scholarly journals Gamification of Physical Therapy for the Treatment of Pediatric Cerebral Palsy: A Pilot Study Examining Player Preferences

2020 ◽  
Author(s):  
David Whittinghill ◽  
Jacob Brown
Keyword(s):  
Cerebral Palsy ◽  
Pilot Study ◽  
Physical Therapy ◽  
Pediatric Cerebral Palsy

scholarly journals Physical therapy treatments incorporating equine movement: a pilot study exploring interactions between children with cerebral palsy and the horse

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Priscilla Lightsey ◽  
Yonghee Lee ◽  
Nancy Krenek ◽  
Pilwon Hur
Keyword(s):  
Cerebral Palsy ◽  
Pilot Study ◽  
Physical Therapy ◽  
Functional Mobility ◽  
Human Gait ◽  
Measurement Unit ◽  
Link Type ◽  
Children With Cerebral Palsy ◽  
Vertical Accelerations ◽  
Therapy Sessions

Abstract Background Physical therapy treatments incorporating equine movement are recognized as an effective tool to treat functional mobility and balance in children with cerebral palsy (CP). To date, only a few studies examined kinematic outputs of the horses and children when mounted. In this pilot study, to better understand the effectiveness of this type of treatment, we examined the interaction between the horses and children with CP during physical therapy sessions where equine movement was utilized. Methods Four children with CP participated in eight physical therapy sessions incorporating hippotherapy as a treatment intervention. Functional mobility was assessed using the Timed Up Go or the 10 m Walk Test. Inertial measurement unit sensors, attached to children and horses, recorded movements and tracked acceleration, angular velocity, and body orientation. Correlation between vertical accelerations of children and horses were analyzed. In addition, peak frequencies of vertical accelerations of children and horses were compared. Results Functional tests modestly improved over time. The children’s movements, (quantified in frequency and temporal domains) increasingly synchronized to the vertical movement of the horse’s walk, demonstrated by reduced frequency errors and increased correlation. Conclusions The findings suggest that as the sessions progressed, the participants appeared to become more familiar with the horse’s movement. Since the horse’s gait at a walk mimics the human gait this type of treatment may provide individuals with CP, who have abnormal gait patterns, an opportunity for their neuromuscular system to experience a typical gait pattern. The horse’s movement at the walk are consistent, cyclical, rhythmical, reciprocal and multi-dimensional, all of which can facilitate motor learning. The increased synchronization between horse and the mounted participant suggests that physical therapy utilizing equine movement is a viable treatment tool to enhance functional mobility. This study may provide a useful baseline for future work. Trial registrationTexas A&M University Institutional Review Board. IRB2018-0064. Registered 8 March 2018. Link: https://rcb.tamu.edu/humans/irb and https://github.com/pilwonhur/HPOT

scholarly journals Physical Therapy Treatments Incorporating Equine Movement: A Pilot Study Exploring Kinetic Interactions between Children with Cerebral Palsy and the Horse

2021 ◽  
Author(s):  
Priscilla Lightsey ◽  
Yonghee Lee ◽  
Nancy Krenek ◽  
Pilwon Hur
Keyword(s):  
Cerebral Palsy ◽  
Pilot Study ◽  
Physical Therapy ◽  
Functional Mobility ◽  
Human Gait ◽  
Measurement Unit ◽  
Abnormal Gait ◽  
Children With Cerebral Palsy ◽  
Vertical Accelerations ◽  
Therapy Sessions

Abstract BackgroundPhysical therapy treatments incorporating equine movement is recognized as an effective tool to treat functional mobility and balance in children with cerebral palsy (CP). To date, only a few studies examined kinematic outputs of the horses and children when mounted. In this pilot study, we examined the interaction between the horses and children with CP during physical therapy sessions where equine movement was utilized to better understand the effectiveness of this type of treatment.MethodsFour children with CP participated in eight physical therapy sessions incorporating hippotherapy as a treatment intervention. Functional mobility was assessed using the Timed Up Go or 10m Walk Test. Inertial measurement unit sensors, attached to children and horses, recorded movements and tracked acceleration, angular velocity, and body orientation. Correlation between vertical accelerations of children and horses were analyzed. In addition, peak frequencies of vertical accelerations of children and horses were compared.ResultsFunctional tests modestly improved over time. The children’s movements, (quantified in frequency and temporal domains) increasingly synchronized to the vertical movement of the horse’s walk, demonstrated by reduced frequency errors and increased correlation.ConclusionsThe findings suggest that as the sessions progressed, the participants appeared to become more familiar with the horse’s movement. Since the horse’s gait at a walk mimics the human gait this type of treatment may provide individuals with CP, who have abnormal gait patterns, an opportunity for the neuromuscular system to experience a typical gait pattern. The horse’s movement at the walk are consistent, cyclical, rhythmical, reciprocal and multi-dimensional which can facilitate motor learning. Thus, the increased synchronization between horse and the mounted participant suggests that physical therapy utilizing equine movement is a viable treatment tool to enhance functional mobility. This study may provide a useful baseline for future work.Trial registrationTexas A&M University Institutional Review Board. IRB2018-0064. Registered 8 March 2018. Link: https://rcb.tamu.edu/humans/irb and https://github.com/pilwonhur/HPOT

Low doses of pamidronate to treat osteopenia in children with severe cerebral palsy: a pilot study

2006 ◽  
Vol 48 (09) ◽  
pp. 709 ◽  
Author(s):  
Horacio Plotkin ◽  
Susan Coughlin ◽  
Rose Kreikemeier ◽  
Kathryn Heldt ◽  
Matias Bruzoni ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Pilot Study ◽  
Low Doses

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

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