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Spasticity AND Cerebral Palsy

Mohamed A Eid, Sobhy M Aly, Rasha A Mohamed
OBJECTIVES: To evaluate the effectiveness of twister wrap orthosis (TWO) on foot pressure distribution and postural balance in children with spastic diplegic cerebral palsy (CP). METHODS: Thirty children with spastic diplegic CP, with ages ranging from 6 to 8 years, were assigned randomly into two groups. The control group received the conventional physical therapy and ankle foot orthosis (AFO), whereas the study group received the same program as the control group in addition to TWO...
December 1, 2018: Journal of Musculoskeletal & Neuronal Interactions
Charlie Fairhurst, Adam Shortland, Susie Chandler, Elspeth Will, David Scrutton, Emily Simonoff, Gillian Baird
AIM: We explored factors associated with pain and its severity in a population cohort of young people with bilateral cerebral palsy, comparing parent/carer and young people self-reports. METHOD: Of 278 survivors (mean age 16y 8mo, SD 1y 4mo, range 13y 8mo-19y 3mo) from the South Thames in the Study of Hips and Physical Experience cohort of 338 young people with bilateral cerebral palsy, 212 parents/carers and 153 young people completed questionnaires on the presence, severity, timing, site, associated factors, impact, and treatment of pain...
December 3, 2018: Developmental Medicine and Child Neurology
Mauro C de Morais Filho, Marcelo H Fujino, Cátia M Kawamura, Carlos A Dos Santos, José A F Lopes, Francesco C Blumetti, Rames Mattar
The aim of this study was to compare semitendinosus transfer to distal femur (STTX) to semitendinosus surgical lengthening (STL) regarding the increase of anterior pelvic tilt after flexed knee gait treatment. Thirty-nine patients were evaluated, and they were divided according surgical procedures at knees: STL group (22 patients/44 knees), which included patients who received medial hamstrings surgical lengthening as part of multilevel approach, and STTX group (17 patients/34 knees), which was represented by patients who underwent orthopedic surgery including a STTX instead of STL...
November 29, 2018: Journal of Pediatric Orthopedics. Part B
Cristina Gómez-Pérez, Josep M Font-Llagunes, Joan Carles Martori, Joan Vidal Samsó
AIM: To identify the gait parameters used to assess gait disorders in children with bilateral spastic cerebral palsy (CP) and evaluate their responsiveness to treatments. METHOD: A systematic search within PubMed, Web of Science, and Scopus (in English, 2000-2016) for randomized controlled trials of children with bilateral spastic CP who were assessed by instrumented gait analysis (IGA) was performed. Data related to participants and study characteristics, risk of bias, and outcome measures were collected...
November 28, 2018: Developmental Medicine and Child Neurology
Prue Morgan, Jennifer L McGinley
Cerebral palsy (CP) is a lifespan motor disorder arising from damage to the developing brain before or shortly after birth. People with CP may experience problems with muscle coordination and difficulties with the organization and processing of sensory information. Functional mobility is impaired and commonly influenced by spasticity and musculoskeletal system problems such as contractures or bony torsion. Around 60% of individuals with CP are able to walk independently or with aids when entering adulthood...
2018: Handbook of Clinical Neurology
Hung Ya-Ching
BACKGROUND: Children with unilateral spastic cerebral palsy (USCP) have both upper and lower extremities movement impairments of their more affected side. Many daily activities require whole body movement control. However, most studies for children with USCP only evaluated either upper or lower extremity impairments. RESEARCH QUESTION: The present study aimed to assess the effects of accuracy constraints on walking and bimanual coordination for children with USCP during a whole body task...
November 14, 2018: Gait & Posture
Ugonna E Ezeh, Harper N Price, Mohan V Belthur
We report on a rare case of allergic contact dermatitis (ACD) from Mastisol liquid adhesive. We are aware of a few reports in the medical literature, but none describes an allergic reaction during the third exposure to the offending agent. Our patient was a 20-year-old Caucasian man with a history of cerebral palsy spastic hemiplegia who underwent single-event multilevel soft-tissue surgery to optimize function of his left upper extremity. He developed a severe cutaneous allergic reaction after his third exposure to Mastisol...
September 2018: Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
Johannes M Nicolaas Enslin, Nelleke Gertrude Langerak, Anthony Graham Fieggen
Selective dorsal rhizotomy is a key technique in the surgical management of spasticity in patients with cerebral palsy. The technique evolved from the late 1800s when pioneers like Dana and Abbe performed dorsal rhizotomy in their treatment of refractory pain. These surgeons noted a reduction in muscle tone associated with the operation. When Sherrington then published his Nobel prize-winning work on the corticospinal tract and its role in the neuromuscular system in the 1890s, the course was set for modifying spasticity by aiming surgery at the dorsal roots...
November 20, 2018: Neurotherapeutics: the Journal of the American Society for Experimental NeuroTherapeutics
Eli Saleh, Noémi Dahan-Oliel, Kathleen Montpetit, Thierry Benaroch, Rita Yap, Nadia Barakat, M J Mulcahey
Purpose: This pilot study evaluated the outcomes of tendon Achilles lengthening in 12 children (mean age: 11.2 years) with spastic hemiplegia. Methods: Cerebral Palsy Computer Adaptive Tests, the timed up-and-go, the Gross Motor Function Measure, the Gillette Functional Assessment Questionnaire, and the Pediatric Outcomes Data Collection Instrument were administered at baseline and at 6, 12, and 24 months postsurgery. Results: Significant improvement at the latest follow-up (12-24 months following surgery) was seen in all domains of the Cerebral Palsy Computer Adaptive Test: activity ( P = ...
2018: Child Neurology Open
Adam T C Booth, Annemieke I Buizer, Jaap Harlaar, Frans Steenbrink, Marjolein M van der Krogt
OBJECTIVE: To investigate the immediate response to avatar-based biofeedback on three clinically important gait parameters; step length, knee extension and ankle power, in children with cerebral palsy (CP). DESIGN: Repeated measures design. SETTING: Rehabilitation clinic. PARTICIPANTS: Twenty-two children with spastic paresis (10y4m±3y1m), able to walk without assistive devices. INTERVENTION: Children walked on a treadmill with virtual reality environment...
November 14, 2018: Archives of Physical Medicine and Rehabilitation
Jacob Lentz, Daniel Weingrow
We present a case of new-onset bulbar muscle weakness in the setting of therapeutic botulinum injections for spasticity in a teenaged patient with cerebral palsy. Through a careful history, a systemic effect of the local injections was suspected, and the patient's symptoms improved with a decrease in the dosing of the botulinum injections.
November 2018: Clinical practice and cases in emergency medicine
R Mukhopadhyay, M Mahadevappa, P K Lenka, A Biswas
Toe-walking is a very common gait abnormality seen in children with Cerebral Palsy (CP). The present study aims to improvise the toe-walking gait by applying Electrical Stimulation (ES) therapy of the Tricep Surae (TS) muscles. The study was carried out on sixteen children with spastic CP with unilateral toe-walking gait problem, divided into the intervention group that received both ES therapy along with conventional physiotherapy treatment and the control group that received only conventional physiotherapy treatment...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Shokoofeh Parvin, Mina Mehdinezhad, Aidin Taghiloo, Ruhollah Nourian, Mehdi M Mirbagheri
The purpose of this study was to investigate the therapeutic effects of neuro-navigated repetitive transcranial magnetic stimulation (rTMS) combined with occupational therapy (OT) on gait impairment of a child (male, age: 13.2) with spastic hemiplegic cerebral palsy (CP). The treatment included 4 days a week of rTMS sessions for 3 weeks and 4 days of rTMS and OT sessions per week for 3 weeks. Transcranial magnetic stimulation (TMS) was used to evaluate corticospinal tract (CST) activities and H-reflex test was used to assess reflex hyper-excitability...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
H Marzbani, A Shahrokhi, A Irani, M Mehdinezhad, M Kohanpour, M M Mirbagheri
Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive treatment technique for recovery of movement disorders by altering cortical plasticity. In this research, we studied the effects of low-frequency rTMS on white matter (WM) structural connectivity and clinical parameters in children with cerebral palsy (CP).,Four spastic hemiplegic CP children were randomly divided into experimental and control groups. In the experimental group, at first, 1Hz rTMS treatment was performed 4 days/week for 3 weeks on two hemiplegia patients over a contralesional primary motor cortex (M1)...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
F Dadashi, M R Kharazi, M Lotfian, A Shahroki, A Mirbagheri, M M Mirbagheri
We aimed to characterize the therapeutic effects of Anti-gravity (AlterG) body weight supported treadmill training on the impaired balance of children with cerebral palsy (CP). Four spastic CP children participated; two received AlterG training 3 times a week for 8 weeks and the other two received typical occupational therapy accordingly. Their dynamic balance was evaluated before the start of the treatment and 2 months after it. Features related to the center of pressure (COP) and the center of mass (COM) were considered as dynamic balance parameters...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Shokoofeh Parvin, Amin Shahrokhi, Abbas Tafakhori, Ashkan Irani, Mehrnaz Rasteh, Mehdi M Mirbagheri
The objective of this research was to study the therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) on corticospinal tract (CST) activities, reflex hyper-excitability, muscle stiffness, and the clinical status of children with spastic hemiplegic cerebral palsy (CP). Three children participated in this study. The treatment lasted for 6 weeks. Two of the patients, the experimental group, received rTMS therapy 4 days a week during the first 3 weeks, and then received typical occupational therapy (OT) after each rTMS session during the second 3 weeks...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Daniel G Whitney, Harshvardhan Singh, Chuan Zhang, Freeman Miller, Christopher M Modlesky
BACKGROUND: Individuals with cerebral palsy (CP) are at increased risk for obesity and obesity-related complications. Studies of total body fat in those with CP are inconsistent and studies of abdominal fat are lacking in children with CP. The objective of this study was to determine if ambulatory children with spastic CP have greater central adiposity compared to typically developing children. METHODOLOGY: Eighteen ambulatory children with spastic CP (n = 5 girls; 8...
September 22, 2018: Journal of Clinical Densitometry
Annika Kruse, Christian Schranz, Martin Svehlik, Markus Tilp
PURPOSE: The purpose of this study was to investigate the effects of functional progressive resistance training (PRT) and high-intensity circuit training (HICT) on the mechano-morphological properties of the plantar flexor muscle-tendon unit in children with spastic cerebral palsy. METHODS: Twenty-two children (12.8 [2.6] y old, Gross Motor Function Classification System levels I/II = 19/3) were randomly assigned to either a PRT group or an HICT group. The interventions consisted of functional lower limb exercises, which were performed at home 3 times per week for 8 weeks...
November 14, 2018: Pediatric Exercise Science
Adriana Neves Dos Santos, Nelci Adriana Cicuto Ferreira Rocha
BACKGROUND: Kinesiotaping (KT) has been commonly used in clinical setting. However, beneficial KT effects have not been proved yet. OBJECTIVE: We aimed to verify the effects of KT in knee extensor torque in children with CP. METHODS: We evaluated three children diagnosed as spastic CP, classified as level I, II and III, according with GMFCS. Knee extensor peak torque was analyzed by isokinetic evaluation (Biodex Multi Joint System). The test was performed at 60°/s in the concentric passive mode and the children performed maximal contractions...
November 8, 2018: NeuroRehabilitation
Zhu Yi, Yang Yujie, Li Jianan
Spasticity is a motor disorder encountered after upper motor neuron lesions. It adversely affects quality of life in most patients and causes long-term burden of care and has significant financial implications. The effect of conventional therapies for spasticity including physical therapy, surgery, and pharmacotherapy are not always satisfying because of the short-term effects or side effects in some patients. Acupuncture is a part of traditional medicine originating from China. It has been used to resolve functional recovery problems after central nervous system injury for many years in Asian countries and is increasingly popular in western countries...
November 5, 2018: Annals of Physical and Rehabilitation Medicine
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