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Unilateral spastic cerebral palsy

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https://www.readbyqxmd.com/read/27912104/structured-skill-practice-during-intensive-bimanual-training-leads-to-better-trunk-and-arm-control-than-unstructured-practice-in-children-with-unilateral-spastic-cerebral-palsy
#1
Ya-Ching Hung, Marina B Brandão, Andrew M Gordon
BACKGROUND: Recently, intensive practice showed good efficacy in improving upper extremity function for children with unilateral spastic cerebral palsy (USCP). However, little is known about the significance of skill progression frequently used during intensive practice. AIMS: We evaluate the importance of skill progression during intensive bimanual practice on movement coordination. METHODS AND PROCEDURES: Twenty children with USCP (average age: 8...
November 29, 2016: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27907872/does-unilateral-single-event-multilevel-surgery-improve-gait-in-children-with-spastic-hemiplegia-a-retrospective-analysis-of-a-long-term-follow-up
#2
Christian Schranz, Annika Kruse, Tanja Kraus, Gerhardt Steinwender, Martin Svehlik
Single event multilevel surgery (SEMLS) has become a standard intervention for children with cerebral palsy (CP). SEMLS proved to improve the gait in bilateral spastic cerebral palsy and those improvements can be maintained in the long term. However there is no evidence on the long-term outcome of unilateral SEMLS in children with unilateral spastic cerebral palsy. The gait analyses and clinical data of 14 children (9 male/5 female, mean age 12.1) with unilateral CP (6 children Gross Motor Function Classification System Scale level I and 8 children level II) were retrospectively reviewed at four time-points: preoperatively, 1year, 3-5 years and approximately 10 years after unilateral SEMLS...
November 15, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27866118/pathological-and-physiological-muscle-co-activation-during-active-elbow-extension-in-children-with-unilateral-cerebral-palsy
#3
A Sarcher, M Raison, F Leboeuf, B Perrouin-Verbe, S Brochard, R Gross
OBJECTIVE: To address the roles and mechanisms of co-activation in two flexor/extensor pairs during elbow extension in children with cerebral palsy (CP). METHODS: 13 Typically Developing (TD) and 13 children with unilateral spastic CP performed elbow extension/flexion at different speeds. Elbow angle and velocity were recorded using a 3D motion analysis system. The acceleration and deceleration phases of extension were analyzed. Co-activation of the brachioradialis/triceps and biceps/triceps pairs was computed for each phase from surface electromyographic signals...
October 29, 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27864822/caregiver-directed-home-based-intensive-bimanual-training-in-young-children-with-unilateral-spastic-cerebral-palsy-a-randomized-trial
#4
Claudio L Ferre, Marina Brandão, Bhavini Surana, Ashley P Dew, Noelle G Moreau, Andrew M Gordon
AIM: To examine the efficacy of caregiver-directed, home-based intensive bimanual training in children with unilateral spastic cerebral palsy (USCP) using a randomized control trial. METHOD: Twenty-four children (ages 2y 6mo-10y 1mo; 10 males, 14 females) performed home-based activities directed by a caregiver for 2 hours per day, 5 days per week, for 9 weeks (total=90h). Cohorts of children were age-matched into groups and randomized to receive home-based hand-arm bimanual intensive therapy (H-HABIT; n=12) or lower-limb functional intensive training (LIFT-control; n=12)...
November 19, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27856938/does-corticospinal-tract-connectivity-influence-the-response-to-intensive-bimanual-therapy-in-children-with-unilateral-cerebral-palsy
#5
Ana R P Smorenburg, Andrew M Gordon, Hsing-Ching Kuo, Claudio L Ferre, Marina Brandao, Yannick Bleyenheuft, Jason B Carmel, Kathleen M Friel
Background Reorganization of the corticospinal tract (CST) can occur in unilateral spastic cerebral palsy (USCP). The affected hand can be controlled via (1) typical contralateral projections from the lesioned hemisphere, (2) ipsilateral projections from the nonlesioned hemisphere, and (3) a combination of contralateral and ipsilateral projections (ie, bilateral). Intensive bimanual therapy and constraint-induced movement therapy (CIMT) improve hand function of children with USCP. Earlier it was suggested that the CST connectivity pattern may influence the efficacy of CIMT...
November 17, 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/27766077/no-decrease-in-muscle-strength-after-botulinum-neurotoxin-a-injection-in-children-with-cerebral-palsy
#6
Meta N Eek, Kate Himmelmann
Spasticity and muscle weakness is common in children with cerebral palsy (CP). Spasticity can be treated with botulinum neurotoxin-A (BoNT-A), but this drug has also been reported to induce muscle weakness. Our purpose was to describe the effect on muscle strength in the lower extremities after BoNT-A injections in children with CP. A secondary aim was to relate the effect of BoNT-A to gait pattern and range of motion. Twenty children with spastic CP were included in the study, 8 girls and 12 boys (mean age 7...
2016: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/27676756/distinction-between-pathological-and-functional-co-activation-during-active-upper-limb-movements-in-hemiparetic-children
#7
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/27545082/gastrocnemius-muscle-tendon-interaction-during-walking-in-typically-developing-adults-and-children-and-in-children-with-spastic-cerebral-palsy
#8
Gursharan Kalsi, Nicola R Fry, Adam P Shortland
BACKGROUND: Our understanding of the interaction of muscle bellies and their tendons in individuals with muscle pathology is limited. Knowledge of these interactions may inform us of the effects of musculoskeletal pathologies on muscle-tendon dynamics and the subsequent neurological control strategies used in gait. Here, we investigate gastrocnemius muscle-tendon interaction in typically-developing (TD) adults and children, and in children with spastic cerebral palsy (SCP). METHODS: We recruited six TD adults (4 female; mean age: 34 yrs...
October 3, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27521274/should-mirror-movements-modify-therapeutic-strategies-for-unilateral-spastic-cerebral-palsy
#9
Martin Staudt
No abstract text is available yet for this article.
August 13, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27465858/using-diffusion-tensor-imaging-to-identify-corticospinal-tract-projection-patterns-in-children-with-unilateral-spastic-cerebral-palsy
#10
Hsing-Ching Kuo, Claudio L Ferre, Jason B Carmel, Jaimie L Gowatsky, Arielle D Stanford, Stefan B Rowny, Sarah H Lisanby, Andrew M Gordon, Kathleen M Friel
AIM: To determine whether diffusion tensor imaging (DTI) can be an independent assessment for identifying the corticospinal tract (CST) projecting from the more-affected motor cortex in children with unilateral spastic cerebral palsy (CP). METHOD: Twenty children with unilateral spastic CP participated in this study (16 males, four females; mean age 9y 2mo [standard deviation (SD) 3y 2mo], Manual Ability Classification System [MACS] level I-III). We used DTI tractography to reconstruct the CST projecting from the more-affected motor cortex...
July 27, 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/27274487/hip-dislocation-in-cerebral-palsy-evolution-of-the-contralateral-side-after-reconstructive-surgery
#11
João Caetano Munhoz Abdo, Edilson Forlin
OBJECTIVE: To evaluate the progression of the contralateral hip after unilateral reconstruction of hip dislocation in patients classified as GMFCS IV-V; and to identify potential prognostic factors for their evolution. METHODS: This was a retrospective study on 17 patients with spastic cerebral palsy, who were classified on the GMFCS scale (Gross Motor Functional Classification System) as degrees IV and V, and who underwent unilateral reconstruction surgery to treat hip dislocation (adductor release, femoral varus osteotomy and acetabuloplasty)...
May 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27199883/rodent-hypoxia-ischemia-models-for-cerebral-palsy-research-a-systematic-review
#12
REVIEW
Prakasham Rumajogee, Tatiana Bregman, Steven P Miller, Jerome Y Yager, Michael G Fehlings
Cerebral palsy (CP) is a complex multifactorial disorder, affecting approximately 2.5-3/1000 live term births, and up to 22/1000 prematurely born babies. CP results from injury to the developing brain incurred before, during, or after birth. The most common form of this condition, spastic CP, is primarily associated with injury to the cerebral cortex and subcortical white matter as well as the deep gray matter. The major etiological factors of spastic CP are hypoxia/ischemia (HI), occurring during the last third of pregnancy and around birth age...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27177476/correlation-between-the-gait-deviation-index-and-gross-motor-function-gmfcs-level-in-children-with-cerebral-palsy
#13
Merete A Malt, Ånen Aarli, Bård Bogen, Jonas M Fevang
AIM: The Gait Deviation Index (GDI) is a score derived from three-dimensional gait analysis (3DGA). The GDI provides a numerical value that expresses overall gait pathology (ranging from 0 to 100, where 100 indicates the absence of gait pathology). The aim of this study was to investigate the association between the GDI and different levels of gross motor function [defined as the Gross Motor Function Classification System (GMFCS)] and to explore if age, height, weight, gender and cerebral palsy (CP) subclass (bilateral and unilateral CP) exert any influence on the GDI in children with unilateral and bilateral spastic CP...
June 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27058177/effects-of-botulinum-toxin-a-and-goal-directed-physiotherapy-in-children-with-cerebral-palsy-gmfcs-levels-i-ii
#14
Kristina Löwing, Karin Thews, Yvonne Haglund-Åkerlind, Elena M Gutierrez-Farewik
AIMS: To evaluate short and long-term effects of botulinum toxin-A combined with goal-directed physiotherapy in children with cerebral palsy (CP). METHOD: A consecutive selection of 40 children, ages 4-12 years, diagnosed with unilateral or bilateral CP, and classified in GMFCS levels I-II. During the 24 months, 9 children received one BoNT-A injection, 10 children two injections, 11 children three injections, and 10 children received four injections. 3D gait analysis, goal-attainment scaling, and body function assessments were performed before and at 3, 12, and 24 months after initial injections...
April 8, 2016: Physical & Occupational Therapy in Pediatrics
https://www.readbyqxmd.com/read/27022371/effectiveness-of-constraint-induced-movement-therapy-as-compared-to-bimanual-therapy-in-upper-motor-function-outcome-in-child-with-hemiplegic-cerebral-palsy
#15
Hira Zafer, Imran Amjad, Arshad Nawaz Malik, Enfall Shaukat
OBJECTIVE: This study aims at determining the effectiveness of constraint induced movement therapy as compared to bimanual therapy for improving functional status in children with hemiplegic cerebral palsy. METHODS: This study was a randomized control trial, children (n = 20) with spastic hemiplegic cerebral palsy was randomly allocated to CIMT (constraint induced movement therapy) and BMT (bimanual therapy) group. The children with spastic hemiplegia, age between 1...
January 2016: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/27017925/longitudinal-development-of-hand-function-in-children-with-unilateral-spastic-cerebral-palsy-aged-18-months-to-12-years
#16
Linda Nordstrand, Ann-Christin Eliasson, Marie Holmefur
AIM: The aim of the study was to describe the development of hand function, particularly the use of the affected hand in bimanual tasks, among children with unilateral cerebral palsy aged 18 months to 12 years. METHOD: A convenience sample of 96 children (53 males, 43 females) was assessed with the Assisting Hand Assessment (AHA) at regular intervals from the ages of 18 months to 12 years. The children ranged from 17 to 127 months (median age 24mo) at recruitment...
October 2016: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/26867559/skilled-bimanual-training-drives-motor-cortex-plasticity-in-children-with-unilateral-cerebral-palsy
#17
Kathleen M Friel, Hsing-Ching Kuo, Jason Fuller, Claudio L Ferre, Marina Brandão, Jason B Carmel, Yannick Bleyenheuft, Jaimie L Gowatsky, Arielle D Stanford, Stefan B Rowny, Bruce Luber, Bruce Bassi, David L K Murphy, Sarah H Lisanby, Andrew M Gordon
Background Intensive bimanual therapy can improve hand function in children with unilateral spastic cerebral palsy (USCP). We compared the effects of structured bimanual skill training versus unstructured bimanual practice on motor outcomes and motor map plasticity in children with USCP. Objective We hypothesized that structured skill training would produce greater motor map plasticity than unstructured practice. Methods Twenty children with USCP (average age 9.5; 12 males) received therapy in a day camp setting, 6 h/day, 5 days/week, for 3 weeks...
October 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/26851383/walking-induced-muscle-fatigue-impairs-postural-control-in-adolescents-with-unilateral-spastic-cerebral-palsy
#18
Damien Vitiello, Ludmilla Pochon, Davide Malatesta, Olivier Girard, Christopher J Newman, Francis Degache
BACKGROUND: Fatigue is likely to be an important limiting factor in adolescents with spastic cerebral palsy (CP). AIMS: To determine the effects of walking-induced fatigue on postural control adjustments in adolescents with unilateral CP and their typically developing (TD) peers. METHODS: Ten adolescents with CP (14.2 ± 1.7 yr) and 10 age-, weight- and height-matched TD adolescents (14.1 ± 1.9 yr) walked for 15 min on a treadmill at their preferred walking speed...
June 2016: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/26790907/macrostructural-and-microstructural-brain-lesions-relate-to-gait-pathology-in-children-with-cerebral-palsy
#19
Pieter Meyns, Leen Van Gestel, Inge Leunissen, Paul De Cock, Stefan Sunaert, Hilde Feys, Jacques Duysens, Kaat Desloovere, Els Ortibus
Background Even though lower-limb motor disorders are core features of spastic cerebral palsy (sCP), the relationship with brain lesions remains unclear. Unraveling the relation between gait pathology, lower-limb function, and brain lesions in sCP is complex for several reasons; wide heterogeneity in brain lesions, ongoing brain maturation, and gait depends on a number of primary motor functions/deficits (eg, muscle strength, spasticity). Objective To use a comprehensive approach combining conventional MRI and diffusion tensor imaging (DTI) in children with sCP above 3 years old to relate quantitative parameters of brain lesions in multiple brain areas to gait performance...
October 2016: Neurorehabilitation and Neural Repair
https://www.readbyqxmd.com/read/26698408/the-effects-of-intensive-bimanual-training-with-and-without-tactile-training-on-tactile-function-in-children-with-unilateral-spastic-cerebral-palsy-a-pilot-study
#20
RANDOMIZED CONTROLLED TRIAL
Hsing-Ching Kuo, Andrew M Gordon, Aline Henrionnet, Sylvie Hautfenne, Kathleen M Friel, Yannick Bleyenheuft
Children with unilateral spastic cerebral palsy (USCP) often have tactile impairments. Intensive bimanual training improves the motor abilities, but the effects on the sensory system have not been studied. Here we compare the effects of bimanual training with and without tactile training on tactile impairments. Twenty children with USCP (6-15.5 years; MACS: I-III) were randomized to receive either bimanual therapy (HABIT) or HABIT+tactile training (HABIT+T). All participants received 82 h of standardized HABIT...
February 2016: Research in Developmental Disabilities
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