Postural responses of adults with cerebral palsy to combined base of support and visual field rotation

2011 ◽  
Author(s):  
Jill. C. Slaboda ◽  
Richard T. Lauer ◽  
Emily A. Keshner
Keyword(s):  
Cerebral Palsy ◽  
Visual Field ◽  
Postural Responses ◽  
Field Rotation ◽  
Base Of Support

A Study of Effects of Intervention of Botulinum Toxin- A on Lower Limb in Children with Spastic Cerebral Palsy

2015 ◽  
Vol 26 (4) ◽  
pp. 94-101
Author(s):  
U Singh ◽  
Raj Kumar ◽  
Sanjay Wadhwa ◽  
SL Yadav
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Range Of Motion ◽  
Lower Limb ◽  
Stride Length ◽  
Botulinum Toxin A ◽  
Step Length ◽  
Spastic Cerebral Palsy ◽  
Toxin A ◽  
Base Of Support

Abstract Objective Analysis of clinical gait pattern, change in spasticity and range of motion (ROM) in cerebral palsy patient (CP) with spastic lower limb muscle after injecting botulinum toxin- A. Study Design Prospective study Methods 28 children (18 male and 10 female) with spastic CP had problems in normal walking, aged 2–9 years (mean age 4.65 years), consecutively treated in the PMR department over a 2-year period, were prospectively followed-up and clinically assessed pre- and post-treatment (at 2 weeks and 2 months) both objectively and subjectively. Objective assessment included gait parameters -- stride length, cadence, velocity, step length, base of support; active and passive range of motion (ROM), (measured by goniometry) and spasticity on modified Ashworth scale. Subjective assessment was done by asking questionnaire in terms of comfort, ease of care, perineal hygiene, walking. Injections were given using clinical palpatory method on OPD basis. All patients received botulinum toxin-A injections, followed with exercises and activities and orthosis as needed. Results Significant improvement was achieved for spasticity reduction in gastrocnemius (p< 0.001), hamstring and adductor (p=0.050), ankle AROM & PROM (p< 0.001), active knee extension (p=0.009), popliteal angle (p=0.015) and percentage left and right foot contact (p< 0.001), whereas non-significant change was observed in step length, cadence, velocity, stride length, and base of support. Parents felt subjective improvement in most of the cases (>90%). Conclusions Botulinum toxin- A injection is effective in the treatment of spastic lower limb muscles for equinus/ crouching/scissoring gait in cerebral palsy children. The treatment was feasible and easily implemented. Botulinum toxin- A injections were well tolerated, yielded no serious treatment-related adverse events.

scholarly journals Balance in Relation to Walking Deterioration in Adults With Spastic Bilateral Cerebral Palsy

2012 ◽  
Vol 92 (2) ◽  
pp. 279-288 ◽  
Author(s):  
Arve Opheim ◽  
Reidun Jahnsen ◽  
Elisabeth Olsson ◽  
Johan Kvalvik Stanghelle
Keyword(s):  
Cerebral Palsy ◽  
Fear Of Falling ◽  
Reliability And Validity ◽  
Balance Function ◽  
Maximum Score ◽  
Balance Confidence ◽  
Postural Responses ◽  
Scale Scores ◽  
Balance Ability ◽  
Abc Scale

Background Balance function is central in walking, and impaired balance function may be related to walking deterioration in adults with spastic bilateral cerebral palsy (CP). Objectives The purposes of this study were: (1) to compare balance confidence, fear of falling, and balance ability in adults with spastic bilateral CP, with and without self-reported walking deterioration; (2) to characterize balance confidence, fear of falling, and balance ability across all participants; and (3) to examine the relationship between balance confidence and balance ability across all participants. Design A case-control design was used. Methods Sixteen adults from a 7-year follow-up study who had spastic bilateral CP and were under 40 years of age in the 2006 survey participated. Eight participants reported walking deterioration (cases), and 8 participants did not report walking deterioration (controls). Outcome variables were: the Activities-specific Balance Confidence (ABC) Scale, the Falls Efficacy Scale–International (FES-I), and the Balance Evaluation Systems Test (BESTest). Results No differences in any of the outcome variables were found between the cases and the controls. Across all participants, the ABC Scale and FES-I scores were 62% and 24 points, respectively. Reduced ABC Scale scores and increased FES-I scores were found when using escalators, walking in crowds, and walking on slippery surfaces. The BESTest subscale scores were 60% to 79% of the maximum score, but only 31% and 42% of the maximum score in postural responses and anticipatory adjustments, respectively. Balance confidence correlated positively with postural responses, sensory orientation, stability in gait, and BESTest total score. Limitations The lack of reliability and validity tests for the outcome variables in this study population and the small number of participants were limitations of the study. Conclusions Self-reported walking deterioration in this group could not be explained by differences in balance confidence, fear of falling, or balance ability. Across all participants, most balance problems seemed related to reduced postural responses and anticipatory adjustments.

Field of view and base of support width influence postural responses to visual stimuli during quiet stance

2007 ◽  
Vol 25 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Jefferson W. Streepey ◽  
Robert V. Kenyon ◽  
Emily A. Keshner
Keyword(s):  
Visual Stimuli ◽  
Field Of View ◽  
Quiet Stance ◽  
Postural Responses ◽  
Base Of Support

Neural underpinning of postural responses to visual field motion

2006 ◽  
Vol 72 (2) ◽  
pp. 188-197 ◽  
Author(s):  
Semyon Slobounov ◽  
Tao Wu ◽  
Mark Hallett ◽  
Hiroshi Shibasaki ◽  
Elena Slobounov ◽  
...  
Keyword(s):  
Visual Field ◽  
Postural Responses

Alteration of Postural Responses to Visual Field Motion in Mild Traumatic Brain Injury

Neurosurgery ◽  
2006 ◽  
Vol 59 (1) ◽  
pp. 134-193 ◽  
Author(s):  
Semyon Slobounov ◽  
Rick Tutwiler ◽  
Wayne Sebastianelli ◽  
Elena Slobounov
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Visual Field ◽  
Mild Traumatic Brain Injury ◽  
Postural Responses
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