Joint range of motion limitations in children and young adults with spinal muscular atrophy

Wang, Hui Yi; Ju, Yun Huei; Chen, Shu Mei; Lo, Sing Kai; Jong, Yuh Jyh

doi:10.1016/j.apmr.2004.01.043

Cited by 34 publications

(34 citation statements)

References 15 publications

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“…Nevertheless, the detection of movements of those body parts would add much value to the exergames, as possibilities for rehabilitation are generally widened. Furthermore, patients suffering from degenerative diseases like muscle dystrophy or atrophy would profit from using their fine motor functions, as normally coarse motor functions are diminishing earlier [45,46]. A further deficiency is the detection problem of individuals in a wheelchair.…”

Section: Tests and Resultsmentioning

confidence: 99%

“…In these cases, the principle aim of rehabilitation is to delay as much as possible the loss of basic functionalities, which are fine and gross motor skills, body and head control. These movements are necessary to perform daily activities and improve quality of life [45,46]. Therefore, exercises that require lateral body and arm movements with shoulder flexion have been implemented: rowing, climbing, hitting, and flying.…”

Section: The Proposed Gaming Environmentmentioning

confidence: 99%

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New Approaches to Exciting Exergame-Experiences for People with Motor Function Impairments

Eckert

Gómez-Martinho

Meneses

et al. 2017

Sensors

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Abstract:The work presented here suggests new ways to tackle exergames for physical rehabilitation and to improve the players' immersion and involvement. The primary (but not exclusive) purpose is to increase the motivation of children and adolescents with severe physical impairments, for doing their required exercises while playing. The proposed gaming environment is based on the Kinect sensor and the Blender Game Engine. A middleware has been implemented that efficiently transmits the data from the sensor to the game. Inside the game, different newly proposed mechanisms have been developed to distinguish pure exercise-gestures from other movements used to control the game (e.g., opening a menu). The main contribution is the amplification of weak movements, which allows the physically impaired to have similar gaming experiences as the average population. To test the feasibility of the proposed methods, four mini-games were implemented and tested by a group of 11 volunteers with different disabilities, most of them bound to a wheelchair. Their performance has also been compared to that of a healthy control group. Results are generally positive and motivating, although there is much to do to improve the functionalities. There is a major demand for applications that help to include disabled people in society and to improve their life conditions. This work will contribute towards providing them with more fun during exercise.

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Section: Tests and Resultsmentioning

confidence: 99%

Section: The Proposed Gaming Environmentmentioning

confidence: 99%

New Approaches to Exciting Exergame-Experiences for People with Motor Function Impairments

Eckert

Gómez-Martinho

Meneses

et al. 2017

Sensors

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show abstract

“…Early recognition and appropriate management are helpful in maintaining function, preventing deterioration in vital capacity and improving quality of life. In non-ambulatory individuals with SMA, contractures are common and regular stretching and bracing programs to preserve flexibility and prevent contractures are the main goals of therapy [53, 54]. Manual and motorized wheelchairs may be initiated as early as 18–24 months of age.…”

Section: Clinical Managementmentioning

confidence: 99%

Spinal Muscular Atrophy

2015

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Incidence The incidence of SMA is 1:11,000 live births [1]. Prevalence The prevalence of the carrier state is approximately 1 in 54 [1]. Severity The clinical severity of SMA correlates inversely with SMN2 gene copy number and varies from an extreme weakness and paraplegia of infancy to a mild proximal weakness of adulthood. Natural History The natural history of SMA is complex and variable. For this reason, clinical subgroups have been defined based upon best motor function attainment during development. Type 1 SMA infants never sit independently. Type 2 SMA children sit at some point during their childhood, but never walk independently. And Type 3 SMA children and adults are able to walk independently at some point in their childhood.

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“…Achillotenotomy and capsulotomy of the ankle joint can become necessary as well 17. Despite the positive effect of surgery, the indication has to be assessed very carefully, and postoperative immobilization should be kept as brief as possible because a long immobilization leads to rapid deterioration of motor ability 17,18…”

Section: Contracturesmentioning

confidence: 99%

Proximal spinal muscular atrophy: current orthopedic perspective

Haaker¹,

Fujak²

2013

TACG

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Spinal muscular atrophy (SMA) is a hereditary neuromuscular disease of lower motor neurons that is caused by a defective “survival motor neuron” (SMN) protein that is mainly associated with proximal progressive muscle weakness and atrophy. Although SMA involves a wide range of disease severity and a high mortality and morbidity rate, recent advances in multidisciplinary supportive care have enhanced quality of life and life expectancy. Active research for possible treatment options has become possible since the disease-causing gene defect was identified in 1995. Nevertheless, a causal therapy is not available at present, and therapeutic management of SMA remains challenging; the prolonged survival is increasing, especially orthopedic, respiratory and nutritive problems. This review focuses on orthopedic management of the disease, with discussion of key aspects that include scoliosis, muscular contractures, hip joint disorders, fractures, technical devices, and a comparative approach of conservative and surgical treatment. Also emphasized are associated complications including respiratory involvement, perioperative care and anesthesia, nutrition problems, and rehabilitation. The SMA disease course can be greatly improved with adequate therapy with established orthopedic procedures in a multidisciplinary therapeutic approach.

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Joint range of motion limitations in children and young adults with spinal muscular atrophy

Cited by 34 publications

References 15 publications

New Approaches to Exciting Exergame-Experiences for People with Motor Function Impairments

New Approaches to Exciting Exergame-Experiences for People with Motor Function Impairments

Spinal Muscular Atrophy

Proximal spinal muscular atrophy: current orthopedic perspective

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