Mobility in Ambulant Adults with Cerebral Palsy — Challenges for the Future

McGinley, Jennifer; Pogrebnoy, Dina; Morgan, Prue

doi:10.5772/58344

Cited by 2 publications

(1 citation statement)

References 74 publications

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“…Subjects included in the study were with the age group between 4-12 years, both male and female subjects with good or fair selective motor control of lower limb [5], ability to follow the simple verbal commands and able to walk independently indoors with or without walking aids (Level i. ii and iii of the Gross Motor Function Classification system) and spasticity 1 + or below in MAS [14]. Subject were excluded with previous surgical procedures to the lower extrimities [11,12], Spasticity >1+ in MAS, visual and hearing problems ,mental retardation interfering in understanding and performing the task and had medical condition such as cardiac disease or uncontrolled seizures [6]. Subjects were recruited from Shishu Sarathi-Centre for Rehabilitation and training for Multiple Disability, Birubari-Guwahati and outpatient department of College of Physiotherapy and Medical Sciences, Bamunimaidan-Guwahati.…”

Section: Methodsmentioning

confidence: 99%

A Comparative Study on Effectiveness of Open Versus Closed Kinetic Chain Exercises to Improve Gait in Spastic Diplegic Cerebral Palsy

Baruah

Goswami²,

Singha³

et al. 2016

International Journal of Physiotherapy

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Background: Cerebral Palsy (CP) describes a non-progressive but not unchanging disorder of movement and posture due to an insult to or anomaly of the developing brain. People with spastic diplegia typically walk slowly and have difficulties in performing activities such as walking running or jumping. Children with spastic diplegic cerebral palsy are relied more on cadence to increase speed. Hence, the purpose of this study is to compare the effectiveness of open and closed kinetic chain (OKC and CKC) exercises in improving gait in spastic diplegic cerebral palsy.Methods: 30 children with spastic diplegic cerebral palsy of both genders with age 4-12 years was taken. Cadence and distance covered in 1Minute Walk Test was calculated before and after the test. The intervention for group A was CKC exercises and group B was OKC exercises for 3 days a week for 6 weeks and each session lasted for 30-45 minutes was given for both the groups.Results: Paired t-test was performed to find effectiveness of CKC and OKC improving gait in spastic diplegic CP to see the difference of means of 1minute walk, t = 10.789 which is significant (p = 0.000) and for cadence, t = 3.37 which is highly significant (p = 0.00) implying that cadence and distance covered in1minute walk was more with CKC exercises. Conclusion:Based on the result it is concluded that CKC exercises are effective in improving gait than OKC exercises in spastic diplegic cerebral palsy.

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