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Adriana Melo, Gabriela L Gama, Renan A Da Silva Júnior, Paula L De Assunção, Jousilene S Tavares, Mariana B Da Silva, Kamila N F S Costa, Mell L Vânia, Morgana A Evangelista, Melania M R De Amorim
AIM: To evaluate gross motor function and associated factors in children with congenital Zika syndrome (CZS). METHOD: Fifty-nine children (30 males, 29 females) with CZS at a mean (SD) age of 14.7 (3.9), months (range 5-29mo) were evaluated using the Gross Motor Function Measure (GMFM) and classified according to the Gross Motor Function Classification System (GMFCS). Neurological damage was evaluated by neuroimaging. The mothers' sociodemographic characteristics and general data on the children were obtained from interviews with the mothers and from the children's medical records...
April 4, 2019: Developmental Medicine and Child Neurology
Prakruthi S Kaushik, Vykuntaraju K Gowda, Sanjay K Shivappa, Rajeshwari Mannapur, Ajay Jaysheel
Background: Botulinum toxin A is established as an effective treatment to reduce spasticity in cerebral palsy (CP). But very little data are available regarding the techniques of administration. Hence, this study was conducted to compare administration of botulinum toxin with and without ultrasound. Materials and Methods: This is a randomized trial conducted for 2 years at a tertiary care hospital in children aged up to 6 years with CP. Children were assessed with range of ankle dorsiflexion, Modified Ashworth Scale (MAS), and Gross Motor Function Measure 66(GMFM 66) before and after administration...
October 2018: Journal of Pediatric Neurosciences
Long An Chen, Hui Tuan Liu, Cihui Huang, Lu Zhang, Fangdong Zeng, Bo Xie
BACKGROUND: Warm needle acupuncture (WNA) is an integral part of the acupuncture therapy, which combines acupuncture and moxibustion. Children with cerebral palsy (CP) is a common disease in children, which seriously affects children's growing development, physical and mental health. The clinical practice indicates that WNA has a therapeutic effect on children with CP. Here we will provide a protocol to explore the effectiveness and safety of WNA for children with CP. METHODS: We will search the randomized controlled trails (RCT) literatures of WNA for children with CP in 5 English databases [PubMed, Web of Science, EMBASE, the Cochrane Central Register of Controlled Trials (Cochrane Library), and WHO International Clinical Trials Registry Platform (ICTRP)] and 4 Chinese databases [Chinese National Knowledge Infrastructure (CNKI), Chinese VIP Information, Wanfang Database, and Chinese Biomedical Literature Database (CBM)]...
March 2019: Medicine (Baltimore)
Alaric Aroojis, Maulik Patel, Avi Shah, Kailash Sarathy, Sandeep Vaidya, Rujuta Mehta
Background: Various treatment modalities are available for the correction of crouch gait, ranging from hamstring lengthening to a combination of soft-tissue and bony procedures. We report the results of distal femoral extension osteotomy (DFEO) fixed with 90° pediatric condylar locking compression plate (LCP) and patellar tendon advancement (PTA) for crouch gait in children with cerebral palsy. Materials and Methods: A total of 26 patients (52 knees) with a mean age of 14...
January 2019: Indian Journal of Orthopaedics
Kylee Tustin, Markus C Elze, Daniel E Lumsden, Hortensia Gimeno, Margaret Kaminska, Jean-Pierre Lin
AIM: To examine the impact of deep brain stimulation (DBS) on gross motor function in children with dystonic movement disorders. METHOD: Prospective audit involving children implanted 2007-2015, followed for up to two years. Outcomes were evaluated across aetiological sub-groups (inherited, acquired, idiopathic) using the GMFM-88 and BFMDRS movement scale (BFM-M). The predictive value of proportion of life lived with dystonia (PLD) and baseline motor capacity were evaluated...
February 21, 2019: European Journal of Paediatric Neurology: EJPN
R T Harbourne, S E Berger
This article has been temporarily withdrawn due to a broken embargo. It will be published in full and without modification in the near future, along with the rest of the content for a themed issue on pediatric rehabilitation. The journal's typesetter, working on behalf of the publisher, regrets this error.
February 27, 2019: Physical Therapy
A V Dekopov, D L Pashin, A A Tomski, E D Isaguljan, E M Salova, P R Kamchatnov
AIM: To estimate the efficacy of intrathecal treatment with baclofen (ITB) in spasticity and dystonia. MATERIAL AND METHODS: Two groups of patients have been operated: 19 patients with spinal spasticity and 33 patients with cerebral spasticity (cerebral palsy). After baclofen screening test, the Synchromed2 (Medtronic) was implanted. The level of muscle tone was assessed by the Ashworth scale. The locomotion was assessed by GMFM 88 and Arens scale. The dystonia was assessed by the BFM scale...
2019: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Kento Konno, Samuel Chibwana, Yuichi Takata
[Purpose] This study aimed to elucidate the effect of intensive physiotherapy and community-based rehabilitation on motor function for patients with cerebral malaria in the rural areas of Malawi. [Participants and Methods] The participants were 10- and 9-year-old children with cerebral malaria. At ages 8 and 6 years, they contracted malaria, and their motor function decreased to Gross Motor Function Classification System level III. They underwent intensive physiotherapy for 2 weeks administered by their mothers and volunteers, who were taught rehabilitation exercises...
January 2019: Journal of Physical Therapy Science
Ana Paula Salazar, Aline Souza Pagnussat, Gabriela Alves Pereira, Gabriela Scopel, Janice Luisa Lukrafka
OBJECTIVE: To systematically review the effectiveness of neuromuscular electrical stimulation (NMES) as an adjuvant therapy to improve gross motor function in children with spastic cerebral palsy. METHODS: MEDLINE, EMBASE, Cochrane CENTRAL, PEDro and Scopus were searched. We included randomized controlled trials examining the effects of NMES combined with other therapies on gross motor function as assessed by the Gross Motor Function Measure (GMFM) and its functional dimensions...
January 23, 2019: Brazilian Journal of Physical Therapy
Mariane Fernandes Ribeiro, Ana Paula Espindula, Janaine Brandão Lage, Domingos Emanuel Bevilacqua Júnior, Luanna Honorato Diniz, Ednéia Corrêa de Mello, Alex Abadio Ferreira, Mara Lúcia Fonseca Ferraz, Vicente de Paula Antunes Teixeira
OBJECTIVE: Investigation of the effects of hippotherapy treatment on lower limb muscle activity and gross motor function in subjects with cerebral palsy (CP), comparing them to a group of subjects with adequate motor development. METHODS: Evaluation was made of seven individuals with spastic diparetic CP, average age 9.3 (±3.3) years (CP group), Gross Motor Function Classification System (GMFCS) levels I and II, and eight individuals with adequate motor development, average age 10...
January 2019: Journal of Bodywork and Movement Therapies
Sun-Young Ha, Yun-Hee Sung
The purpose of this study was to examine the effects of Vojta approach on the gross motor function and diaphragm movement in children with spastic cerebral palsy (CP). Ten children with spastic CP were randomly assigned to a general physiotherapy group (trunk strengthening exercise and gait training) (n=5) and a Vojta approach group (n=5). Interventions were implemented for 30 min per time, 3 times a week for a total of 6 weeks. Ultrasonography was used to measure the areas of the diaphragm (during inspiration, expiration) before and after the interventions, the gross motor function measure (GMFM)-88 was used for evaluation of the gross motor function...
December 2018: Journal of Exercise Rehabilitation
Yongjie Lin, Guowei Wang, Bingchen Wang
This aims to investigate the effect of combined use of radial extracorporeal shock wave therapy (rESWT) and conventional rehabilitation therapy on postoperative rehabilitation of children with spastic cerebral palsy.Children with spastic cerebral palsy 6 weeks after multistage surgery were randomly divided into treatment group (received rESWT and conventional rehabilitation therapy) and control group (received conventional rehabilitation only). Before treatment, 2 weeks and 1 month after treatment, the Gross Motor Function Measure (GMFM), modified Ashworth Scale (MAS) of the hamstrings and triceps, plantar area and plantar pressure were examined for efficacy assessment...
December 2018: Medicine (Baltimore)
Michelle McGuire, Jason Long, Anna J Esbensen, Amy F Bailes
PURPOSE: This pilot study measured effects of an adapted dance program on motor abilities and participation in children with Down syndrome (DS) and explored caregivers' qualitative feedback regarding its benefits. METHODS: Children with DS participated in 20 weekly 1-hour adapted dance sessions. The Canadian Occupational Performance Measure (COPM) and Gross Motor Function Measure (GMFM) Dimensions D and E were administered before and after the program. Caregivers completed a survey at the last session...
January 2019: Pediatric Physical Therapy
V Belluscio, E Bergamini, G Salatino, T Marro, P Gentili, M Iosa, D Morelli, G Vannozzi
Down (DS) and Prader-Willi (PWS) syndromes are chromosomal disorders both characterized by obesity, ligament laxity, and hypotonia, the latter associated with gait instability. Although these shared features may justify a common rehabilitation approach, evidence exists that adults with DS and PWS adopt different postural and walking strategies. The development of an instrumented protocol able to describe these strategies and quantify patients' gait stability in the current clinical routine would be of great benefit for health professionals, allowing them to design personalized rehabilitation programs...
November 28, 2018: Human Movement Science
Gunfrid V Størvold, Reidun B Jahnsen, Kari Anne I Evensen, Grete H Bratberg
PURPOSE: To investigate the association between physical therapy frequency and gross motor improvement in children with cerebral palsy (CP). MATERIALS AND METHODS: This is a prospective cohort study of 442 children aged 2-12 years, Gross Motor Function Classification System levels I-V, from the Cerebral Palsy Follow-up Program and the Cerebral Palsy Register of Norway. Outcome was change in reference percentiles for the Gross Motor Function Measure (GMFM-66) between two subsequent assessments (N = 1056) analyzed in a linear mixed model...
November 16, 2018: Disability and Rehabilitation
Samire Beqaj, Esmira E T Tërshnjaku, Merita Qorolli, Vujica Zivkovic
BACKGROUND Down syndrome (DS) is the most frequent genetic mental disability. Individuals with DS experience a variety of physical, motor, and functional challenges throughout the lifespan. However, the inter-relatedness between these domains is relatively unexplored in children with DS. This study aimed to determine which physical and motor characteristics contribute to functional performance in children and adolescents with DS. It also investigated the relationship between physical, motor, and functional domains...
October 16, 2018: Medical Science Monitor Basic Research
Megan B Flores, Carolyn P Da Silva
OBJECTIVE: To explore the impact of a body weight supported treadmill training (BWSTT) intervention on postural control and gross motor function in three young children with cerebral palsy (CP) classified as Gross Motor Function Classification System (GMFCS) levels IV or V. METHOD: Children (N = 3) between the ages of 2-3 years who were diagnosed with CP classified as GMFCS levels IV and V participated in BWSTT three times per week. The Segmental Assessment of Trunk Control (SATCo) and the gross motor function measure (GMFM-66) were assessed before and after the 6-week intervention...
October 5, 2018: Developmental Neurorehabilitation
Catherine Sarret, Jean-Jacques Lemaire, Anna Sontheimer, Jérôme Coste, Nadia Savy, Bruno Pereira, Bastien Roche, Odile Boespflug-Tanguy
AIMS: We performed quantitative diffusion tensor imaging and brain tractography to distinguish clinical severity in a series of 35 patients with hypomyelinating PLP1-related disorders classified using the Motor Developmental Score according to the best motor function acquired before the age of 5 years and the gross motor function measure (GMFM) at the time of magnetic resonance imaging acquisition. METHODS: We calculated fractional anisotropy and diffusivity values in 26 regions of interest and the numbers of fibers and volumes of hemisphere tractograms...
2018: Developmental Neuroscience
Samuel R Pierce, Julie Skorup, Allyson Miller, Athylia C Paremski, Laura A Prosser
PURPOSE: The Early Clinical Assessment of Balance (ECAB) is a measure of postural stability for children with cerebral palsy (CP). The purpose of this research was to investigate the relationship between the ECAB and Gross Motor Function Measure-66 (GMFM-66) and to determine the responsiveness of the ECAB in children with CP under three years of age. METHODS: Twenty seven children (mean age of 25 months) participated. Data were collected before and after 3 and 6 months of physical therapy...
September 25, 2018: Developmental Neurorehabilitation
Heidi L Pottinger, Mary Rahlin, Jessiemarie Voigt, Michele E Walsh, Charlene M Fregosi, Burris R Duncan
PURPOSE: The purpose of this pilot study was (1) to evaluate feasibility of attendance and parent satisfaction with an intensive outpatient physical and occupational therapy program for young children with spastic cerebral palsy (CP) and (2) to examine changes in motor function. METHODS: Sixteen children with CP, age range 18-36 months (mean 24.3 ± 6.3 months), received physical and occupational therapy sessions (30 minutes each) 5 days per week for 12 weeks...
September 10, 2018: Physiotherapy Theory and Practice
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