Authors' contributionWkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane -analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. Literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy SummaryThe primary goal of adaptive physical and special education is to increase the participation of individuals with special motor needs in educational and social activities. Current behavior modification and motivation techniques are based on descriptive explanations of physical activity behaviors and exercises provided by special educators to patients and parents; however, the efficacy of such techniques is largely unknown. The main purpose of this review was to determine how effective different special education techniques and behavior change interventions are for different domains of physical activity for patients with cerebral palsy spastic motor type. A scoping review of scientific/medical databases was conducted to identify relevant studies matched the pre-defined inclusion and exclusion criteria. Four studies were selected (n=173) implementing behavioral interventions across internet-based and in-person settings. Three of these studies were randomized controlled trials with pre-post differences in physical activity observed in youth with cerebral palsy following behavioral intervention, although improvements were not statistically different from controls. This scoping review collectively demonstrates that design and implementation of behavioral change interventions lead to improvements of specific motor skills and highlights the need for ongoing research in children and adults with special motor needs.

IntroductionThe principles and practice of physical rehabilitation in patients with lumbar disc herniation still remain controversial. The objective of the study was to reveal the correlations of gait pattern changes and muscle (spinal and leg muscles) electromyographic recordings in patients with lumbar disc herniationMethodsA motion capture system was used to analyse gait parameters, including angular measurements of hip, knee, and ankle joints, foot support time, pace rate, and speed. A targeted exercise program with exercises in a shortened position of muscles without exceeding the internal range of contraction was applied to level the values of goniometric data and pace parameters obtained by motion capture.ResultsThe gait restored owing to the reconditioning of spine and leg muscles, confirmed by the recorded changes in electromyographic data, ensures the irreversible nature of gait improvement. The changes in H-reflex expression and muscle baseline electromyography of spine and leg muscles make up a proper tool that provides a system for periodic evaluation of gait recovery.ConclusionsTargeting the weak muscles helped to identify the causes of gait deviations, revealing an expressed positive (negative) correlation between the targeted muscle strengthening and gait restoration. This confirms the importance of selective targeting and strengthening of the muscles to restore the deviated angles and other gait parameters.