The purpose of the present study was to examine the effectiveness of the NDT method (Bobath) in children with CP. Twenty children with cerebral palsy (7 with quadriplegia, 6 with diplegia and 7 with right hemiplegia), with mean age of 4. 85 ± 2. 49 years, took part in the study. Materials-Method: The children participated in an intervention that consisted of an 8-week Bobath program. GMFM-88, PEDI and TUG scores were measured across three time points during the intervention (a baseline measurement, a second at the end of the intervention and a post-intervention measurement one month after the end of the intervention). Results: The results of the NDT intervention showed that the participant children significantly improved their GMFM-88 and TUG scores between initial and final measurement and maintained this one month later (F 2,36 = 69,778, p < 0.001), while in PEDI the intervention program had no statistically significant effect (F 2,36 = 0.844, p = 0.438). In conclusion, there is strong evidence of the effectiveness of the NDT (Bobath) method in improving the mobility of children regardless of the frequency of its application.
Introduction: In 2014, American Heart Association and American Stroke Association (AHA/ASA) issued exercise guidelines for stroke patients. Aim of the Study: To study the effects of an exercise programme based on AHA/ ASA guidelines, on gait kinematics and kinetics in patients with chronic ischemic stroke. Materials and Methods: Twelve stroke patients, 67.33 ± 9.14 years old, followed an 8-week exercise programme, with 3 hourly sessions per week, consisting of strength, endurance and flexibility training, as well as neuromuscular activities. Patients' gait kinematics and kinetics were evaluated before and after the intervention using a 3-dimensional gait analysis system. Results: In most cases, patients in the intervention group showed significant increase or no change in gait kinematics, significant increase in joint moments at the anterior-posterior plane during support phase, and non-significant change in the frontal and transverse planes kinetics. Conclusions: Exercise prevented further deterioration and/or led to improved walking pattern.
The aim of the study was to investigate the effect of a hydrotherapy program on FVC, FEV, PEF, RR and SaO 2 on children with Down syndrome over six months and to compare it with a conventional respiratory physiotherapy program. Eighteen children, with Down Syndrome, aged 6-11 years (9.53 ± 0.454), divided into two groups of nine, the intervention group (IG), that participated in the hydrotherapy program and the control group (CG) participated in the classical physiotherapy program. We calculated mean values of FVC, FEV, PEF, RR and SaO 2 before and after six months intervention for both groups. There was a statistically significant improvement in all factors for both groups. However, were statistically more significant for the intervention group (IG). Based on a specific protocol of intervention in the water and at the same time with a group of children who participated in a similar program of classical respiratory physiotherapy, it was found to be statistically more important than the second group in improving respiratory function. We recommend the use of hydrotherapy as a complementary therapy that should be part of the weekly program of these children in addition to the existing treatments they attend.
Abstract.[Purpose] The aim of this research was to determine the reliability of: the Gross Motor Functional Measure (GMFM-88), the Pediatric Evaluation of Disability Index (PEDI) and the Timed Up and Go (TUG) test for children with cerebral palsy.[Subjects] Twenty children with CP took part in the research (7 with tetraplegia, 6 with diplegia and 7 with right hemiplegia). The children's mean age was 4. 85 ± 2. 49 years, their mean height was 1. 06 ± 0. 17 m and their mean body mass 18. 58 ± 7. 5 kg.[Methods] All three tests were conducted twice on two separate days, under the same conditions. The intra-class correlation coefficient (ICC), mean RMS difference, standard error of measurement (SEM) and the coefficient of variation (CV) were used to quantify the reliabilities of the tests.[Results] The GMFM, PEDI and TUG tests presented very high reliability scores (ICC=0. 99). [Conclusion] These findings are in accordance with the findings of other studies concerning the reliability of the three tests for children with cerebral palsy or other patient populations. Therefore, it was concluded that all the three tests should be applied in order to reliably estimate the mobility and functional ability of children with cerebral palsy.
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