Factors Contributing to Satisfaction with Changes in Physical Function after Orthopedic Surgery for Musculoskeletal Dysfunction in Patients with Cerebral Palsy

Kusumoto, Yasuaki; Nitta, Osamu; Matsuo, Atsushi; Takaki, Kenji; Matsuda, Tadamitsu

doi:10.1371/journal.pone.0154749

Cited by 3 publications

(4 citation statements)

References 9 publications

(13 reference statements)

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“…CGA consists of three-dimensional motion capture (kinematics, movement trajectories) together with the collection of ground reaction forces (kinetics) and measurements of muscle activation patterns (electromyography, EMG). While CGA has provided added value to many clinical decision-making processes [ 4 ] and led to improved treatment outcomes [ 5 ], it has not resulted in the expected improvement in patient satisfaction [ 6 ]. In addition, some individuals still worsen their gait after treatment that aimed to improve their walking ability.…”

Section: Introductionmentioning

confidence: 99%

Identifying treatment non-responders based on pre-treatment gait characteristics - A machine learning approach

Visscher,

Murer,

Fahimi

et al. 2023

Heliyon

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Section: Introductionmentioning

confidence: 99%

Identifying treatment non-responders based on pre-treatment gait characteristics - A machine learning approach

Visscher,

Murer,

Fahimi

et al. 2023

Heliyon

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“…28 While preoperative factors and surgical burden had some impact on walking activity recovery and ultimate outcome in the current study, future work needs to consider postoperative factors such as rehabilitation programs, complications, pain, and other environmental factors. As examples, the frequency of postoperative rehabilitation sessions 29 and early mobilization protocols 30 have improved functional mobility and patient satisfaction after orthopedic surgery in children with CP. As such, the relationship of these interventions with the recovery of walking activity certainly warrants additional study.…”

Section: Discussionmentioning

confidence: 99%

Walking activity after multilevel orthopedic surgery in children with cerebral palsy

Church¹,

Biermann²,

Lennon³

et al. 2022

Develop Med Child Neuro

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Cerebral palsy (CP) comprises a group of disorders with impairments of movement and posture due to non-progressive disturbances in the developing fetal or infant brain. 1 Children with CP develop gait deviations and functional impairment associated with muscle contractures and bony deformities, spasticity, limited motor control, decreased strength and balance, and delayed acquisition of gross motor skills. 2 Gait deviation can increase the energy cost of walking, 3 causing fatigue 4 and frequent joint pains, 5 resulting in a decrease in walking activity.Walking activity is quantified by counting the number of strides per day, which can be accomplished using a variety of activity monitors. Walking activity is an important outcome measure that aligns with the World Health Organization's International Classification of Function, Disability and Health: Children and Youth Version. 6 This classification system defines body structures, body function, activities and participation, and environmental factors as components of health and well-being. 6 Walking activity is associated with health-related physical fitness, 7 and children with CP have been reported to have decreased low-, medium-, and high-intensity walking activity (measured by strides per day) compared with typically developing adolescents. 8 Walking activity is associated with

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“…The vibration therapy frequencies (20 Hz vs 25 Hz) have been selected based on current literature and the Galileo vibration platforms manufacturing specifications. According to the latter, the main effect of low frequencies (12)(13)(14)(15)(16)(17)(18)(19)(20) lies in an improvement of muscle function and coordination whereas high frequencies (more than 20 Hz) have an impact on muscle power and muscle force [42]. According to the literature, 20 Hz is a typically recommended frequency for children with cerebral palsy [43].…”

Section: Interventionmentioning

confidence: 99%

“…Given the key factors contributing to impaired mobility are muscle weakness and spasticity [6][7][8], current therapies of children with CP include orthopedic surgery, antispastic drug therapy, and a variety of muscle strength rehabilitation tools [9,10]. However, these interventions are time-and cost-consuming, complex, and require specialized equipment and/or professional staff [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

The effect of side-alternating vibration therapy on mobility and health outcomes in young children with mild to moderate cerebral palsy: design and rationale for the randomized controlled study

2020

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Background Cerebral palsy (CP) is the most common cause of physical disability in early childhood. Vibration therapy (VT) is a promising rehabilitation approach for children with CP with potential to impact mobility, bone and muscle health as demonstrated by extant research. However, it is still unclear how long therapy must be conducted for and what the optimal vibration frequency is in order to gain health benefits. Methods/design The study is a randomized clinical trial evaluating and comparing the effects of two vibration frequency (20 Hz vs 25 Hz) and duration protocols (12 weeks vs 20 weeks) of side-alternating VT on mobility and other health parameters in children with CP. Children aged 5–12 years old with CP and GMFCS level I-III who are able to understand instruction and safely stand are eligible for the study. Exclusion criteria include bone fracture within 12 weeks of enrolment; acute conditions; the history of significant organic disease; the history of taking anabolic agents, glucocorticoids, growth hormone, and botulinum toxin injection into lower limbs within 3 months of enrolment. All participants will act as their own control with a 12-week lead-in period prior to intervention. The intervention period will consist of 20 weeks of home- or school-based VT 9 min per day, 4 times a week. After the baseline assessment, participants will be randomized to either a 20 Hz or 25 Hz vibration-frequency group. The primary outcome is mobility measured by a 6-min walking test, with analysis performed on the principle of intention to treat. Secondary outcomes include body composition, muscle strength, physical activity level, balance, gross motor function, respiratory function, and quality of life. Participants will undergo four assessment visits over the study period: baseline, at weeks 12, 24, and 32. Discussion The results of the study will provide evidence-based insights into the health benefits of side-alternating VT as a therapeutic tool in young children with cerebral palsy. The investigation of different vibration training protocols will help define the optimal parameters of intervention protocols (duration, frequency) of side-alternating VT to maximize outcomes on the health of 5–12-year-old children with CP. Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR): 12618002026202 (Registration date 18/12/2018).

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Factors Contributing to Satisfaction with Changes in Physical Function after Orthopedic Surgery for Musculoskeletal Dysfunction in Patients with Cerebral Palsy

Cited by 3 publications

References 9 publications

Identifying treatment non-responders based on pre-treatment gait characteristics - A machine learning approach

Identifying treatment non-responders based on pre-treatment gait characteristics - A machine learning approach

Walking activity after multilevel orthopedic surgery in children with cerebral palsy

The effect of side-alternating vibration therapy on mobility and health outcomes in young children with mild to moderate cerebral palsy: design and rationale for the randomized controlled study

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