The effectiveness of intensive versus standard physical therapy for motor progress in children with spastic cerebral palsy

Elgawish, Mohammad; Zakaria, Mohammad A

doi:10.4103/1110-161x.155622

Cited by 5 publications

(7 citation statements)

References 17 publications

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“…Based on previous studies and clinical expertise, an effect size of at least 0.5 standard deviations was anticipated, which is considered a moderate effect size in this context [ 11 ]. A study conducted by Elgawish et al was used as a reference [ 12 ]. Thus, 68 children diagnosed with spastic diplegia were recruited to ensure sufficient statistical power to detect the anticipated effect size( Fig.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of simple and basic home-based exercise programs including pediatric massage executed by caregivers at their homes in the management of children with spastic cerebral palsy: A randomized controlled trial

Mahmood,

Habibullah,

Aurakzai

2024

PRM

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PURPOSE: This study aimed to assess the effectiveness of simple and basic home-based exercise programs (HEPs), including pediatric massage (PM), executed by caregivers at their homes in the management of children with spastic cerebral palsy (CP). METHODS: Sixty-eight children with spastic CP (diplegia) aged 4–12 years were randomly assigned to PM and HEP groups for a randomized controlled trial continuing from November 01, 2021 to June 2022. Parents provided home-based exercises to both groups, five times a week for 12 weeks. However, the PM group was additionally provided with PM. Modified Ashworth Scale (MAS), Gross Motor Function Measure (GMFM-88) and Gross Motor Function Classification System (GMFCS) were used for evaluation of spasticity and gross motor activity at baseline as well as after six and 12 weeks of intervention. Comparative analysis of data was carried out with SPSS-20. RESULTS: Mean age in HEP and PM groups was 6.65±2.12 and 7.09±2.22 years respectively. Data revealed homogeneity of both groups at the beginning of study. The PM group showed a statistically significant decrease in MAS scores after six and 12 weeks of intervention (p < 0.05) when compared with the HEP group, but similar changes did not happen in GMFM scores and GMFCS levels. However, comparative analysis revealed statistically significant change in GMFM scores and GMFCS levels (p < 0.05) when compared from baseline to 12 weeks of intervention in both groups. CONCLUSION: PM along with HEPs can be used effectively to reduce spasticity and to improve gross motor ability if performed for a period of at least six and 12 weeks respectively. In conjunction with HEPs, PM has better outcomes in the management of tone and movement disorders of spastic CP than HEPs alone

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Section: Methodsmentioning

confidence: 99%

Effectiveness of simple and basic home-based exercise programs including pediatric massage executed by caregivers at their homes in the management of children with spastic cerebral palsy: A randomized controlled trial

Mahmood,

Habibullah,

Aurakzai

2024

PRM

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“…Jackman et al [ 26 ] have shown that intensive blocks of therapy were better than low-dose regular therapy in order to improve motor abilities in patients with cerebral palsy. Elgawish and Zakaria [ 27 ] have shown that intensive physiotherapy is more effective than standard physiotherapy in improving gross motor function in children with spastic diplegia. Bleyenheuft et al [ 24 , 25 ] have shown that an intensive training protocol including upper and lower extremities was effective in improving lower extremity function in children with unilateral and bilateral spastic cerebral palsy.…”

Section: Introductionmentioning

confidence: 99%

Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial

Guérin¹,

Sijobert²,

Zaragoza³

et al. 2023

JMIR Res Protoc

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Background Cerebral palsy is the most common brain injury in the pediatric population. Patients with cerebral palsy present different affectations such as decreased muscle strength, gait deviations, impaired proprioception, and spasticity. Isokinetic strengthening programs combined with intensive rehabilitation may improve muscle strength and therefore gait efficiency. Objective The primary aim of this randomized controlled trial is to compare the effect of an intensive rehabilitation combined with a nonfunctional isokinetic progressive strengthening program to an intensive rehabilitation alone on gait parameters and muscle strength in patients with cerebral palsy. Another goal of this study is to determine whether adding an isokinetic program to intensive rehabilitation is more effective than intensive rehabilitation alone at decreasing spasticity and improving joint position sense in patients with cerebral palsy. Methods A total of 30 adolescents with spastic diplegia cerebral palsy (Gross Motor Function Classification System levels I to III) will be randomized, by an independent researcher, into a 3-week intensive rehabilitation and isokinetic progressive strengthening group or an intensive rehabilitation control group. Gait parameters, muscle strength, spasticity, and knee joint position sense will be assessed. These variables will be evaluated at baseline (T0) and at the end of the intervention (T1). The intensive rehabilitation will consist of physiotherapy sessions twice a day and hydrotherapy and virtual reality gait training once a day. The isokinetic training group will have a total of 9 supervised isokinetic strength training sessions focusing on knee flexors and extensors with different execution speeds. Results The protocol has been accepted by the French National Ethics Committee in October 2022. The inclusion of patients will start in November 2022. Conclusions The combination of intensive rehabilitation with an isokinetic program on knee flexors and extensors has not been studied yet. The findings of this study may determine if an isokinetic strength training program of knee flexors and extensors is beneficial for the improvement of gait parameters, muscle strength, spasticity, and joint position sense in adolescents with spastic diplegia. International Registered Report Identifier (IRRID) PRR1-10.2196/43221

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“…Cerebral palsy (CP) is one of the most common causes of disability in children [1][2][3][4][5][6][7]. The incidence of CP is 2-2.5 per 1000 births [5,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of CP is 2-2.5 per 1000 births [5,8,9]. CP is a term used to group a big heterogeneity of manifestations observed in people with brain disorders causing problems in motor abilities and other developmental aspects [4,[10][11][12]. in 2006, a committee of experts agreed on an international definition, as well as a classification for CP.…”

Section: Introductionmentioning

confidence: 99%

“…However, the adjective 'intensive' refers to the duration of the training period (usually weeks), the frequency of trainings per week (days), and time spent each day (hours) [27]. The difficulty is related to the fact that a typical frequency of therapy or training for people with CP does not exist [3,4]. Some guidelines have been developed in order to establish rules concerning the frequency and intensity of treatments or trainings [28,29].…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of therapeutic suits and intensive suit trainings in individuals with cerebral palsy and other neurological disorders: a scoping review

Remón¹,

Panufnik²

2021

Physiother Quart.

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Introduction. This review aims to find if there is any effectiveness in the application of therapeutic suits or intensive suit trainings or both together, among people with cerebral palsy and other pathologies. Methods. Articles published from 1997 to 2019 were reviewed. Fifteen articles met the inclusion criteria that involved: English, Spanish, or Polish language; published studies; studies about the effectiveness of suit therapies regardless of the used protocol (Adeli suit, Therasuit, Penguin suit, or suit therapy); studies conducted among people with cerebral palsy or other neurological disorders regardless of age, type of cerebral palsy, and severity level. Results. There were some positive effects in gross motor functions, functional gait, and joint mobility. However, the evidence was not clear and there were numerous factors that could have affected the results and produced methodological limitations. Conclusions. The findings justify further exploration of the potential of suit therapies in people with cerebral palsy and other neurological disorders.

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The effectiveness of intensive versus standard physical therapy for motor progress in children with spastic cerebral palsy

Cited by 5 publications

References 17 publications

Effectiveness of simple and basic home-based exercise programs including pediatric massage executed by caregivers at their homes in the management of children with spastic cerebral palsy: A randomized controlled trial

Effectiveness of simple and basic home-based exercise programs including pediatric massage executed by caregivers at their homes in the management of children with spastic cerebral palsy: A randomized controlled trial

Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial

Effectiveness of therapeutic suits and intensive suit trainings in individuals with cerebral palsy and other neurological disorders: a scoping review

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