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seating cerebral palsy

Andréa Gomes Moraes, Fernando Copetti, Vera Regina Ângelo, Luana Chiavoloni, Ana Cristina de David
PURPOSE: To verify the effects of 12, 24, 36 hippotherapy sessions over time on postural balance while sitting in children with cerebral palsy as well the effects of treatment after one interruption period of 45 days. METHODS: Hippotherapy program with a twice-weekly treatment with a total of 13 children aged 5-10 years old. Measurements of postural balance during sitting were performed using the AMTI AccuSway Plus platform. RESULTS: There was a statistically significant reduction in mediolateral and anteroposterior sway after the first 12 hippotherapy sessions, and further significant sway reduction occurred as the treatment progressed...
June 11, 2018: Physiotherapy Theory and Practice
Domenico M Romeo, Alessandro Specchia, Francesca Sini, Sarah Bompard, Alessia Di Polito, Arianna Del Vecchio, Paola Ferrara, Roberto Bernabei, Eugenio Mercuri
Lycra garments have recently been used for children with cerebral palsy (CP), with favorable effects on alignment, biomechanics and neuromuscular activity. The aim of the present study is to determine the efficacy of a Lycra suit in improving motor function and static balance in children with CP. Five children with CP wore the Lycra suit for more than 4 h per day for 6 months. They were all assessed at baseline and 6 months after with an evaluation of static balance, using a "seated stabilometry exam", and a motor function assessment, using the Gross Motor Function Measure and Gross Motor function Classification System...
May 3, 2018: European Journal of Paediatric Neurology: EJPN
Laura H C Peeters, Imelda J M de Groot, Alexander C H Geurts
BACKGROUND: Trunk control is essential during seated activities. The trunk interacts with the upper extremities (UE) and head by being part of a kinematic chain and by providing a stable basis. When trunk control becomes impaired, it may have consequences for the execution of UE tasks. AIM: To review trunk involvement in body movement and stability when performing seated activities and its relation with UE and head movements in neurological patients with a flaccid trunk, with a focus on childhood and development with age...
March 6, 2018: Gait & Posture
Fatih Tekin, Erdogan Kavlak, Ugur Cavlak, Filiz Altug
BACKGROUND AND OBJECTIVE: The aim of this study was to show the effects of an 8-week Neurodevelopmental Treatment based posture and balance training on postural control and balance in diparetic and hemiparetic Cerebral Palsied children (CPC). METHODS: Fifteen CPC (aged 5-15 yrs) were recruited from Denizli Yağmur Çocukları Rehabilitation Centre. Gross Motor Function Classification System, Gross Motor Function Measure, 1-Min Walking Test, Modified Timed Up and Go Test, Paediatric Balance Scale, Functional Independence Measure for Children and Seated Postural Control Measure were used for assessment before and after treatment...
2018: Journal of Back and Musculoskeletal Rehabilitation
Michael John Dolan, Megan Jennifer Bolton, Graham Iain Henderson
PURPOSE: To profile and compare the seating and powered characteristics and functions of electrically powered wheelchairs (EPWs) in a general user population including equipment costs. METHOD: Case notes of adult EPW users of a regional NHS service were reviewed retrospectively. Seating equipment complexity and type were categorized using the Edinburgh classification. Powered characteristics and functions, including control device type, were recorded. RESULTS: 482 cases were included; 53...
October 26, 2017: Disability and Rehabilitation. Assistive Technology
Mattana Angsupaisal, Linze-Jaap Dijkstra, Sacha la Bastide-van Gemert, Jessika F van Hoorn, Karine Burger, Carel G B Maathuis, Mijna Hadders-Algra
BACKGROUND: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated. AIM: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching. METHODS: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]...
October 5, 2017: Research in Developmental Disabilities
Atli Ágústsson, Þórarinn Sveinsson, Elisabet Rodby-Bousquet
BACKGROUND: Postural asymmetries with seating problems are common in adults with cerebral palsy. AIMS: To analyse the prevalence of asymmetrical limited hip flexion (<90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position. METHODS AND PROCEDURES: Cross-sectional data of 714 adults with CP, 16-73 years, GMFCS level I-V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015...
December 2017: Research in Developmental Disabilities
Bulent Elbasan, Kamile Uzun Akaya, Mufit Akyuz, Deran Oskay
BACKGROUND: Neurodevelopmental treatment (NDT), neuromuscular electrical stimulation (NMES), and Kinesio Taping (KT) applications are separately used to improve postural control and sitting balance in children with cerebral palsy (CP). OBJECTIVE: The aim of this study is to examine the combined effect of NDT, NMES and KT applications on postural control and sitting balance in children with CP. METHODS: Forty five children, in 3 groups, between the ages 5-12 years were included in the study...
February 6, 2018: Journal of Back and Musculoskeletal Rehabilitation
Abbas Abdolrahmani, Hiroyuki Sakita, Ryo Yonetsu, Akira Iwata
[Purpose] This pilot study examined the immediate effects of quick-seated trunk exercise on sit-to-stand movement in children with cerebral palsy. [Subjects and Methods] Five children with spastic cerebral palsy (hemiplegia, 3; diplegia, 2; age 6-17 years) performed five sessions of natural-seated trunk exercise at a self-selected speed (control). Following a 50-min rest period, five sessions of the quick-seated trunk exercise were conducted (experimental intervention) for each child. Each seated trunk exercise included 10 repetitions in the anterior-posterior and lateral directions...
May 2017: Journal of Physical Therapy Science
L Zhou, M Camp, A Gahukamble, K L Willoughby, M Harambasic, C Molesworth, A Khot, H K Graham
BACKGROUND: There are a range of implants for fixation of proximal femoral osteotomies (PFOs) in children. We investigated the training experiences and preferences of orthopaedic residents and fellows who were learning PFO, using a fixed angled blade plate (ABP) or a locking, cannulated blade plate (LCBP). We also studied short-term technical and radiographic outcomes. METHODS: This was a prospective, parallel-group, cohort study of 90 consecutive children and adolescents with cerebral palsy who underwent bilateral PFOs with ABP or LCBP...
2017: Journal of Children's Orthopaedics
Timur Ekiz, Sibel Özbudak Demir, Hatice Gözde Sümer, Neşe Özgirgin
BACKGROUND: Although wheelchair appropriateness has been studied in general wheelchair users and spinal cord injury patients, it has not been studied in children with cerebral palsy yet. OBJECTIVE: To describe the wheelchair appropriateness in children with cerebral palsy. MATERIALS AND METHODS: Thirty children with cerebral palsy were included. Demographical and clinical features of the children were noted. All wheelchair parts were evaluated by the same rehabilitation physician who has attended a wheelchair-training course...
2017: Journal of Back and Musculoskeletal Rehabilitation
Taly Amichai, Sharon Eylon, Horesh Dor-Haim, Itai Berger, Michal Katz-Leurer
AIM: To describe the heart rate (HR) and heart rate variability at rest, during a submaximal treadmill test and at rest posttreadmill in children with cerebral palsy (CP). METHODS: Twenty children (6-11 years) with CP participated, who had Gross Motor Function Classification System levels I to III. The HR was monitored for 5 minutes seated, during a submaximal treadmill test, and after 5 minutes rest posttreadmill. Outcome variables were HR and the square root of the mean squared differences of successive differences between adjacent heart beats (RMSSD)...
April 2017: Pediatric Physical Therapy
Satoshi Shirogane, Takashi Handa, Yoshihiko Kozai, Yusuke Maeda
[Purpose] The mechanical strength of wheelchair and seating products is specified by standards to ensure user safety. However, some individual users are affected by severe spasticity resulting from cerebral palsy that occasionally breaks such devices. Until recently, reports of quantitative measurement of these mechanical overloads have been scarce, and the exact loads applied have been unknown. This study aimed to conduct a sampling survey prior to conducting a future full-scale study. [Subjects and Methods] Using two force plates, we measured the load on the foot support applied by three participants with cerebral palsy...
January 2017: Journal of Physical Therapy Science
Andrew O Frank, Lorraine H De Souza
This article aims to describe the clinical features of electric powered indoor/outdoor wheelchair (EPIOC) users with cerebral palsy (CP) that are problematic to optimal prescription and to explore comorbidities, features of CP, and conditions secondary to disability impacting on equipment provision for children and adults. The method is a cross-sectional study of EPIOC users (n = 102) with a primary diagnosis of CP. This is a retrospective review of electronic and case note records of EPIOC recipients attending a specialist wheelchair service in 2007-2008...
2017: Assistive Technology: the Official Journal of RESNA
Andréa Gomes Moraes, Fernando Copetti, Vera Regina Angelo, Luana Leonardo Chiavoloni, Ana Cristina David
UNLABELLED: [Purpose] This study evaluated the effects of hippotherapy on seated postural balance, dynamic balance, and functional performance in children with cerebral palsy and compared the effects of 12 and 24 sessions on seated postural balance. [Subjects and Methods] This study included 15 children with cerebral palsy aged between 5 and 10 years. INTERVENTIONS: A hippotherapy protocol was performed for 30 minutes, twice a week, for 12 weeks. Postural balance in a sitting position was measured using an AMTI AccuSway Plus force platform 1 week before initiating the hippotherapy program and after 12 and 24 weeks...
August 2016: Journal of Physical Therapy Science
Victor Santamaria, Jaya Rachwani, Sandra Saavedra, Marjorie Woollacott
PURPOSE: To test the effects of segmental trunk support on seated postural and reaching control in children with cerebral palsy. METHODS: Seventeen children (age range 2-15 y, Gross Motor Function Classification System levels III-V) were classified with the Segmental Assessment of Trunk Control into mild (complete trunk control/lower lumbar deficits), moderate (thoracic/upper lumbar deficits), and severe (cervical/upper thoracic deficits). Postural and arm kinematics were measured while reaching with trunk support at axillae, mid-ribs, or pelvis...
2016: Pediatric Physical Therapy
Matthias Hösl, Harald Böhm, Adamantios Arampatzis, Antonia Keymer, Leonhard Döderlein
BACKGROUND: Plantarflexor tightness due to muscle degenerations has been frequently documented in children with spastic cerebral palsy but the contractile behavior of muscles during ambulation is largely unclear. Especially the adaptability of gastrocnemius muscle contraction on sloped surface could be relevant during therapy. METHODS: Medial gastrocnemius contractions were measured during flat-forward, uphill (+12% incline) and backward-downhill (-12% decline) treadmill gait in 15 children with bilateral cerebral palsy, walking in crouch, and 17 typically developing controls (age: 7-16years) by means of ultrasound and motion analysis...
July 2016: Clinical Biomechanics
Stephen E Ryan
Little empirical evidence exists about the effectiveness of assistive technology interventions for children with cerebral palsy (CP) to inform clinical practice. This article reviews what we know about the functional impact of adaptive seating interventions - a common assistive technology type recommended for children with CP. A contemporary assistive technology outcomes framework is considered as a way to model the temporality and measure the effects of seating interventions and moderating cofactors. Three research studies are profiled to illustrate different research methods, measurement approaches, and follow-up periods to learn about adaptive seating outcomes...
March 2016: Developmental Medicine and Child Neurology
Dilek Sahinoğlu, Gürsoy Coskun, Nilgün Bek
BACKGROUND: Adaptive seating supports for cerebral palsy are recommended to develop and maintain optimum posture, and functional use of upper extremities. OBJECTIVES: To compare the effectiveness of different seating adaptations regarding postural alignment and related functions and to investigate the effects of these seating adaptations on different motor levels. STUDY DESIGN: Prospective study. METHODS: A total of 20 children with spastic cerebral palsy (Gross Motor Function Classification System 3-5) were included...
February 2017: Prosthetics and Orthotics International
Cheri A Blauwet, Daniel Cushman, Carolyn Emery, Stuart E Willick, Nick Webborn, Wayne Derman, Martin Schwellnus, Jaap Stomphorst, Peter Van de Vliet
BACKGROUND: The incidence rates (IRs) and factors associated with injuries in the sport of Paralympic athletics (track and field) have not been comprehensively and prospectively studied. PURPOSE: To determine injury IRs, characteristics of injuries, and associated factors in the sport of athletics at the London 2012 Paralympic Games. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: A total of 977 athletes competing in the sport of athletics were followed over a total 10-day competition period of the Paralympic Games...
June 2016: American Journal of Sports Medicine
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