Abstract
The aim of the work is to increase the effectiveness of physical therapy of gross motor functions impairments in children with spastic cerebral palsy by using a therapeutic exercises program with partial body weight supporting and motivated walking on the device for the rehabilitation of people with impaired functions of the musculoskeletal system. The study included 30 children 6 to 11 years old with a spastic form of cerebral palsy. All patients were divided into 2 groups: in group I, in addition to the standard complex of physical therapy, walking according to the dynamic method was prescribed, in group II – according to the static method with partial body weight supporting. The duration of the program was 6 weeks. The survey was carried out before the start, at 2, 4 and 6 weeks of therapy. We studied the spatiotemporal characteristics of walking and activity of daily living indicators. The use of the developed program with the rehabilitation device positively influenced the spatiotemporal indicators of walking in both groups. The stride length, walking speed and the length of the covered distance increased statistically significantly. A significant increase in the volume of performed activities of daily living in the I group was found. At the same time, an increase in this indicator was also observed in group II, but it did not reach statistical significance. The use of the developed program of therapeutic exercises, including walking with motivated movement and partial body weight supporting on the developed rehabilitation device positively influenced the static and dynamic characteristics of walking, which improved the performance of activities important for children with cerebral palsy, especially walking and running. The optimal time for increasing the stride length is a 4-week program, for the development of general endurance and speed – a 6-week program of therapeutic training.
Highlights
According to the classification system of gross motor functions (GMFCS) [11], patients were distributed according to the severity of cerebral palsy (CP) manifestations
The application of the developed technique with the use of the Rehabilitation device had a positive effect on the spatial-temporal indicators of walking in both groups of observation
The application of the proposed program of therapeutic exercises which included walking with motivated movement and partial body weight supporting on the developed Rehabilitation device for persons with musculoskeletal disorders positively effected on the static and dynamic characteristics of walking
Summary
Влияние мотивированной ходьбы с частичной разгрузкой веса тела на большие моторные функции у детей с церебральным параличем. Цель работы – повысить эффективность физической терапии нарушений больших моторных функций у детей со спастической формой церебрального паралича путем применения программы терапевтических тренировок с частичной разгрузкой веса тела и мотивированным перемещением на разработанном устройстве для реабилитации людей с нарушениями функций опорно-двигательного аппарата. Применение разработанной программы с использованием реабилитационного устройства позитивно повлияло на пространственно-временные показатели ходьбы в обеих группах наблюдения. Применение разработанной программы терапевтических упражнений, включающей выполнение ходьбы с мотивированным перемещением и парциальной разгрузкой веса тела на разработанном реабилитационном устройстве, позитивно повлияло на статико-динамические характеристики ходьбы, что улучшило выполнение важных для детей с церебральным параличом активностей, особенно ходьбы и бега. There are works that emphasize the negative impact of rigid partial support on the ability to maintain balance while walking [16]
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