Does virtual reality training using the Xbox Kinect have a positive effect on physical functioning in children with spastic cerebral palsy? A case series

2018 ◽  
Vol 11 (2) ◽  
pp. 95-101 ◽  
Author(s):  
Sun-Hye Jung ◽  
Sun-Hae Song ◽  
Sang-Duck Kim ◽  
Kyeongbong Lee ◽  
Gyu-Chang Lee
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Physical Functioning ◽  
Case Series ◽  
Spastic Cerebral Palsy ◽  
Virtual Reality Training ◽  
Xbox Kinect ◽  
Positive Effect

scholarly journals Virtual reality in gait rehabilitation in children with spastic cerebral palsy

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Piedad R. Lerma-Castaño ◽  
Mónica V. Chanaga-Gelves ◽  
José M. Llanos-Mosquera ◽  
Laura E. Castro-Serrato ◽  
Luisa Romana-Cabrera
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Gait Rehabilitation

scholarly journals SPASTIC CEREBRAL PALSY

2018 ◽  
Vol 25 (10) ◽  
pp. 1546-1551
Author(s):  
Naveed Arshad ◽  
Muhammad Imran ◽  
Zuha Munir ◽  
Samrood Akram ◽  
Amna Abdul Hameed
Keyword(s):  
Cerebral Palsy ◽  
Motor Learning ◽  
Case Series ◽  
Sampling Technique ◽  
Spastic Cerebral Palsy ◽  
P Value ◽  
Gross Motor ◽  
Control Body ◽  
Selected Effects ◽  
And Control

Objectives: To improved motor learning in spastic cerebral palsy children andreinforce weak movement patterns and to discourage overactive ones. To reduce the spasticitywith different Bobath physical therapy techniques and control body posture as well as bodymovements. Study Design: A case series. Place and Duration of Study: Madina TeachingHospital (The University of Faisalabad) Faisalabad, Pakistan. Period: The duration of the studywas 3 months March 2013 to May 2013. Patients & Methods: A total 13 patients, aged 2-10years of spastic CP were randomly selected. Effects of treatment were measured and datawere collected by using non-probability convenience sampling technique. All children weretested thrice once completion of first month, then end of second month and then completion oftherapy at the end of third month. Results: The result revealed that grading of spasticity from1st to 3rd months of study was measured mean and standard deviations as follow, 1.62±0.87to 0.85±0.80, CV% 53.75 to 95.24% and variance 0.93 to 0.89. The gross motor learningof 5 conditions that was Lying & rolling, Sitting, Crawling & kneeling, Standing, Walking &running and Overall % from first month to third month was measured as follow, Lying & rolling41.48±30.36 to 44.49±31.90 P-value 0.000, Sitting 47.18±37.59 to 49.74±38.11 P-value 0.000,Crawling & kneeling 26.74±27.11 to 29.49±29.17 P-value 0.000, Standing 12.43±16.25 to14.20±17.53 P-value 0.000, Walking & running 9.08±12.75 to 10.47±13.79 P-value 0.000 andOverall % 27.38±23.46 to 29.68±24.85 P-value 0.000. Conclusion: The Bobath techniques(neurodevelopment treatment) on gross motor learning are very effective and do play animportant role in cerebral palsy children.

Equinus Correction During Multilevel Surgery in Adults With Cerebral Palsy

2018 ◽  
Vol 39 (7) ◽  
pp. 812-820 ◽  
Author(s):  
Cornelia Putz ◽  
Eva Maria Mertens ◽  
Sebastian I. Wolf ◽  
Andreas Geisbüsch ◽  
Mirjam Niklasch ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Clinical Examination ◽  
Case Series ◽  
Muscle Length ◽  
Ankle Dorsiflexion ◽  
Spastic Cerebral Palsy ◽  
Level Of Evidence ◽  
Multilevel Surgery ◽  
Tendon Lengthening

Background: Equinus foot deformity constitutes a common gait disorder in ambulatory adults with bilateral spastic cerebral palsy (BSCP). The outcome after intramuscular aponeurotic lengthening in the context of single-event multilevel surgery (SEMLS) in adulthood has not been investigated. Methods: We followed a group of 31 ambulatory adults with BSCP and equinus who underwent SEMLS including gastrocnemius-soleus intramuscular aponeurotic recession or Achilles tendon lengthening. All patients were analyzed preoperatively and at least 1 year (mean follow-up period: 1.6 years) postoperatively by clinical examination and 3-dimensional instrumented gait analysis including the Gait Profile Score (GPS). Results: Clinical examination showed no significant improvement of ankle dorsiflexion ( P = .5) and an unchanged plantarflexion ( P = .7) with knee extended but a significant postoperative reduction of spasticity in the calf muscle ( P = .0001) as measured by clinical examination following the modified Ashworth scale. Significant improvement of mean ankle dorsiflexion in stance and swing ( P = .0001) was found. The GPS decreased and improved significantly (15.9 ± 4.6 to 11.4 ± 3.1; P = .0001). Persistence of equinus and calcaneal gait indicating under- and overcorrection at follow-up was found in 1 patient (3%), respectively. Conclusion: Intramuscular gastrocnemius-soleus aponeurotic recession is part of multilevel surgery corrected equinus deformity in adults. The increase in muscle length led to significant improvement of kinetic and kinematic parameters during walking without a loss of muscle strength and push-off capacity. The risk of overcorrection after equinus correction in adults with BSCP was found to be relatively low. Level of Evidence: Level IV, retrospective case series.

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