Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

Bottos, Michele; MSc, C Gericke

doi:10.1111/j.1469-8749.2003.tb00890.x

Cited by 89 publications

(38 citation statements)

References 26 publications

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“…12 In fact, adolescents often become wheelchair-bound as the effort of moving their increasing body weight fails to match the demand for fast transfer. 13 We included only patients with spastic diplegia as the neuropathology (periventricular leucomalacia) is more uniform. 14 …”

mentioning

confidence: 99%

Effects of massage on the mechanical behaviour of muscles in adolescents with spastic diplegia: a pilot study

MacGregor

Campbell

Gladden

et al. 2007

Develop Med Child Neuro

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Calf muscles of five adolescents aged 12 to 15 years (three males, two females) with spastic diplegia were massaged for 14 minutes twice a week for 5 weeks in a controlled sequence, stretching the muscles transversely rather than longitudinally, without eliciting pain. Slow, passive test stretches were applied before and after massage. After massage, the range of movement was not consistently increased but, on average, greater force was needed to stretch the muscle than before massage. However, after massage the resting ankle angle sometimes changed so that the calf muscles were either shorter or longer. We suggest that these phenomena could be explained if massage resets sarcomere lengths which corrects for thixotropic effects (i.e. previous use modifies a muscle's mechanical behaviour). A redistribution on sarcomere lengths within muscles could also have reset proprioceptive feedback. The incidence of abnormal stretch reflexes during test stretches fell from 40 to 22%, comparing the first five sessions with the last five sessions. The amplitude of voluntary alternating ankle rotation increased in three participants. Motor skills were assessed with the Gross Motor Function Measure‐66 (GMFM‐66) 1 week before the test period, during the 5th week, and 12 weeks later. Our participants in Gross Motor Function Classification System (GMFCS) Levels I and II made sustained improvements in GMFM‐66 scores (6.4% at 5 weeks falling to 5.5% at 17 weeks), one increase being significant. One participant in GMFCS Level III improved significantly only after massage of all leg muscles for 30 weeks.

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mentioning

confidence: 99%

Effects of massage on the mechanical behaviour of muscles in adolescents with spastic diplegia: a pilot study

MacGregor

Campbell

Gladden

et al. 2007

Develop Med Child Neuro

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“…In recent years, studies have described a gradual onset of sequels such as orthopedic deformities 6,7 , decreased muscle strength and flexibility 8,9 , joint degeneration 10 , osteoporosis 11,12 , fatigue 13,14 and pain 14,15 . Besides, there are reports of progressive limitations in functional activities such as gait 5,14,16,17 .…”

Section: Introductionmentioning

confidence: 99%

Caracterização de adultos com paralisia cerebral

Margre¹,

Reis²,

Morais³

2010

Rev. bras. fisioter.

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“…In these situations, walking may not be the most practical method of mobility [22,23], and more efficient forms of mobility (e.g., wheelchairs, motorized scooters) are often used as compensation. Although these compensatory strategies enable patients with SCI to become more functionally mobile, paradoxically they contribute to a reduction in walking behavior [24]. According to Stevens et al [19], therapeutic interventions designed to increase community ambulation in patients with SCI should focus on strengthening the legs through resistance training, engaging in locomotor training or regularly participating in other forms of weight-supported physical activity involving the legs.…”

Section: Requirements For Functional Walkingmentioning

confidence: 99%

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

L¹,

Edwards²,

Hosman³

et al. 2017

J Spine

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Background: In recent years, an increasing number of patients with a spinal cord injury (SCI) have been reintegrating into community life and have been getting back to a more active and independent lifestyle. Consequently, rehabilitation therapies have altered, to address activity limitations that patients may experience, to increase participation in the community and to improve patients' overall quality of life. An innovative, supportive approach to locomotor training is through use of an exoskeleton, which could be used in those patients who are unable to ambulate by themselves.

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Ambulatory capacity in cerebral palsy: prognostic criteria and consequences for intervention

Cited by 89 publications

References 26 publications

Effects of massage on the mechanical behaviour of muscles in adolescents with spastic diplegia: a pilot study

Effects of massage on the mechanical behaviour of muscles in adolescents with spastic diplegia: a pilot study

Caracterização de adultos com paralisia cerebral

The Ability to Walk After a Spinal Cord Injury with Emphasis on Exoskeletons: A Review

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