Background and Purpose: Spastic cerebral palsy is accompanied with an increase in calf muscles’ spasticity and a decrease in the ankle range of motion. The purpose of the study was to compare muscle inhibitory with functional corrective Kinesio taping applications on children with spastic cerebral palsy.
Methods: Thirty two children with spastic cerebral palsy were selected from the outpatient clinic of the faculty of Physical Therapy Cairo University. Muscle inhibitory and functional corrective Kinesio taping applications in addition to physical therapy program were applied for three successive months. Digital Goniometer was used to assess the ankle range of motion pre and post Kinesio tape applications.
Results: The study revealed that that the functional corrective Kinesio taping is more effective in increasing ankle range of motion than the muscle inhibitory.
Conclusion: Functional Corrective Kinesio tape application is recommended for increasing ankle range of motion in children with spastic cerebral palsy.
Delayed development of the gross motor function abilities is the main manifestation of cerebral palsy (CP) in all children affected by it. Rebound therapy was introduced to help children with different disabilities such as CP. The aim of this case study was to assess the effect of the rebound therapy on the gross motor function abilities in a child with spastic CP. An eight year old girl with spastic CP of Level I on the gross motor function classification system (GMFSC) and graded 1 on the Modified Ashworth Scale (MAS) was selected to undergo the rebound therapy program using mini trampoline. Gross motor abilities were assessed pre- and post- rebound therapy program. The program was conducted for three successive months - three times / week for half an hour / session. The comparison of pre- and post- treatment results showed that rebound therapy improved the total gross motor function abilities by 3.8%, the sitting function by 5%, the kneeling and crawling functions by 3%, the standing function by 2.7% and the walking, running and jumping functions by 8% in a child with spastic CP. Rebound therapy was effective in improving gross motor function abilities in a child with spastic CP. However, further randomized control trials are recommended.
Context focused therapy is a new interventional approach that is used for the rehabilitation of children. This novel treatment approach concentrates on altering the factors in the child's tasks and surroundings instead of treating the impairment of the child. This approach works using the primary therapist model that cooperates with the caregivers to identify the tasks that the child has to learn. The therapist then starts to modify the tasks and the environment, accordingly. The modifications applied on the tasks and/or the surroundings allow the child to do activities that they were incapable of doing earlier. The aim of this review is to discuss the concept of context focused therapy, its theoretical background, its principles and treatment protocol, and to clarify the advantages and disadvantages of this new approach.
Background and Purpose
Children with spastic cerebral palsy usually display elevation in muscle tone, a decline in gross motor functional abilities , feeding problems and sometimes it may accompanied by visual problems. Studies on stem cell treatment are in their early stages concerning their effect on cerebral palsy.
Methods
A child with spastic cerebral palsy on level v on gross motor function classification system was selected for autologous bone marrow derived mononuclear transplantation cell. Muscle tone, gross, fine motor abilities, feeding abilities and visual abilities were assessed on 4 occasions, prior the transplantation, immediately after the transplantation, after 6 months and after 1 year.
Results No effect of stem cell transplantation was shown on the child.
Conclusion Further research studies should be done on the subject but using different population rather than children on level V Gross motor function classification system
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