 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue3
Subject Area: Medicine
-
DOI: 10.5272/jimab.2021273.3842
Published online: 14 July 2021
Original article
J of IMAB. 2021 Jul-Sep;27(3):3842-3846
EFFECTIVENESS OF SPECIALIZED KINESITHERAPY IN CHILDREN WITH SPASTIC HEMIPLEGIC CEREBRAL PALSY
Margarita Avramova
,
Department of Kinesitherapy, Faculty of Public Health, Healthcare and Sports, South-West University "NeofitRilski", Blagoevgrad, Bulgaria.
ABSTRACT:
Purpose: The aim of this study was to investigate the effect of Doman-Delacato and Perfetti methods in addition to routine kinesitherapy for children with spastic hemiplegic cerebral palsy (CP).
Material and Methods: 60 children with a spastic hemiplegic CP were randomly divided into two groups – the control group (CG) received routine kinesitherapy method, and the experimental group (EG) received, in addition, specialized neurodevelopmental methods of Doman-Delacato and Perfetti. For children in both groups, kinesitherapy was applied three times a week for 50 min each procedure. Assessment was done using Ashworth Modified Scale, the Holt and Hoskins - Squires Test and GMFM – 88. The study period ran from April 2018 to November 2018. The evaluation was done before and 8 months later. Data were analyzed using GraphPad Prism version 3.0 andSPSS 19.0. The level of significance was accepted as p<0.05.
Results: 60children, 27 girls and 33 boys managed (X±SD) for EG 4.8±1.3 and for CG 5.06±1.4 were included. Muscle spasticity in EG children decreases much earlier and more than in children in CG. Man Witney criteria show statistically significant differences at the end of the treatment (р=0,03<α=0,05). Hottest and GMFM-88dataobtainedalsoreceivedstatisticallysignificantdifferencesof t – criteria between initial and final measurements in EG.
Conclusions: EG children improvement is better and occurs much earlier. Therefore, we could assert that our methodology optimizes the treatment of children with CPD and improves their quality of life.
Keywords: neurodevelopment, kinesitherapy, spasticity, palsy,
- Download FULL TEXT /PDF 932 KB/
Please cite this article as: Avramova M. Effectiveness of Specialized Kinesitherapy in Children with Spastic Hemiplegic Cerebral Palsy. J of IMAB. 2021 Jul-Sep;27(3):3842-3846. DOI: 10.5272/jimab.2021273.3842
Correspondence to: Margarita Avramova, PhD, Department of Kinesitherapy, Faculty of Public Health, Healthcare and Sports, South-WestUniversity "NeofitRilski"; 66, Ivan Mihaylov Str., 2700 Blagoevgrad, Bulgaria; E-mail: margo.arrials@gmail.com
REFERENCES:
1. Novak I, Hines M, Goldsmith S, Barclay R. Clinical Prognostic Messages From a Systematic Review on Cerebral Palsy. Pediatrics. 2012 Nov;130(5):1285-312. [PubMed]
2. Juneja M, Jain R, Gautam A, Khanna R, Narang K. Effect of multilevel lower-limb botulinum injections & intensive physical therapy on children with cerebral palsy. Indian J Med Res. 2017 Nov;146(Supplement):S8-S14 [PubMed]
3. Garriz-Luis M, Sanchez-Carpintero R, Alegre M, Tejada S. [Selective dorsal rhizotomy: a review of the literature on this technique for the treatment of spasticity in infantile cerebral palsy]. [in Spanish] Rev Neurol. 2018 Jun 1;66(11):387-394. [PubMed]
4. Johnson RW, Williams SA, Gucciardi DF, Bear N, Gibson N. Evaluating the effectiveness of home exercise programmes using an online exercise prescription tool in children with cerebral palsy: protocol for a randomized controlled trial. BMJ Open. 2018 Jan 23;8(1):e018316. [PubMed]
5. Chavdarov I. [Contemporary definition and classification of Cerebral Palsy, early diagnosis and rehabilitation team.] [in Bulgarian] SBPLDCP 'St. Sofia'. 2014; pp.56-58. [Internet]
6. Chavdarov I. [Robot-assisted Rehabilitation in Cerebral Palsy - new perspectives.] [in Bulgarian] SBPLDCP 'St. Sofia'. 2014; pp.214-218. [Internet]
7. Iosa M. The application of Kinesio Taping in children with cerebral palsy. Dev Med Child Neurol. 2015 Jan;57(1):11-2. [PubMed]
8. Allah RASTIl Z, Shamsoddini A, Dalvand H, Labaf S. The Effect of Kinesio Taping on Handgrip and Active Range of Motion of Hand in Children with Cerebral Palsy. Iran J Child Neurol. 2017 Fall;11(4):43-51. [PubMed]
9. Unger M, Carstens JP, Fernandes N, Pretorius R, Pronk S, Robinson AC, et al. The efficacy of kinesiology taping for improving gross motor function in children with cerebral palsy: A systematic review. S Afr J Physiother. 2018 Aug 29;74(1):459. [PubMed]
10. Kim SJ, Kim SN, Yang YN, Lee IS, Koh SE. Effect of weight bearing exercise to improve bone mineral density in children with cerebral palsy: a meta-analysis. J Musculoskelet Neuronal Interact. 2017 Dec 1;17(4):334-340. [PubMed]
11. Kanitkar A, Szturm T, Parmar S, Gandhi DB, Rempel GR, Restall G, et al. The Effectiveness of a Computer Game-Based Rehabilitation Platform for Children With Cerebral Palsy: Protocol for a Randomized Clinical Trial. JMIR Res Protoc. 2017 May 18;6(5):e93. [PubMed]
12. Park EY, Kim WH. Effect of neurodevelopmental treatment-based physical therapy on the change of muscle strength, spasticity, and gross motor function in children with spastic cerebral palsy. J Phys Ther Sci. 2017 Jun;29(6):966-969. [PubMed]
13. L'Ecuyer C. [The Doman method applied to early learning in Spain: theoretical bases, legacy and future] [in Spanish] Revista de la Facultad de Educación de Albacete. 2015 Jul-Dec;30(2):137-153. [Internet]
14. Lucena-Anton D, Rosety-Rodriguez I, Moral-Munoz JA. Effects of a hippotherapy intervention on muscle spasticity in children with cerebral palsy: A randomized controlled trial. Complement Ther Clin Pract. 2018 May;31: 188-192 [PubMed]
15. Martinez-Castrillo JC, Pena-Segura JL, Sanz-Cartagena P, Alonso-Curco X, Arbelo-Gonzalez JM, Arriola-Pereda G, et al. [Myths and evidence on the use of botulinum toxin: spasticity in adults and in children with cerebral palsy]. [in Spanish] Rev Neurol. 2017 May 16;64(10):459-470.[PubMed]
16. Li LX, Zhang MM, Zhang Y, He J. Acupuncture for cerebral palsy: a meta-analysis of randomized controlled trials. Neural Regen Res. 2018 Jun;13(6):1107-1117. [PubMed]
17. Ritzmann R, Stark C, Krause A. Vibration therapy in patients with cerebral palsy: a systematic review. Neuropsychiatr Dis Treat. 2018 Jun 18;14:1607-1625. [PubMed]
18. Fonseca PR Jr, Calhes Franco de Moura R, Galli M, Santos Oliveira C. Effect of physiotherapeutic intervention on the gait after the application of botulinum toxin in children with cerebral palsy: systematic review. Eur J Phys Rehabil Med. 2018 Oct;54(5):757-765. [PubMed]
19. Nam SM, Kim WH, Yun CK. The effects of a multisensory dynamic balance training on the thickness of lower limb muscles in ultrasonography in children with spastic diplegic cerebral palsy. J Phys Ther Sci. 2017 Apr;29(4):775-778. [PubMed]
20. Kanitkar A, Szturm T, Parmar S, Gandhi DB, Rempel GR, Restall G, et al. The Effectiveness of a Computer Game-Based Rehabilitation Platform for Children With Cerebral Palsy: Protocol for a Randomized Clinical Trial. JMIR Res Protoc. 2017 May 18;6(5):e93. [PubMed]
21. Tekin F, Kavlak E, Cavlak U, Altug F. Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children. J Back Musculoskelet Rehabil. 2018;31(2):397-403. [PubMed].
Received: 02 February 2021
Published online: 14 July 2021