Modern opportunities and prognosis of physical rehabilitation of children with cerebral palsy

Deineko, V V; Krysyuk, O. B.; Сафонов, Л. В.; Шурыгин, С. Н.

doi:10.17116/jnevro202012006188

Cited by 3 publications

(1 citation statement)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Рациональным представляется комплексное применение медикаментозных средств [14,15] и методов физической реабилитации [16], что часто определяет потенцирование лечебных эффектов [17,18]. Для разработки оптимальных сочетаний методов восстановительного лечения, определения параметров реабилитационных процедур необходим анализ сравнительной эффективности и оценки непосредственных и отдалённых результатов применения лечебных реабилитационных комплексов, что требует проведения научных исследований [19,20].…”

Section: Pediatrics педиатрия обоснованиеunclassified

Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy

Бугун

Mashanskaya

Atalyan

et al. 2021

Acta biomedica scientifica

View full text Add to dashboard Cite

Until now, there is no radical method of treating children with cerebral palsy, which allows us to consider scientific research in this direction reasonable and promising.The aim of the research: to study the effect of exercises on the mini-simulator “Kinesioplatform-swing” with biofeedback on the indicators of motor skills in children with spastic cerebral palsy.Materials and methods. We conducted an open, non-randomized, prospective, comparative, controlled study in pairs (each participant in the main group corresponds to a participant in the control group). The study involved 53 patients aged 4–12 years with cerebral palsy: the intervention group (group 1: n = 27 (13 boys, 14 girls)) and the control group (group 2: n = 26 (11 boys, 15 girls)), comparable in terms of gender, age and severity of movement disorders. Characteristics of the medical intervention: group 1 – botulinum toxin type A (BTA, for exercising against the background of relative muscular normotonus) + exercise therapy + exercises on the mini-simulator “Kinesioplatform-swing” with biofeedback (BFB); group 2 – BTA + exercise therapy. Duration of the study: 2019–2020. The difference between groups in terms of motor skills on the day of hospitalization and after completion of the training program (10 sessions each) was determined. Motor skills were assessed according to the GMFM-66/88 (Gross Motor Function Measure) table using the “Scales for measuring global motor functions”.Results. The inclusion of additional exercises on the mini-simulator “Kinesioplatformswing” with biofeedback in the rehabilitation of patients with movement disorders with spastic cerebral palsy (BTA + exercise therapy) in comparison with the control group. However, the question of the long-term effects of such training remains open and requires further study.

show abstract

Section: Pediatrics педиатрия обоснованиеunclassified

Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy

Бугун

Mashanskaya

Atalyan

et al. 2021

Acta biomedica scientifica

View full text Add to dashboard Cite

show abstract

Exploring the perspectives of health care professionals on digital health technologies in pediatric care and rehabilitation

Roy,

Salles,

Neveu

et al. 2024

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Background Digital health technologies are increasingly used by healthcare professionals working in pediatric hospital and rehabilitation settings. Multiple factors may affect the implementation and use of digital health technologies in these settings. However, such factors have not been identified in a multidisciplinary, pediatric context. The objective of this study was to describe actual use and to identify the factors that promote or hinder the intention to use digital health technologies (mobile learning applications, virtual/augmented reality, serious games, robotic devices, telehealth applications, computerized assessment tools, and wearables) among pediatric healthcare professionals. Methods An online survey evaluating opinions, current use, and future intentions to use digital health technologies was completed by 108 professionals at one of Canada’s largest pediatric institutes. Mann-Whitney U tests were used to compare the attitudes of healthcare professionals who intend to increase their use of digital health technologies and those who do not. Linear regression analyses were used to determine predictors of usage success. Results Healthcare professionals reported mostly using mobile and tablet learning applications (n = 43, 38.1%), telehealth applications (n = 49, 43.4%), and computerized assessment tools (n = 33, 29.2%). Attitudes promoting the intention to increase the use of digital health technologies varied according to technology type. Healthcare professionals who wished to increase their use of digital health technologies reported a more positive attitude regarding benefits in clinical practice and patient care, but were also more critical of potential negative impacts on patient-professional relationships. Ease of use (β = 0.374; p = 0.020) was a significant predictor of more favorable usage success. The range of obstacles encountered was also a significant predictor (β = 0.342; p = 0.032) of less favorable evaluation of usage success. Specific factors that hinder successful usage are lack of training (β = 0.303; p = 0.033) and inadequate infrastructure (β = 0.342; p = 0.032). Conclusions When working with children, incorporating digital health technologies can be effective for motivation and adherence. However, it is crucial to ensure these tools are implemented properly. The findings of this study underscore the importance of addressing training and infrastructure needs when elaborating technology-specific strategies for multidisciplinary adoption of digital health technologies in pediatric settings.

show abstract

Theoretical Basis of the Use of High-Tech Rehabilitation Means in Children with Cerebral Palsy

Topalov¹,

Krainyk²

2022

Ukr. ž. med. bìol. sportu

View full text Add to dashboard Cite

The purpose of the study was to substantiate theoretically the need in high-tech rehabilitation tools for children with cerebral palsy, to identify the shortcomings of their use and to determine the role of the equipment in correcting the pathological stereotype of movement. Materials and methods. Methodological approach was used: analysis of literature sources and resources of the Internet (foreign and domestic on the PubMed and Google Scholar platforms), method of system analysis, method of comparison. Results and discussion. One of the main goals in the process of rehabilitation of children with cerebral palsy is to improve motor control and, thus, increase independence, participation and overall quality of life. In the modern world, the use of new methods of exercise therapy using high-tech robotic devices («Lokomat», «Armeo»), as well as new methods of physiotherapy, in particular, translingual electrical stimulation of the brain (TESB) «Brain-port» is becoming relevant for the treatment of children with cerebral palsy. Features and some restrictions of use of the above-stated devices were defined. Exercises on the Lokomat device help to form a motor "stereotype" of physiological walking, as well as strengthen the muscles of the lower extremities, and with the help of biological feedback to increase the motivation to exercise in children. The therapeutic goals of Armeo are to improve or maintain reach, capture and transmission movements, active range of motion by attaching an exoskeleton to the patient's arm. Translingual neurostimulation plays an important role in modulating neuroplastic changes in the brain, provides electrical stimulation of trigeminal and facial cranial nerves that modulate sensorimotor and vestibular functions. The devices help to improve the static and dynamic function of the body, reduce muscle tone, improve joint mobility in children with cerebral palsy. Their use in the process of physical therapy emphasizes the need for individualization of rehabilitation programs. Conclusion. The analysis of literature sources testifies to the effectiveness of the use of high-tech tools in the process of rehabilitation of children with cerebral palsy in combination with traditional methods. It helps to improve motor and cognitive function in children with cerebral palsy by correcting the mechanism of musculoskeletal control. Robotic techniques allow to change the pathological stereotype of movement. The prospect is to study the psychophysiological parameters of children with cerebral palsy during rehabilitation using modern technologies

show abstract

Modern opportunities and prognosis of physical rehabilitation of children with cerebral palsy

Cited by 3 publications

References 2 publications

Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy

Comprehensive rehabilitation of patients with movement disorders with spastic forms of cerebral palsy

Exploring the perspectives of health care professionals on digital health technologies in pediatric care and rehabilitation

Theoretical Basis of the Use of High-Tech Rehabilitation Means in Children with Cerebral Palsy

Contact Info

Product

Resources

About