, personal resources), and contextual factors (availability of needed environmental items, family environment, services provision) during home visits supervised by trained researchers. Proxy-reports or adapted questionnaires will be used for those with the most severe impairments. The recruitment of a large group from the general population (online survey) will enable to identify life areas where the discrepancies between young people with CP and their able-bodied peers are the most significant. Discussion This study will help identify to what extent disabilities and barriers in environment negatively affect participation and quality of life, and how previous valued experiences during childhood or adolescence might modulate these effects.

scholarly journals Designing a tangible solution to encourage playful hand usage for children with cerebral palsy

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Christina Mittag ◽  
Regina Leiss ◽  
Katharina Lorenz ◽  
Dagmar Siebold
Keyword(s):  
Cerebral Palsy ◽  
Support System ◽  
Functional Test ◽  
Intensive Training ◽  
Affected Side ◽  
Motivational Support ◽  
Children With Cerebral Palsy ◽  
Unilateral Cerebral Palsy ◽  
Arm Function ◽  
Inertial Measurements

AbstractChildren with unilateral cerebral palsy (CCP) benefit from intensive training with the affected side. The SHArKi project strives for a motivational support system, using wristbands with inertial measurements units (IMU) to measure arm function, providing biofeedback as well as motivating stimuli. To consider finger and wrist movements as well, this paper covers concepts for a tangible solution and its first implementation including the gamification development. Finalizations of the demonstrator, an overall functional test as well as concluding feedback from CCP are pending.

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