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upper limb function in cerebral palsy

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https://www.readbyqxmd.com/read/28231063/bone-age-in-unilateral-spastic-cerebral-palsy-is-there-a-correlation-with-hand-function-and-limb-length
#1
Je-Sang Lee, Im Jeong Choi, Myung Jun Shin, Jin-A Yoon, Sung Hwa Ko, Yong Beom Shin
BACKGROUND: The purpose of this study was to analyze the bone age and the upper extremity segmental lengths between the affected and the unaffected side and to reveal the correlation between the difference of bone age and the upper limb length discrepancy in the unilateral spastic cerebral palsy (CP). We also evaluated the relationship between difference of bone age and hand function. METHODS: Seventy-eight patients participated in this study. The bone ages of hand-wrists of the patients were determined by the Greulich and Pyle atlas...
February 23, 2017: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/28227798/upper-limb-kinematics-of-adults-with-cerebral-palsy-on-bilateral-functional-tasks
#2
Carina Lott, Michelle J Johnson, Carina Lott, Michelle J Johnson, Carina Lott, Michelle J Johnson
Adults with cerebral palsy (CP) often show upper limb impairments which impact their ability to execute activities of daily living (ADLs). Three adults with CP and five healthy adults performed three types of bilateral and unilateral ADLs: drink, pour, and pick and place tasks. An affordable bilateral assessment system (BiAS) was used to measure wrist kinematic trajectories. Four metrics, total completion time, maximum velocity, smoothness, and phase difference, were used to evaluate each functional task. Overall, adults with CP took a longer time than the healthy subjects to complete all unilateral functional tasks with their non-dominant hand...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28188024/robotic-assisted-gait-training-improves-walking-abilities-in-diplegic-children-with-cerebral-palsy
#3
L Wallard, G Dietrich, Y Kerlirzin, J Bredin
The robotic-assisted gait training therapy (RAGT), based on intensity and repetition of movement, presents beneficial effects on recovery and improvement of postural and locomotor functions of the patient. This study sought to highlight the effect of this RAGT on the dynamic equilibrium control during walking in children with Cerebral Palsy (CP) by analyzing the different postural strategies of the fullbody (upper/lower body) before and after this RAGT in order to generate forward motion while maintaining balance...
February 2, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/28113559/development-of-an-emg-acc-based-upper-limb-rehabilitation-training-system
#4
Ling Liu, Xiang Chen, Zhiyuan Lu, Shuai Cao, De Wu, Xu Zhang
This paper focuses on the development of an upper limb rehabilitation training system designed for use by children with cerebral palsy (CP). It attempts to meet the requirements of in-home training by taking advantage of the combination of portable accelerometers (ACC) and surface electromyography (SEMG) sensors worn on the upper limb to capture functional movements. In the proposed system, the EMG-ACC acquisition device works essentially as wireless game controller, and three rehabilitation games were designed for improving upper limb motor function under a clinician's guidance...
April 29, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/27942155/the-effects-of-neck-and-trunk-stabilization-exercises-on-upper-limb-and-visuoperceptual-function-in-children-with-cerebral-palsy
#5
Ji-Won Shin, Gui-Bin Song
[Purpose] The present study aimed to investigate the effects of neck and trunk stabilization exercises on upper limb and visuoperceptual function in children with cerebral palsy. The Jebson-Taylor hand function test and the Korean Developmental Test of Visual Perception-2 (K-DTVP-2) test were utilised. [Subjects and Methods] The study subjects were 11 schoolchildren who had paraplegia caused by premature birth, and who had been diagnosed with periventricular leukomalacia. Kinesitherapy was implemented in individual children for eight weeks, twice a week, for 45 minutes at a time...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27893565/first-person-perspective-action-observation-training-in-individuals-with-parkinson-s-disease-a-consideration-of-concept-controlled-pilot-trial
#6
Giovanni Giorgi, Francesco Ferrarello, Francesca Merlo, Stefano Fumagalli, Niccolò Marchionni, Mauro Di Bari
BACKGROUND AND PURPOSE: Action observation training (AOT) consists of the observing of actions performed by others, followed by imitation. Physical therapy techniques based on action observation may influence motor performance in individuals with idiopathic Parkinson's disease (IPD). OBJECTIVES: The aim of this pilot study was to provide a preliminary approach to assess AOT in anatomical first-person perspective (FPP) as a rehabilitation technique to improve body function and activity in individuals with disability due to IPD...
November 23, 2016: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/27846366/wii-based-interactive-video-games-as-a-supplement-to-conventional-therapy-for-rehabilitation-of-children-with-cerebral-palsy-a-pilot-randomized-controlled-trial
#7
Jane Elizabeth Sajan, Judy Ann John, Pearlin Grace, Sneha Sara Sabu, George Tharion
OBJECTIVE: To assess the effect of interactive video gaming (IVG) with Nintendo Wii (Wii) supplemented to conventional therapy in rehabilitation of children with cerebral palsy (CP). DESIGN: Randomized, controlled, assessor-blinded study. PARTICIPANTS: Children with CP; 10 children each in the control and intervention groups. INTERVENTION: IVG using Wii, given as a supplement to conventional therapy, for 45 min per day, 6 days a week for 3 weeks...
November 15, 2016: Developmental Neurorehabilitation
https://www.readbyqxmd.com/read/27751214/-effects-of-virtual-reality-training-on-limb-movement-in-children-with-spastic-diplegia-cerebral-palsy
#8
Kai Ren, Xiao-Ming Gong, Rong Zhang, Xiu-Hui Chen
OBJECTIVE: To study the effects of virtual reality (VR) training on the gross motor function of the lower limb and the fine motor function of the upper limb in children with spastic diplegia cerebral palsy. METHODS: Thirty-five children with spastic diplegia cerebral palsy were randomly assigned to VR training group (n=19) and conventional training group (n=16). The conventional training group received conventional physical therapy and occupational therapy for three months...
October 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27692236/-palsy-of-the-upper-limb-obstetrical-brachial-plexus-palsy-arthrogryposis-cerebral-palsy
#9
B Salazard, C Philandrianos, B Tekpa
"Palsy of the upper limb" in children includes various diseases which leads to hypomobility of the member: cerebral palsy, arthrogryposis and obstetrical brachial plexus palsy. These pathologies which differ on brain damage or not, have the same consequences due to the early achievement: negligence, stiffness and deformities. Regular entire clinical examination of the member, an assessment of needs in daily life, knowledge of the social and family environment, are key points for management. In these pathologies, the rehabilitation is an emergency, which began at birth and intensively...
October 2016: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/27677029/feasibility-of-a-self-rehabilitation-program-by-mirror-therapy-in-children-with-hemiplegic-cerebral-palsy
#10
Thibault Pasquet, Florence Gaillard, Christopher John Newman, Marine Jequier Gygax, Caroline Le Cornec, Isabelle Bonan, Helene Rauscent
OBJECTIVE: In children with hemiplegic cerebral palsy (HCP), some studies have shown an improvement in manual function following a self-rehabilitation program by mirror therapy. However, adherence to this protocol has not been reported. So, we studied the feasibility and compliance of this self-rehabilitation program in the hemiplegic child. MATERIAL AND METHODS: The aim of this study was to evaluate the effect of mirror therapy on the upper limb of children with HCP...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676959/relationship-between-hand-function-assessment-and-upper-limb-kinematic-analysis-in-children-with-hemiplegic-cerebral-palsy
#11
Florence Gaillard, Hélène Rauscent, Armel Crétual, Caroline Le Cornec, Sébastien Cordillet, Isabelle Bonan
OBJECTIVE/INTRODUCTION: Children with hemiplegic cerebral palsy (HCP) have upper limb limited motion and decreased hand function in daily activities. The aim of this study was to evaluate the relationship between the severity of the kinematic motion abnormalities and bimanual performance of the impaired upper limb. PATIENTS AND METHODS: Twenty-three children with HCP (mean age 11.9±2.7 years) were evaluated using the Assisting Hand Assessment (AHA) [1] to score functional activity performance...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676869/pediatric-stroke-rehabilitation-a-review-of-techniques-facilitating-motor-recovery
#12
Eleni Papathanasiou, Mathilde Chevignard, Carole Vuillerot, Anne Tiberghien, Ingrid Godard
OBJECTIVE: Paediatric stroke is a relatively rare medical condition, but it often leads to long lasting motor and cognitive impairments. Rehabilitation of motor impairments has been widely studied, with most studies performed in children with cerebral palsy (CP). However, CP covers a variety of medical conditions, including brain lesions due to paediatric stroke occurring early in life, but not stroke occurring later on during childhood. The specificity of rehabilitation after paediatric stroke remains understudied...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676802/percutaneous-needle-tenotomy-in-the-treatment-of-neuro-orthopedic-complications-of-upper-limb-related-to-central-nervous-system-impairment-open-study-on-12%C3%A2-patients
#13
Flavia Coroian, Bertrand Coulet, Claire Jourdan, Olivier Choquet, Isabelle Laffont
OBJECTIVE: The musculotendinous retractions are common complications of central neurological damage with consequences for comfort and function. Treatment of uncomfortable retractions is often surgical, mainly based on tendon gestures. The objective of this study was to evaluate the efficiency of percutaneous needle tenotomy in these indications. MATERIAL/PATIENTS AND METHODS: The indication was accepted at a medical-surgical consultation. Tenotomy was performed using an 18 Gauge needle...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27676756/distinction-between-pathological-and-functional-co-activation-during-active-upper-limb-movements-in-hemiparetic-children
#14
Aurélie Sarcher, Maxime Raison, Fabien Leboeuf, Brigitte Perrouin-Verbe, Sylvain Brochard, Raphael Gross
OBJECTIVE: Children with spastic unilateral cerebral palsy (SUCP) have an involved upper limb (IUL) restricted in active range of motion and in velocity when performing elbow extension, due to a combination of muscle impairments. One of them is excessive muscle co-activation (CA). CA usually has a functional role, particularly in joint stabilization. The aim of this study is to identify when pathological CA occurs during active elbow extension of the IUL to highlight its impact on movement restriction and to discriminate impaired muscles...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27665941/randomized-controlled-trial-of-a-web-based-multi-modal-therapy-program-for-executive-functioning-in-children-and-adolescents-with-unilateral-cerebral-palsy
#15
Adina M Piovesana, Stephanie Ross, Owen Lloyd, Koa Whittingham, Jenny Ziviani, Robert S Ware, Roslyn N Boyd
: Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii™), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP). METHOD: Participants (n = 102) were matched in pairs then randomized to: intervention (Mitii™ for 20 weeks; n = 51; 26 males; mean age = 11 years 8 months (SD = 2 years 4 months); Full Scale IQ = 84.65 (SD = 15.19); 28 left UCP; GMFCS-E&R (I = 20, II = 31) or waitlist control (n = 50; 25 males; mean age = 11 years 10 months (SD = 2 years 5 months); Full Scale IQ = 80...
September 24, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27634167/adding-parent-delivered-therapy-does-not-improve-upper-limb-function-more-than-repeated-practice-alone-in-children-with-cerebral-palsy-commentary
#16
Leanne M Johnston
No abstract text is available yet for this article.
October 2016: Journal of Physiotherapy
https://www.readbyqxmd.com/read/27634161/adding-parent-delivered-therapy-does-not-improve-upper-limb-function-more-than-repeated-practice-alone-in-children-with-cerebral-palsy-synopsis
#17
Nora Shields
No abstract text is available yet for this article.
October 2016: Journal of Physiotherapy
https://www.readbyqxmd.com/read/27618499/gait-analysis-clinical-facts
#18
Richard Baker, Alberto Esquenazi, Maria G Benedetti, Kaat Desloovere
Gait analysis is a well-established tool for the quantitative assessment of gait disturbances providing functional diagnosis, assessment for treatment planning, and monitoring of disease progress. There is a large volume of literature on the research use of gait analysis, but evidence on its clinical routine use supports a favorable cost-benefit ratio in a limited number of conditions. Initially gait analysis was introduced to clinical practice to improve the management of children with cerebral palsy. However, there is good evidence to extend its use to patients with various upper motor neuron diseases, and to lower limb amputation...
August 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27530758/transcranial-direct-current-stimulation-combined-with-upper-limb-functional-training-in-children-with-spastic-hemiparetic-cerebral-palsy-study-protocol-for-a-randomized-controlled-trial
#19
Renata Calhes Franco Moura, Cibele Almeida Santos, Luanda André Collange Grecco, Roberta Delasta Lazzari, Arislander Jonathan Lopes Dumont, Natalia Carvalho de Almeida Duarte, Luiz Alfredo Braun, Jamile Benite Palma Lopes, Ligia Abram Dos Santos, Eliane Lopes Souza Rodrigues, Giorgio Albertini, Veronica Cimolin, Manuela Galli, Claudia Santos Oliveira
BACKGROUND: The aim of the proposed study is to perform a comparative analysis of functional training effects for the paretic upper limb with and without transcranial direct current stimulation over the primary motor cortex in children with spastic hemiparetic cerebral palsy. METHODS: The sample will comprise 34 individuals with spastic hemiparetic cerebral palsy, 6 to 16 years old, classified at level I, II, or III of the Manual Ability Classification System. Participants will be randomly allocated to two groups: (1) functional training of the paretic upper limb combined with anodic transcranial stimulation; (2) functional training of the paretic upper limb combined with sham transcranial stimulation...
2016: Trials
https://www.readbyqxmd.com/read/27338485/using-free-internet-videogames-in-upper-extremity-motor-training-for-children-with-cerebral-palsy
#20
Marisa Sevick, Elizabeth Eklund, Allison Mensch, Matthew Foreman, John Standeven, Jack Engsberg
Movement therapy is one type of upper extremity intervention for children with cerebral palsy (CP) to improve function. It requires high-intensity, repetitive and task-specific training. Tedium and lack of motivation are substantial barriers to completing the training. An approach to overcome these barriers is to couple the movement therapy with videogames. This investigation: (1) tested the feasibility of delivering a free Internet videogame upper extremity motor intervention to four children with CP (aged 8-17 years) with mild to moderate limitations to upper limb function; and (2) determined the level of intrinsic motivation during the intervention...
2016: Behavioral Sciences
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