Effects Of Cerebral Palsy Research Articles

Features of the application of boccia game in the physical and sports rehabilitation of disabled athletes with the consequences of children's cerebral palsy

In the article, based on the study of scientific literature, an analysis of the features of the boccia game in the physical and sports rehabilitation of athletes with the consequences of cerebral palsy is carried out. On the basis of the obtained data, a program of physical and sports rehabilitation of athletes with the consequences of cerebral palsy in the adaptation and training period using the boccia game was developed and substantiated. It was found that the means and methods of physical and sports rehabilitation proposed in the program contributed to the restoration of the functional state of the musculoskeletal system and the psycho-emotional state of athletes with the consequences of cerebral palsy.
 It was found that mobile adaptive games as a means of rehabilitation of athletes with the consequences of cerebral palsy have a number of advantages, among which the development of motor qualities, the formation of the optimal structure of coordination abilities, which helps to correct problem areas of the posture of an athlete with disabilities, the high emotionality of participants, pleasure from muscular work in the game and from the possibility of friendly communication. During the mobile game, a complex effect is exerted on the motility and neuropsychological sphere of the patient with cerebral palsy. It has been proven that boccia can become one of the promising means of a complex program of physical and sports rehabilitation of athletes with the consequences of cerebral palsy.

Criteria for determining the optimal orientation of rehabilitation measures in children with the consequences of cerebral palsy

Criteria for determining the optimal orientation of rehabilitation measures in children with the consequences of cerebral palsy

PMON118 Cerebral Palsy Resulting in Hypothalamus Volume Loss and Temperature Dysregulation

Abstract Background Cerebral palsy is a syndrome caused by a non-progressive brain injury or malformation during early brain development, which can lead to severe physical disability. However, there is limited data on the consequences of cerebral palsy on other crucial brain functions such as hypothalamus and pituitary gland. We report a case of hypothalamic-pituitary involvement in a cerebral palsy patient. Clinical case A 28-year-old man with history of quadriplegic cerebral palsy, severe cognitive delay and seizure disorder presented to our clinic with temperature dysregulation for 2 years. He is wheel-chair-bound and non-verbal. His core temperature generally ranges from 96.8o to 97.2oF but occasionally he has had fluctuations as high as 102oF and as low as 88oF associated with extremes in surrounding temperature. At the time of initial evaluation, his temperature was 96.8oF (36°C) and his skin was cool and mottled. He was on levothyroxine replacement for hypothyroidism and thyroid hormone levels were within the normal range (Free T4 of 1.33 ng/dL and Total T3 of 153 ng/dL). Head CT revealed extensive encephalomalacia involving the frontal and temporal lobes, diffuse thinning of the parenchyma of the parietal and occipital lobes with secondary lateral ventricle enlargement, and volume loss in the deep gray nuclei including the hypothalamus. Further evaluation revealed a borderline response to Cortrosyn (16.9 ug/dL at 60 min) but associated with an adequate baseline cortisol of 13.7 ug/dL. IGF-1 and prolactin levels were normal (IGF-1 of 117 ng/mL and prolactin of 7.9 ng/mL), but testosterone was 175 ng/dL associated with an LH of 3.1 mIU/mL and FSH of 10.7 mIU/mL consistent with central hypogonadism. The family was advised to carefully regulate and monitor ambient temperature, and maintain dress appropriate for the surrounding temperature. Conclusion Although periventricular white matter lesions are most commonly associated with cerebral palsy resulting in motor dysfunction, deep gray matter lesions are also occasionally documented. These lesions should be recognized, as they could be detrimental to the body. The hypothalamus, with the preoptic area as its main thermoregulatory locus, plays an important role in temperature regulation. It integrates all information from the surface thermoreceptors and local brain temperature then initiates heat production or heat loss mechanisms to help maintain homeostasis. Therefore, volume loss of the hypothalamus can lead to serious consequences such as poikilothermia that can lead to life-threatening hypothermia or hyperthermia. Keywords: Cerebral palsy, hypothalamus, temperature dysregulation, poikilothermia Presentation: Monday, June 13, 2022 12:30 p.m. - 2:30 p.m.

Analysis of X-ray parameters of the acetabulum in patients with cerebral palsy

BACKGROUND: Among the orthopedic consequences of cerebral palsy, instability of the hip joints is one of the most common. Most children with cerebral palsy at birth have close to normal relationships in their hip joints that gradually deteriorates. Progressive instability of the hip joint leads to subluxation and then dislocation of the hip, to a decrease in the range of motion in the joints, to movement disorders and a defect in the ability to sit, as well as an impairment in hygienic care of the child.
 AIM: To analyze the X-ray anatomical structure of the acetabulum in unstable hip joint in children with cerebral palsy.
 MATERIALS AND METHODS: We examined 42 hip joints in 23 patients with cerebral palsy. Participants were divided into two groups. The main group included the results of the examination of unstable hip joints (31 studies), and the control group included the results of the examination of stable joints (11 studies).
 RESULTS: The average index of anteversion of the acetabulum in the main group with a functioning Y-shaped cartilage was 2.5 more than the average value of the norm (p = 0.029), with a nonfunctioning Y-shaped cartilage at 6 less than the normal value (p = 0.017). There was a positive moderate correlation between the anteversion of the acetabulum and the anterior margin angle (r = 0.424, p = 0.017), and a positive moderate correlation between the acetabular index and the anterior margin angle (r = 0.398, p = 0.027).
 CONCLUSIONS: The study showed that changes in the acetabulum in patients with pathological dislocation or subluxation of the hip against the background of spastic cerebral palsy were manifested by deformation in the horizontal plane due to retroversion of the acetabulum.

Access to and utilisation of sexual and reproductive healthcare for women and girls with cerebral palsy: a scoping review

Women with cerebral palsy have the same sexual and reproductive healthcare (SRH) needs and rights as non-disabled women across the life course. Multi-level barriers prevent their SRH needs from being met in a timely way. Grouped according to Bronfenbrenner’s socio-ecological model, these include physical and psychosocial determinants. The aim of this scoping review was to collate global literature of access to, and utilisation of, SRH for women with cerebral palsy across the life course. We screened five databases for international empirical studies published in English between 2000–2019. Twelve studies met the inclusion criteria. The review highlights that women with cerebral palsy face challenges to receiving good quality healthcare, including limited practitioner knowledge and training on the effects of cerebral palsy in adulthood and how it interacts with women’s SRH needs. Much more research is needed to inform the provision of appropriate SRH treatment for women with cerebral palsy across the life course. Points of interest This article blends together the findings of 12 international studies on healthcare of girls and adult women with cerebral palsy, particularly focusing on sexual and reproductive health and healthcare. The review indicates a significant gap in evidence about the experiences of healthcare transitions for women with cerebral palsy as they move from childhood to adulthood and children’s to adult healthcare The review highlights large gaps in the global literature, in relation to sexual and reproductive healthcare across the lifecourse of disabled women in general, but women with cerebral palsy in particular. The studies found that General Practitioners (GPs) (family doctors) did not consider how prescribed contraceptives relate to impairment effects for girls and women with cerebral palsy. Barriers to good quality sexual and reproductive healthcare for women with cerebral palsy include: inaccessible physical environment and procedures (cervical smear and breast scans), and limited practitioner knowledge about the effects of cerebral palsy in adulthood for women and its interaction with sexual and reproductive health needs.

Реабилитация при поражениях опорно- двигательной системы с использованием инновационных ортопедических аппаратов

The studies performed were aimed at developing a comprehensive biomechanical approach and on its basis — special innovative orthopaedic devices and methods for the rehabilitation of persons with disabilities and patients with musculoskeletal disorders using these devices, as well as their testing. We considered the issues of hydrorehabilitation of children with consequences of cerebral palsy and provision of a lower extremity with hip joint lesions to be moved forward in sagittal plane during walking. Analysis and synthesis were carried out. We applied a comprehensive criteria system approach to consider the biomechanical systems «patient-orthopedic apparatus» and to develop biomechanical schemes. We designed and manufactured orthopaedic devices for ankle and wrist joints for hydrorehabilitation and an orthopaedic apparatus for the whole lower extremity with an electric drive corset, control system, and external energy source. Methods of using the developed orthopedic devices were proposed. The tests showed their high functionality and increased efficiency of hydrorehabilitation in special orthopedic apparatuses and provision of walking in apparatuses using the whole leg with a microprocessor and an external energy source.

Сучасні підходи до класифікації спортсменів з порушеннями опорно-рухового апарату в карате

Types of classification of athletes with locomotorium disorders in adaptive sports in general have been characterized and classes of sportsmen with disabilities in karate WKF and JKS have been analyzed. The analysis of program and normative documents related to karate, scientific-methodical and special literature on classification of athletes of the International Paralympic Committee and international sports federations of persons with disabilities was conducted. Objective. Identification of the characteristics of the classification of athletes with locomotor disorders involved in karate and participating in competitions in various versions, namely the World Karate Federation (WKF) and the Japan Karate Shoto Federation (JKS). Methods. Analysis and generalization of scientific-methodical and special literature. Results. Today, in adaptive sport, the classification of athletes with disabilities is carried out in accordance with the principle of equality, providing all the equal opportunities necessary to achieve the highest sports result. It involves the distribution of athletes by type of disease and functionality. There are three types of classification: medical, functional and handicap. In the analysis of the karate competition program, it was determined that the classification of athletes according to WKF rules is carried out in three categories for athletes who compete in kata. Namely, athletes using a wheel, athletes with visual impairments, and athletes with intellectual disabilities. According to the JKS rules, the classification of athletes is represented by the following groups: athletes with amputations (three groups), athletes with the consequences of cerebral palsy, athletes with mental disabilities, and athletes moving on wheels. In karate, as in other sports events, functional classifications are used that are based on the generally accepted medical. Today, there are two fundamentally different functional classifications of athletes in karate who take part in individual competitions. The WKF classification system is more voluminous at the expense of increasing the number of classes and is significantly different from the JKS classification system.

Efficacy of a Low-cost Multidisciplinary Team-led Experiential Workshop for Public Health Midwives on Dysphagia Management for Children with Cerebral Palsy

Purpose: Over the past decade there has been a growing focus on offering appropriate training to healthcare professionals and caregivers to support safe feeding practices for children with cerebral palsy. Early and consistent multidisciplinary intervention is required to minimise the risks of aspiration pneumonia. The high incidence of complications from aspiration pneumonia among children with cerebral palsy in Sri Lanka has made it necessary to conduct low-cost multidisciplinary team-led dysphagia awareness workshops for healthcare professionals and caregivers. Method: A group of 38 Public Health Midwives (PHMs) was offered an experiential workshop by a small multidisciplinary team (MDT). To determine changes in knowledge, a self-administered questionnaire that included a video-based client scenario was administered pre- and post-workshop. The data were analysed statistically using non-parametric within-participant t-tests. Results: The post-workshop responses to the questionnaire indicated a significant increase in the level of knowledge. This included positive changes in the understanding and knowledge of cerebral palsy (t (37) =-7.44, p=.000), effects of cerebral palsy on eating and drinking skills (t (37) =-3.91, p=.000), positioning (t (37) = -9.85, p=.000), aspiration (t (37) =-3.46, p=.001), food categorisation (t (37), -3.85, p=.000) and client video observation (t (37)-3.91, p=.000) at a p=.05 level of significance. While there was also an increase in the knowledge on general guidelines during mealtimes, this did not reach statistical significance. Conclusion: The low-cost MDT-led experiential workshop was effective in increasing knowledge of feeding and dysphagia-related issues in cerebral palsy among a group of PHMs. This workshop could serve as a model for training PHMs and Community-Health Workers across the country in order to reach the Sustainable Development Goal of ‘good health and well-being’ for children with cerebral palsy and all children experiencing feeding difficulties. Follow-up workshops and continued professional development courses for midwives on dysphagia care are strongly recommended, in addition to collaborative clinical practice.

Вплив технології початкового навчання плаванню на показники технічної підготовленості дітей з наслідками дитячого церебрального паралічу

Vasiliy BoskoPurpose: to develop an innovative technology of elementary swimming training in the backstroke way of children with the consequences of infantile cerebral palsy (ICP) and to evaluate its effectiveness. Material & Methods: methods were used: analysis of scientific and methodological literature, pedagogical experiment, expert evaluation, statistical methods. The pedagogical experiment involved 29 children diagnosed with cerebral palsy, of which two groups were formed: an experimental group consisting of 14 children, 6 of them with spastic diplegia and 8 with a hemiparetic form, and a control group of 15, of which 6 – with spastic diplegia and 8 – with a hemiparetic form of cerebral palsy. After the experiment, we conducted an expert survey in order to identify the experts' opinion on the level of mastering the technique of swimming by backstroke way of children with the consequences of infantile cerebral palsy. Results: main means of implementing the technology is the web-based information system "SwimCP (Swimming with Cerebral Palsy)" developed by us, which promotes the effective learning of the swimming of children with the effects of infantile cerebral palsy in the initial stage of sports training by selecting and recommending an orienting set of exercises, in accordance with the specific form of infantile cerebral palsy and the stage of learning motor action. Conclusion: with the help of expert assessment confirmed that the proposed technology is the initial training to swimming by backstroke way to children with consequences of cerebral palsy is effective.

Кінематичні характеристики техніки плавання кролем на спині кваліфікованих плавців з наслідками дитячого церебрального паралічу

Vasiliy BoskoPurpose: to determine kinematic characteristics of backstroke swimming technique of athletes with spastic cerebral palsy (CP). Material & Methods: 12 swimmers with consequences of cerebral palsy were involved in the experiment (level of sports qualification – master of sports and candidate of master of sports); Video shooting and computer video analysis of their technique of backstroke swimming; The obtained data were analyzed and generalized using the methods of mathematical statistics. Results: kinematic characteristics of the technique of backstroke swimming of disabled athletes with spastic diplegia and a hemiparetic form of CP, such as the body position of swimmer in water (angle of attack, angle of rotation of the trunk around the longitudinal axis), position and work the hands and feet of the swimmer (the angles of flexion the main joints and their movement), integral characteristics (cycle time, step, rate and ratio of these characteristics at a constant swimmer speed). Conclusions: determined biomechanical characteristics motions skilled swimmers with spastic CP forms, which indicate the specificity of their technique of backstroke swimming, so we recommend that you take into account the findings in the search for effective means and methods of sports training.

Eye movements show similar adaptations in temporal coordination to movement planning conditions in both people with and without cerebral palsy.

The effects of cerebral palsy on movement planning for simple reaching tasks are not well understood. Movement planning is complex and entails many processes which could be affected. This study specifically sought to evaluate integrating task information, decoupling movements, and adjusting to altered mapping. For a reaching task, the asynchrony between the eye onset and the hand onset was measured across different movement planning conditions for participants with and without cerebral palsy. Previous research shows people without cerebral palsy vary this temporal coordination for different planning conditions. Our measurements show similar adaptations in temporal coordination for groups with and without cerebral palsy, to three of the four variations in planning condition tested. However, movement durations were still longer for the participants with cerebral palsy. Hence for simple goal-directed reaching, movement execution problems appear to limit activity more than movement planning deficits.

Modern technology of physical education of disabled students in conditions of inclusive education

There is a problem of physical education of disabled students during period of their study in higher educational establishments. Insufficiency of this problem’s studying conditioned fulfillment of research of perfection of physical education and sports system. Purpose: substantiation of physical education pedagogic technology for disabled students. Material: in experiment students with following nosologies participated: hearing, eyesight, muscular-skeletal apparatus, after effects of cerebral palsy, somatic diseases and diabetes. In total 664 students of 18-24 years’ age took part in experiment. They were 337 boys and 307 girls. Results: we have worked out organizational-methodic algorithm, which permits to combine theoretical, scientific-methodic and practical training. Its basis is current information about students’ psychic-physiological condition. We determined levels of health and physical condition, physical workability and physical fitness as well as psychic state of students. Demand in optimization of students’ motor functioning during all period of study was substantiated as well as effective means of physical education and pulse regimes, considering peculiarities of nosologies. Students’ orientation on sport style of life was formed. Conclusions: implementation of physical education pedagogic technology for students with different nosologies in the process of their studying stipulates solution of training, health-related and educational tasks. It is possible through creation of conditions for motor actions’ training and intensification of motor functioning during all period of study. Practical application of the technology and received results points at integration of disabled students in students’ medium.

Relationship between quality of life with ambulation status and lower limb range of motion in young adults with spastic cerebral palsy.

Introduction : Consequences of cerebral palsy can cause significant influences on physical and psychological capabilities of adults with cerebral palsy and affect on their quality of life. The purpose of this study was to investigate the relationship between quality of life with hypertonia and ambulation status in young adults with spastic cerebral palsy. Materials and Methods : In an analytical cross sectional study, 70 participants (40 women ،30 men, age range 20 to 40 years, mean age + SD, 26.24 ± 5.07) with spastic cerebral palsy were recruited in this study. They were selected from three Ra’ad Rehabilitation Goodwill Complexes in Tehran and Karaj cities. Quality of life (QOL), ambulation status, knee extension, and ankle dorsi flexion range of motion were measured by World Health Organization Qualit of life questionnaire (WHOQOL- BREF), functional ambulation category and manual goniometer, respectively. To analyze the data, Pearson and spearman correlation coefficient, Mann-Whitney U test, Independent sample T test were used. Results : We found no correlation between ambulation status and ankle dorsi flexion range of motion with quality of life domains. However, psychological and environmental domains showed low correlations with knee extension range of motion (respectively r = 0.26 and r = 0.28). Also, no significant difference was found between males and females in QOL domain scores. Conclusion : Probably knee extension range of motion could affect on psychological and environmental domains in adults with spastic cerebral palsy. Also, impairments and physical limitations seems to have a less pronounced effect on health-related quality of life in adults with cerebral palsy. Keywords : Quality of life, Ambulation status, Range of motion, Cerebral palsy

The Effects of Cerebral Palsy on Early Attachment: Perceptions of Rural South African Mothers

The aim of the study was to explore the perceptions of mothers about the effect of cerebral palsy on early attachment behaviours of their children in a rural area of the Eastern Cape province of South Africa. The study explored the mother-child attachment relationship. Semi-structured interviews were used to assess mothers' perception of cerebral palsy and its effect on attachment behaviour of children. The interviews were recorded and then analysed using thematic content analysis. The study identified three recurrent themes that emerged in thematic content analysis. These were factors that facilitated bonding, hindered bonding and maternal response to the needs of the child. The findings of this study showed that children with cerebral palsy were reported to experience early attachment difficulties. The mothers reported that the emotional bond between mothers and children was affected by the severity of cerebral palsy. The results indicated that mothers of children with cerebral palsy needed both psychological and material support in order to strengthen early attachment behaviours of children and mothering practices. Directions for future studies could focus on educational interventions that assist mothers accept cerebral palsy diagnosis and the development of positive attitudes towards cerebral palsy in mothers who live in rural areas in South Africa.

Formation of the motivation for physical exercises among the girls aged 11-16 years old with the effects of cerebral palsy in the form of spastic diplegia

49 мышечной деятельности легкоатлетов спринтеров и стайеров : автореф. дис. ... канд. биол. наук : 03.00.13 / Лазарева Эльвира Александровна ; [Ульяновский гос. пед. ун-т им. И. Н. Ульянова]. – Ульяновск, 2002. – 23 с. 13. Полозов, А. А. Рейтинг в спорте : вчера, сегодня, завтра [Текст] / А. А. Полозов. – М. : Советский спорт, 2007. – 316 с. 14. Попова, О. А. Обоснование ведущих критериев индивидуализации подготовки бегунов на 400 метров групп спортивного совершенствования СДЮШОР : автореф. дис. ... канд. пед. наук : 13.00.04 / Попова Оксана Александровна ; [Рос. гос. акад. физ. культуры]. – М., 1994. – 24 с. 15. Хасин, Л. А. Планирование спортивной тренировки с использованием экспертных систем : на примере бега на 800 м [Текст] : автореф. дис. ... канд. пед. наук : 13.00.04 / Хасин Леонид Александрович ; [Московская гос. акад. физ. культуры]. – Малаховка, 2003. – 18 с. Контактная информация: genchay@mail.ru

Epidemiology of cerebral palsy

Definition of cerebral palsy (CP) has become more precise in recent years and, even if CP remains an umbrella term, a simple classification system for CP types has been proposed. CP is the commonest motor impairment in childhood. New validated motor scales for gross and fine motor functions describe a third of children with CP as severely impaired. Children with CP may also have associated impairments, other than motor, that deserve particular attention and support at school and work, and which are responsible for lower survival rates. The prevalence of CP, 2 per 1000 children, has remained remarkably stable over the last 30 years, particularly for term children who represent half of all children with CP. However, recently, a consistent downward trend has been seen in moderately and very low birth weight children. Prevention measures still seems difficult to define since CP is the result of multifactorial events. Decreasing multiple births and specific health actions during early infancy may have an impact. Followup programmes have been implemented to assess how the consequences of CP are best reduced.

Pattern of cerebral palsy in Mosul

To examine the possible etiological factors, the clinical types, and the consequences of cerebral palsy in Mosul. Methods: This prospective descriptive (case series study) took place in children's teaching hospitals Mosul. All children diagnosed as cerebral palsy between March 2000 and March 2005 were recruited for this study. Children without a clear diagnosis and those below the age of 12 months were excluded. Thus 306 Patients were recruited prospectively from those attending the inpatients and outpatients clinics of children's teaching hospitals in Mosul. The caretakers of children were asked to fill in questionnaire. The patients were examined and classified. They were also assessed by an ophthalmologist and an audiologist; computerized tomography of the brain and EEG were performed when appropriate. Results: There were 306 patients; 184 were females and l22were males. The female to male ratio was 1.5:1 .Birth asphyxia accounted for 118 (38.6%) of cases. Low birth weight accounted for 70 (22.9%) of cases. The etiology was undetermined in 66 (21.4%). Neonatal jaundice: 32 (10.5%), meningoencephalitis:16(5.2%), and brain malformations in 4 (1.3%), spastic cerebral palsy was found in 244(79.7%) of the clinical typing, psychomotor delay was present in 96 (31.4%) and epilepsy was reported in 114 (37.3%). Ocular problems were reported in 152 (49.7%); speech problems were reported in 108 (35.3%); and hearing problems were reported in 8(2.0%). Conclusion: The etiological factors of cerebral palsy are sometimes preventable in our region. Improvement in antenatal, natal, and perinatal care is essential in the reduction of the incidence of cerebral palsy.

Gaining Cultural Sensitivity: Student SLPs Work and Learn in Bolivia

Gaining Cultural Sensitivity: Student SLPs Work and Learn in Bolivia

A Comparison of Fractionated Reaction Time between Cerebral Palsied and Nonhandicapped Youths

This research studied the effects of cerebral palsy on the ability to plan and execute a one-handed aiming task. Simple reaction time (SRT) was fractionated into its premotor (PMT) and motor (MOT) components. Subjects were 20 youths, 10 with cerebral palsy and 10 nonhandicapped youths. The effect of accuracy demands on the planning and execution time was also studied by manipulating endpoint target size. Significant differences in PMT but not in MOT were obtained between groups, indicating that spastic hemiplegic cerebral palsied youths require more time to plan a simple aiming movement due to central processing limitations. Although manipulation of endpoint target size did not affect programming time for either group, the time to execute the movement increased significantly. This finding suggests that instead of incorporating the parameter of movement accuracy in the selected motor program, subjects adopted a feedback driven strategy to achieve greater endpoint accuracy.

The effects of cerebral palsy on the size and form of the skull

The size and form of the skull and jaws was assessed in thirty-three subjects with cerebral palsy of varying degrees of severity, and comparisons were made with normal children of the same age and sex on a matched-pair basis. The cerebral palsied subjects were divided into three groups according to the severity of the lesion in each case. The most severely affected group showed significant differences from the control subjects for almost all the linear and area dimensions of the skull and jaws. The least severely affected group showed significant differences only for the cranial area and the length of the cranial base. This supports the hypothesis that variation in skull and jaw size in cerebral palsy is associated with variation in the severity of the lesion and that only the more severely affected show significant reduction in the size of the facial bones.