Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review

Apolo-Arenas, María Dolores; Jerônimo, Aline Ferreira de Araújo; Caña-Pino, Alejandro; Fernandes, Orlando; Alegrete, Joana; Parraça, José A.

doi:10.3390/jpm11070604

Cited by 11 publications

(8 citation statements)

References 63 publications

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“…The keywords used for the treatment of cerebral palsy include muscle spasticity and physical therapy modifications. The treatment of cerebral palsy (CP) includes physical therapy and complementary therapies to various standard clinical treatments ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and therapies for patients with cerebral palsy over the past 30 years: a bibliometric analysis

Jiang,

Yang,

Chen

et al. 2024

Front. Neurol.

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BackgroundCurrently, the incidence of cerebral palsy is high in newborns. However, the current methods for diagnosing and treating patients with cerebral palsy are complex and poorly targeted. Moreover, these studies lack the support of bibliometric analysis results.ObjectiveOur study focused on a bibliometric analysis of published papers on the diagnosis and treatment of patients with cerebral palsy. This study identified the primary authors, institutions, and countries involved in analyzing the status and trends of research on the diagnosis and treatment of patients with cerebral palsy. Additionally, the study also involved screening pathways related to cerebral palsy.MethodsThe PubMed database was searched for publications on the diagnosis and treatment of patients with cerebral palsy between 1990 and 2023. R v4.2.2 and VOSviewer v1.6.18 software tools were utilized to perform bibliometric analysis and visualization.ResultsThere were 1,965 publications on cerebral palsy diagnosis and 5,418 articles on the qualified treatment strategies, and the annual number of publications also increased. The United States dominated in this field of research. Gregory Y.H. Lip and Patrizio Lancellotti published the most number of papers. The Cleveland Clinic published the most number of papers in the field. According to the analysis of the co-occurrence of keywords, we found that the main research directions were age, sex, disease diagnosis, and treatment. Newly emerging research has focused mainly on heart failure, which is related to valvular heart disease.ConclusionThe findings presented in this study offer valuable insights into ongoing research and potential future directions pertaining to cerebral palsy. These insights can assist researchers in identifying suitable collaborators and enhancing their investigations aimed at identifying the underlying molecular mechanisms associated with cerebral palsy, encompassing its etiology, preventive measures, and therapeutic interventions.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and therapies for patients with cerebral palsy over the past 30 years: a bibliometric analysis

Jiang,

Yang,

Chen

et al. 2024

Front. Neurol.

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“…Since walking is a dynamic task, the impairment of motor Computational and Mathematical Methods in Medicine ability of children with cerebral palsy makes it difficult to maintain balance during dynamic walking. Children need to shorten their steps and reduce the swing of their bodies to sustain gait stability and maintain the center of gravity [24]. When the children's walking ability improves, their ability to maintain the center of gravity is better, and their 5 Computational and Mathematical Methods in Medicine ability to resist the body swing is stronger.…”

Section: Discussionmentioning

confidence: 99%

Effect of Functional Electrical Stimulation on Gait Parameters in Children with Cerebral Palsy: A Meta-Analysis

Zhu¹,

Gao²,

Wang

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. At present, there are controversies on the effectiveness of functional electrical stimulation devices in gait improvement in the clinic, and the results reported in limited literature are contradictory. This paper summarizes and analyzes the relationship between functional electrical stimulation treatment and gait parameter changes in children with cerebral palsy, thus exploring the above controversies’ results. Methods. Two researchers conducted a detailed search of the literature from the establishment of the database to June 2022. Literature retrieved from databases, including PubMed, Embase, Ovid, Cochrane Library, and Web of Science and the search process followed the principles of Cochrane. The search keywords were “cerebral palsy”, “functional electrical stimulation”, “gait”, or “walk”. Gait and balance parameters were extracted from the literature. Gait parameters, such as walking speed and step length, were included in the meta-analysis. The study used standard mean difference (STD) and 95% confidence interval (CI) to calculate the mean difference between the two groups. The statistic I 2 was used to evaluate the heterogeneity between the evaluation studies. Begg’s test detected publication bias and the funnel chart was used for visual analysis. Furthermore, Review Manager software was used to make a risk bias map for literature publication bias analysis. Results. 9 literatures were included in the analysis, with a total of 282 children with cerebral palsy, including 142 patients in the functional electrical stimulation treatment group and 140 patients in the comfort treatment, general nursing, or other physical therapy. The randomization scheme and result report used in most studies were low risk, which was important for the credibility of this study. Most studies have limitations in the blinding method of participants and subjects, and most of them were single-blind studies, which might have a high risk. The results showed that functional electrical stimulation could increase the walking speed of children with cerebral palsy ( SMD = 0.82 , P < 0.0001 ) and increase the walking step length of children with cerebral palsy ( SMD = 1.34 , 95 % CI = 1.07 , 1.60 , Z = 9.91 , P < 0.0001 ). Funnel plot analysis showed that the literature distribution was uniform and symmetrical, and Begg’s test showed no publication bias in included literature. Conclusion. This study compared the effects of the functional nerve stimulation treatment group and control group on improving gait parameters of children with cerebral palsy. The results indicated that functional nerve stimulation treatment could increase the gait speed and step length of children with cerebral palsy, which could improve the walking of children with cerebral palsy. Furthermore, this study needs more research data to support our findings. The results of this study might better guide the clinical practice and better use of health as well as financial resources.

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“…6 Its profound impact significantly disrupts the daily lives and overall functionality of those affected, causing notable distress and limitations to their quality of life. Despite some medical interventions available, such as physical therapy, 7 medication treatment, 8 surgical interventions, 9 nutrition interventions 10 and assistive devices, 11 a comprehensive and universally effective solution is currently lacking. Consequently, some patients continue to encounter persistent challenges and disruptions in their treatment.…”

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confidence: 99%

Analysis of Traditional Chinese Medicine Symptoms in Children with Spastic Cerebral Palsy: A Data Mining Study

Wang,

Pang,

2024

JMDH

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Background Cerebral palsy (CP) ranks as a major cause of motor disabilities in children, with spastic CP making up roughly 70–80% of all CP cases. The primary objective of our study is to identify characteristics of Traditional Chinese Medicine(TCM) symptom of spastic CP, thereby establishing correlations between the TCM symptom and the disease, providing a more scientific theoretical foundation for TCM treatments on spastic CP, enabling a deeper comprehension of clinical interventions, ultimately, improving rehabilitation outcomes in TCM treatment for spastic CP. Methods We conducted a data mining study on TCM symptom of spastic CP children aged 4–14 years old treated at Xi’an Encephalopathy Hospital Affiliated to Shaanxi University of Chinese Medicine, from October 2021 to March 2023. The medical records of all eligible and complete spastic CP patients were extracted, processed for data cleansing, transformed, and subsequently analyzed to discern distinctive TCM symptom. K-Means Clustering Analysis and Association Rule Analysis were used for data mining. Results Core symptoms identified for spastic CP encompassed “Motor Dysfunction”, “Impaired Speech”, “Delayed Development”, “Limb Stiffness”, “Rigidity in the limbs”, “Intellectual Impairment”, “Timidity and susceptibility to startle responses”, “Muscle Wasting”, and “Pale or Dull Complexion”. Among the top-ranking associations of symptom, patterns emerge wherein “Motor dysfunction” intertwine with “Impaired speech”, “Motor dysfunction” coexist with “Delayed development”, and “Impaired speech” are accompanied by “Delayed development”. Conclusion This study identified the core symptom of spastic CP and tentatively suggests that the clinical manifestations of spastic CP are essentially consistent with the TCM pattern “liver exuberance and spleen weakness”. This finding has facilitated the preliminary establishment of correlations between TCM pattern differentiation and the disease in medicine. It is anticipated that this correlation will bring tangible benefits to a larger number of children with spastic CP.

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Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review

Cited by 11 publications

References 63 publications

Diagnosis and therapies for patients with cerebral palsy over the past 30 years: a bibliometric analysis

Diagnosis and therapies for patients with cerebral palsy over the past 30 years: a bibliometric analysis

Effect of Functional Electrical Stimulation on Gait Parameters in Children with Cerebral Palsy: A Meta-Analysis

Analysis of Traditional Chinese Medicine Symptoms in Children with Spastic Cerebral Palsy: A Data Mining Study

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