Developmental Profiles of Preschool Children With Spastic Diplegic and Quadriplegic Cerebral Palsy

Lee, C. K. M.; Wu, Ching‐yi; Liaw, Mei-Yun; Lin, Keh‐chung; Tu, Ya-Wen; Chen, Chia‐Ling; Chen, Chung-Yao; Yu, Wen

doi:10.1016/s1607-551x(10)70057-7

Cited by 16 publications

(33 citation statements)

References 30 publications

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“…Children with spastic diplegia have only a moderate delay in gross motor domain and mild delay in other domains. In addition, motor functions including gross motor and fine motor functions are significantly related to self-help ability which was affected [24]. The non-significant difference in post treatment mean values of HGS between three groups may be because that all subjects of spastic diplegia were limited in their activity due to more protection from parents or neglection toward affection of upper limbs.…”

Section: Discussionmentioning

confidence: 95%

Effect of push-up exercises on hand grip strength in diplegic children.

Hegazy¹,

El-Negamy²,

Kamal³

et al. 2019

biomedicalresearch

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Background: Diplegia is a spastic form of cerebral palsy with lower limbs more affected than upper limbs. The hand is effector organ of upper extremity for support, manipulation and prehension. Purpose: The purpose of this study is to determinethe effect of push-up exercises on hand grip strength in spastic diplegic cerebral palsied children. Subjects and methods: Sixty spastic diplegic children with age ranged from 4 to 7 years from both sexes participated in this study. They were chosen from physical therapy department, Mubarak Central Hospital, Giza Governorate, Egypt. Subjects were divided randomly into three groups A, B and C, of equal number [twenty patients each]. Each patient was evaluated pre and post-treatment individually by using Peabody Developmental Motor Scale (PDMS-2) to determine standard scores of grasping subtest and age equivalent for fine motor activities and Baseline pneumatic squeeze handheld dynamometer to detect maximum hand grip strength. Control group (A) received traditional physiotherapy program for spastic diplegia and the two study groups (B and C) received the same traditional physiotherapy program in addition to push-up exercises on stable surface for group B in form of wide base push-up exercises, while group C in form of narrow base push-up exercises. The treatment protocol was conducted for three successive months and six times per week. Results: The results of this study revealed significant improvement in hand grip strength, standard scores of grasping and age equivalent in the three groups equally. Conclusion: Conventional physiotherapy program is effective as push-up exercises in improving hand function in spastic diplegic children. Push-up exercises only do not add benefits on hand grip strength.

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Section: Discussionmentioning

confidence: 95%

Effect of push-up exercises on hand grip strength in diplegic children.

Hegazy¹,

El-Negamy²,

Kamal³

et al. 2019

biomedicalresearch

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“…4 The GMFM-66 and WeeFIM total scales and three subscales were used as the measures of construct validity because of significant correlations among motor, speech, and social functions in children with CP. 21 Furthermore, gross motor ability is strongly correlated with the SAROMM scores in adolescents with CP. 4 These data demonstrate that the SAROMM is a valid method to measure spinal alignment and ROM, and is predictive of future motor function and ADL in a CP population.…”

Section: Discussionmentioning

confidence: 96%

Validity and clinimetric properties of the Spinal Alignment and Range of Motion Measure in children with cerebral palsy

Chen

et al. 2013

Develop Med Child Neuro

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AIM The aim of this study was to assess the validity, responsiveness, and clinimetric properties of the Spinal Alignment and Range of Motion Measure (SAROMM) in children with cerebral palsy (CP).METHOD Sixty-two children with CP (40 males, 22 females) with a median age of 3 years and 11 months (range 1-6y) and their caregivers participated in this study. Among the children, 56 had spastic CP while six had non-spastic CP; 53 had bilateral CP, while nine had unilateral limb involvement. Thirty-three children were classified as Gross Motor Function Classification System (GMFCS) levels I to III and 23 as levels IV or V. Fifty-six children (90%) received regular rehabilitation by means of regular physical or occupational therapy (50% once or twice per week and 40% more than two times per week) and six children (10%) received irregular rehabilitation (less than once a week). Construct validity was determined by assessing the strength of the correlation between the spinal alignment SAROMM (SAROMM-SA), the range of motion SAROMM (SAROMM-ROM), and the total SAROMM (SAROMM-total), and construct measures, including the 66-item Gross Motor Function Measure (GMFM-66) and Functional Independence Measures for Children (WeeFIM), at baseline and at 6-months follow-up. Responsiveness was examined using effect size. Minimal detectable change (MDC) at the 90% confidence level (MDC90) and minimal clinically important difference (MCID) were analysed. RESULTSThe SAROMM with the GMFM-66 and WeeFIM had fair to good construct validity.The effect size values of all SAROMM scales were 0.24 to 0.48. The MDC90 values and MCID range were 1.43 and 0.47 to 1.67 for the SAROMM-SA, 3.12 and 3.68 to 4.07 for the SAROMM-ROM, and 3.22 and 4.53 to 4.62 for the SAROMM-total.INTERPRETATION The clinimetric properties of the SAROMM allow clinicians to determine whether a change in SAROMM score represents a clinically meaningful change.Cerebral palsy (CP) describes a group of permanent disorders of movement and posture that result from nonprogressive disturbances in the developing fetal or infant brain.1 Although the pathophysiology of CP is nonprogressive, musculoskeletal structures often deteriorate with advancing age.1,2 Tightness of spastic muscles, spinal malalignment, and joint contractures are common and significant CP-related problems in children. Children with severe CP often have more musculoskeletal problems than those with mild CP. For instance, spinal malalignment and limited range of motion (ROM) are strongly correlated with a decline in gross motor function, 3 Gross Motor Function Classification System (GMFCS) level, 4 and activities of daily living (ADL).5 Therefore, keeping good spinal alignment and preventing ROM limitations may contribute to a reduced decline in gross motor capacity 3 and ADL 5 in children and adolescents with CP and to an increase in their participation.Conventionally, ROM is assessed using a universal goniometer; however, test-retest results vary widely, especially in children with CP. 6 The Spinal Alignment and Range...

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“…The GMFCS was used to classify the gross motor impairment of children with CP in this study. 13 GMFCS levels for children aged <2 years were as follows: 30 (i) level Iinfants move in and out of sitting and sit on the floor with both hands free to manipulate objects. Infants crawl on hands and knees, pull to stand, and take steps holding onto furniture.…”

Section: Measures Of Motor and Intellectual Functionmentioning

confidence: 99%

“…It is widely used to assess mental development via a Developmental Quotient (DQ) value at specific ages. [11][12][13] As the level of intellectual capacity is pivotal for daily-life functioning and life expectancy, it has attracted growing interest in CP studies. Abundant evidence is available concerning the relationship between intelligence and motor function; and it is widely accepted that intelligence is important for both learning and completing a complex motor task.…”

Section: Introductionmentioning

confidence: 99%