The effects of vest type dynamic elastomeric fabric orthosis on sitting balance and gross manual dexterity in children with cerebral palsy: a single-blinded randomised controlled study*

Giray, Esra; Karadağ-Saygı, Evrim; Güngör, Sabiha; Kayhan, Önder

doi:10.1080/09638288.2018.1501098

Cited by 14 publications

(15 citation statements)

References 35 publications

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“…All DEFOs are made in the same way, being able to be designed and adapted to the needs of the pathology and the user, so that they can be devices for UL, lower limbs or vest for the whole body. In diseases such as CP, different studies carried out with vests and meshes of these characteristics have demonstrated their efficacy on postural control, balance, walking speed, and manual dexterity [ 23 , 24 , 49 ]. In the study conducted by Yasukawa et al, in which DEFOs were implemented for UL in two cases with CP with hemiplegia and brachial plexus palsy, improved limb alignment and improved functionality of the affected UL were observed [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…This type of device has been effective in children with cerebral palsy (CP). In the study conducted by Pavão et al, the use, by children with CP, of a vest made of this material showed better postural stability when performing a manual reaching activity [ 23 ], and in another study, it showed improved balance, postural control, and manual dexterity [ 24 ]. On the other hand, wearing these devices on the foot and ankle improved balance and walking speed in multiple sclerosis [ 25 , 26 ], and pain and function in patients suffering with complex regional pain syndrome (CRPS) [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Functionality and Quality of Life with Parkinson’s Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study

Barrios

González-Bernal

Cubo

et al. 2023

IJERPH

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Parkinson’s disease (PD) is a chronic, neurodegenerative movement disorder, whose symptoms have a negative impact on quality of life and functionality. Although its main treatment is pharmacological, non-pharmacological aids such as the dynamic elastomeric fabric orthosis (DEFO) merit an evaluation. Our objective is to assess the DEFO in upper limb (UL) functional mobility and in the quality of life of PD patients. A total of 40 patients with PD participated in a randomized controlled crossover study, and were assigned to a control group (CG) and to an experimental group (EG). Both groups used the DEFO for two months, the experimental group the first two months of the study and the control group the last two. Motor variables were measured in the ON and OFF states at the baseline assessment and at two months. Differences from the baseline assessment were observed in some motor items of the Kinesia assessment, such as rest tremor, amplitude, rhythm or alternating movements in the ON and OFF states with and without orthosis. No differences were found in the unified Parkinson’s disease rating scale (UPDRS) or the PD quality-of-life questionnaire. The DEFO improves some motor aspects of the UL in PD patients but this does not translate to the amelioration of the standard of functional and quality-of-life scales.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Functionality and Quality of Life with Parkinson’s Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study

Barrios

González-Bernal

Cubo

et al. 2023

IJERPH

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“…Other commonly addressed ingredients were passive movements and motor control, and hands‐on techniques (e.g. suit therapies, facilitation and handling‐based approaches, among others) 71–82 . These have been the traditional approaches used with children with CP; however, recent systematic reviews have challenged their efficacy for improving functional outcomes and currently rate the ingredients as ‘below the worth it line’ 83 …”

Section: Discussionmentioning

confidence: 99%

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

Campos

Hidalgo‐Robles

Longo

et al. 2023

Develop Med Child Neuro

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AimTo explore the ingredients of early interventions provided to young children with cerebral palsy (CP) who are classified in Gross Motor Function Classification System (GMFCS) levels IV and V, and to identify the ‘F‐words’ addressed by the interventions.MethodSearches were completed in four electronic databases. Inclusion criteria were the original experimental studies that fitted the following PCC components: population, young children (aged 0–5 years, at least 30% of the sample) with CP and significant motor impairment (GMFCS levels IV or V, at least 30% of the sample); concept, non‐surgical and non‐pharmacological early intervention services measuring outcomes from any of the International Classification of Functioning, Disability and Health domains; and context, studies published from 2001 to 2021, from all settings and not limited to any specific geographical location.ResultsEighty‐seven papers were included for review, with qualitative (n = 3), mixed‐methods (n = 4), quantitative descriptive (n = 22), quantitative non‐randomized (n = 39), and quantitative randomized (n = 19) designs. Fitness (n = 59), family (n = 46), and functioning (n = 33) ingredients were addressed by most experimental studies, whereas studies on fun (n = 6), friends (n = 5), and future (n = 14) were scarce. Several other factors (n = 55) related to the environment, for example, service provision, professional training, therapy dose, and environmental modifications, were also relevant.InterpretationMany studies positively supported formal parent training and use of assistive technology to promote several F‐words. A menu of intervention ingredients was provided, with suggestions for future research, to incorporate them into a real context within the family and clinical practice.

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“…Sitting balance and gross manual dexterity are related [39,40]. Postural stability and manual dexterity are related to each other [41], and postural stability and motor skills such as GMFCS are likewise related [42].…”

Section: Discussionmentioning

confidence: 99%

Relevant factors of self-care in children and adolescents with spastic cerebral palsy

et al. 2021

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Objective Manual ability is considered one of the factors that can predict functional independence in activities of daily living. For evaluating personal tasks such as self-care, the Pediatric Evaluation of Disability Inventory (PEDI) comprises/introduces/offers a set of useful measures that assist in enhancing the capability for self-care among children and adolescents with cerebral palsy (CP). The aim of this study was to investigate the relevant factors of self-care capability and performance in children and adolescents with spastic CP. Methods This was a cross-sectional study. Seventy-six children and adolescents with spastic CP (between 5 and 18 years of age), representing levels I to IV of the Gross Motor Function Classification System-Expanded & Revised version (GMFCS), were analyzed. Multiple linear regression analysis with forward stepwise selection was conducted to examine which determinants were related to self-care capability and performance. Independent variables were age, CP type, GMFCS, Manual Ability Classification System, Box and Block Test, and grip strength in the dominant and non-dominant hands. Dependent variables were scores for the PEDI Functional Skills Scale and the PEDI Caregiver Assistance Scale. Results Results of the multiple regression analysis showed that the PEDI Functional Skills scale scores were correlated with the Box and Block Test in the dominant hand and GMFCS (Adjusted R2 = 0.69). The PEDI Caregiver Assistance Scale scores were correlated with the Box and Block Test in the dominant hand, GMFCS, and age (adjusted R2 = 0.71). Conclusion When considering self-care of children and adolescents with spastic CP, it is necessary to consider the evaluation of upper limb dysfunction in addition to GMFCS.

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The effects of vest type dynamic elastomeric fabric orthosis on sitting balance and gross manual dexterity in children with cerebral palsy: a single-blinded randomised controlled study*

Cited by 14 publications

References 35 publications

Functionality and Quality of Life with Parkinson’s Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study

Functionality and Quality of Life with Parkinson’s Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study

F‐words and early intervention ingredients for non‐ambulant children with cerebral palsy: A scoping review

Relevant factors of self-care in children and adolescents with spastic cerebral palsy

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