Investigation of the effect of sensorimotor exercises on proprioceptive perceptions among children with spastic hemiplegic cerebral palsy

Barati, Akram Ahmadi; Rajabi, Reza; Shahrbanian, Shahnaz; Sedighi, M.

doi:10.1016/j.jht.2019.12.003

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Convincing data supported the direct positive relationship between motor function and sensation in the upper extremity in children with hemiplegia [ 31 ]. Training of proception of the upper limbs has revealed that attention to this impairment may be a strategy to increase upper extremity function [ 32 ]. Sensory systems are less frequently sampled in lower extremity research and within the clinical records for children with CP.…”

Section: Discussionmentioning

confidence: 99%

Robotic Ankle Training Improves Sensorimotor Functions in Children with Cerebral Palsy—A Pilot Study

Lee

Gaebler-Spira

Zhang

2023

JCM

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Children with cerebral palsy (CP) have sensorimotor impairments including weakness, spasticity, reduced motor control and sensory deficits. Proprioceptive dysfunction compounds the decreased motor control and mobility. The aims of this paper were to (1) examine proprioceptive deficit of lower extremities of children with CP; (2) study improvement in proprioception and clinical impairments through robotic ankle training (RAT). Eight children with CP participated in a 6-week RAT with pre and post ankle proprioception, clinical, biomechanical assessment compared to the assessment of eight typically developing children (TDC). The children with CP participated in passive stretching (20 min/session) and active movement training (20 to 30 min/session) using an ankle rehabilitation robot (3 sessions/week over 6 weeks, total of 18 sessions). Proprioceptive acuity measured as the plantar and dorsi-flexion motion at which the children recognized the movement was 3.60 ± 2.28° in dorsiflexion and −3.72 ± 2.38° in plantar flexion for the CP group, inferior to that of the TDC group’s 0.94 ± 0.43° in dorsiflexion (p = 0.027) and −0.86 ± 0.48° in plantar flexion (p = 0.012). After training, ankle motor and sensory functions were improved in children with CP, with the dorsiflexion strength increased from 3.61 ± 3.75 Nm to 7.48 ± 2.75 Nm (p = 0.018) and plantar flexion strength increased from −11.89 ± 7.04 Nm to −17.61 ± 6.81 Nm after training (p = 0.043). The dorsiflexion AROM increased from 5.58 ± 13.18° to 15.97 ± 11.21° (p = 0.028). The proprioceptive acuity showed a trend of decline to 3.08 ± 2.07° in dorsiflexion and to −2.59 ± 1.94° in plantar flexion (p > 0.05). The RAT is a promising intervention for children with CP to improve sensorimotor functions of the lower extremities. It provided an interactive and motivating training to engage children with CP in rehabilitation to improve clinical and sensorimotor performance.

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Section: Discussionmentioning

confidence: 99%

Robotic Ankle Training Improves Sensorimotor Functions in Children with Cerebral Palsy—A Pilot Study

Lee

Gaebler-Spira

Zhang

2023

JCM

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“…The copyright holder for this preprint this version posted April 28, 2023. ; https://doi.org/10.1101/2023.04.26.23289148 doi: medRxiv preprint widespread proprioceptive impairments may have a poorer gross motor prognosis than someone with intact proprioceptive function but profound weakness, which is more amenable to resistance training. However, there is evidence that proprioception or somatosensory training can improve proprioceptive and motor function in other populations, as well as the upper extremity in CP [26,27]. Future studies should explore if that effect replicates in the lower extremity of the CP population.…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 98%

Ankle proprioception in children with cerebral palsy

Boyer

Huang

Ngwesse

et al. 2023

Preprint

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1.ABSTRACTPurposeThere is no established clinical standard to evaluate ankle proprioception in children with cerebral palsy (CP). This study compared ankle position sense of children with CP to age-matched children typically developing (TD).MethodsChildren aged 6-17 years participated (15 CP, 58 TD). Using a custom-built device, the ankle was passively rotated to 2 positions for 25 trials. Using a psychophysical forced-choice paradigm, participants indicated which position was more plantarflexed. A psychometric function was fitted to the response data to determine the just noticeable difference (JND) threshold and the associated uncertainty (random error) for ankle position sense.ResultsMedian JND thresholds for the CP group were elevated (CP: 4.3°, TD: 3.0°). Three children with CP exceeded the 95thpercentile of TD. No differences in random error were found.ConclusionThis method assessed ankle proprioception relative to norm data and identified position sense impairments in children with CP. Using this method can provide data on proprioceptive status in CP, augmenting the assessment of motor impairment.

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“…In a study of children with hemiplegic cerebral palsy, it is found that both of these strategies are promising techniques to improve hand function; however, the latter is more tolerable in children than CIMT. CIMT has also shown improvement in somatosensory functioning and neural processing in such children [46][47][48][49].…”

Section: Preventionmentioning

confidence: 99%

A Review on Recent Advances of Cerebral Palsy

Paul

Nahar

Bhagawati

et al. 2022

Oxidative Medicine and Cellular Longevity

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This narrative review summarizes the latest advances in cerebral palsy and identifies where more research is required. Several studies on cerebral palsy were analyzed to generate a general idea of the prevalence of, risk factors associated with, and classification of cerebral palsy (CP). Different classification systems used for the classification of CP on a functional basis were also analyzed. Diagnosis systems used along with the prevention techniques were discussed. State-of-the-art treatment strategies for CP were also analyzed. Statistical distribution was performed based on the selected studies. Prevalence was found to be 2-3/1000 lives; the factors that can be correlated are gestational age and birth weight. The risk factors identified were preconception, prenatal, perinatal, and postnatal categories. According to the evidence, CP is classified into spastic (80%), dyskinetic (15%), and ataxic (5%) forms. Diagnosis approaches were based on clinical investigation and neurological examinations that include magnetic resonance imaging (MRI), biomarkers, and cranial ultrasound. The treatment procedures found were medical and surgical interventions, physiotherapy, occupational therapy, umbilical milking, nanomedicine, and stem cell therapy. Technological advancements in CP were also discussed. CP is the most common neuromotor disability with a prevalence of 2-3/1000 lives. The highest contributing risk factor is prematurity and being underweight. Several preventions and diagnostic techniques like MRI and ultrasound were being used. Treatment like cord blood treatment nanomedicine and stem cell therapy needs to be investigated further in the future to apply in clinical practice. Future studies are indicated in the context of technological advancements among cerebral palsy children.

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Investigation of the effect of sensorimotor exercises on proprioceptive perceptions among children with spastic hemiplegic cerebral palsy

Cited by 4 publications

References 20 publications

Robotic Ankle Training Improves Sensorimotor Functions in Children with Cerebral Palsy—A Pilot Study

Robotic Ankle Training Improves Sensorimotor Functions in Children with Cerebral Palsy—A Pilot Study

Ankle proprioception in children with cerebral palsy

A Review on Recent Advances of Cerebral Palsy

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