Improving Prehension Skills of Children with Cerebral Palsy: A Clinical Study

1986 ◽  
Vol 6 (4) ◽  
pp. 227-239 ◽  
Author(s):  
Karin J. Barnes

The purpose of this study was to obtain preliminary data concerning the effectiveness of two treatment procedures—weight bearing on extended arms and passive trunk rotation—on the development of prehension skills. A multiple baseline across subjects, with reversal phases, research design was used. Measurement procedures were designed to be sensitive to small behavioral changes in the prehension skills of three children with spastic cerebral palsy. Eight movement components of reach, grasp, and release were measured. Prehension skills of all three subjects showed improvement as a result of weight bearing on extended arms. No measurable changes were observed as a result of passive trunk rotation. Results indicate that this type of measurement procedure is sensitive to the small behavioral changes seen frequently in the treatment of cerebral palsy.

1989 ◽  
Vol 9 (3) ◽  
pp. 143-154 ◽  
Author(s):  
Karin J. Barnes

The purpose of this study was to obtain data concerning the relationship between a commonly used treatment technique—weight bearing on extended arms—and the reach, grasp, and release skills of 3 boys with spastic cerebral palsy. A multiple-baseline, across-subjects research design was used. With the possible exception of the results for one arm of 1 subject, the results indicated that the technique had a positive relationship with the prehension skills of the 3 boys. Direct and systematic replication is warranted to determine the generalizability of this technique. Although the results of studies of isolated techniques, such as weight bearing on upper extremities, cannot be generalized to total treatment procedures, they do provide tentative support for the use of commonly used techniques and direction for studies of total treatment approaches.


2021 ◽  
Author(s):  
IlHyun Son ◽  
GyuChang Lee

Abstract Background: It has been reported the effects of a hinged ankle-foot orthosis on the gait ability of children with cerebral palsy. However, no studies investigated the effects of the dorsiflexion angle of the hinged ankle-foot orthosis on the spatiotemporal gait parameters of children with cerebral palsy. This study aimed to investigate the immediate effects of a 10° dorsiflexion inducing ankle-foot orthosis the spatiotemporal gait parameters of children with spastic diplegia compared to barefoot and a hinged ankle-foot orthosis.Methods: This study was cross-over design. 10 children with spastic diplegia were walked with barefoot, a hinged ankle-foot orthosis, and a 10° dorsiflexion inducing ankle-foot orthosis. GAITRite was used to collect the spatiotemporal gait parameters including gait velocity, cadence, step length, stride length, single leg support, and double leg support. Results: It showed that a 10° dorsiflexion inducing ankle-foot orthosis significantly improved the gait velocity, cadence, step length, stride length, single leg support, and double leg support than barefoot and a hinged ankle-foot orthosis (p<.05). Conclusion: The results of this study implied that a 10° dorsiflexion inducing ankle-foot orthosis could improve the gait ability of children with spastic diplegia more than barefoot or a hinged ankle-foot orthosis. High quality future studies will need to examine the effects of hinged ankle-foot orthosis on gait ability according to dorsiflexion angles.


2021 ◽  
Author(s):  
Hanan Galal Azouz ◽  
Ali M Abdel Mohsen ◽  
Rana M Mohamed ◽  
hayam mostafa abdelghany

Abstract Cerebral palsy (CP) is the most prevalent severe motor disability among children. The aim of this work was to assess autonomic dysfunction in children with cerebral palsy clinically and electrophysiologically .The study was carried out on forty children with cerebral palsy their age ranged from 4-12 years and twenty healthy children with matched age and sex as control group. CP children were subjected to questionnaire for autonomic dysfunction symptoms. Both CP children and Control group were assessed for Sympathetic Skin Response and Heart rate variability. Most of children had quadriplegic spastic cerebral palsy (82.5%). Based on Gross motor function classification system (GMFCS) classification the majority of children were in levels 4 and 5. The prevalence of autonomic dysfunction symptoms was 80% for thermoregulatory abnormalities (cold extremities), chronic constipation 65%, sleep disturbance 52.5%, loss of appetite 47.5%, sweating abnormalities 40% , recurrent nausea and/or vomiting 25%, increased sensitivity to light or dark 22.5% and bloating 15%. The percentage of unelicited Sympathetic skin response in CP children was 47.5% and 60% in upper limbs and lower limbs respectively, all of them were in level 4 and 5 of GMFCS. 20% of CP children had postural hypotension. Mean Heart rate of CP children was significantly increased more than healthy children upon head tilt test. Sympathetic Skin Response and Heart rate variability were proven to be simple and non invasive procedures in investigating autonomic dysfunction in CP children.


2021 ◽  
Vol 9 (2) ◽  
pp. 97
Author(s):  
Shailaja Uppinakuduru ◽  
G RArun Raj ◽  
PrasannaN Rao ◽  
Mangala Jyothsna ◽  
Vijayalaxmi Mallannavar ◽  
...  

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