Effect of forced use therapy on posture in children with hemiplegic cerebral palsy: A pilot study
Autor: | Martin Lemay, Louise Koclas, Laurent Ballaz, Anne-Fabienne Huffenus, Céline Lamarre |
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Rok vydání: | 2012 |
Předmět: |
Male
Restraint Physical medicine.medical_specialty Centre of pressure Posture Hemiplegia Pilot Projects Physical Therapy Sports Therapy and Rehabilitation Cerebral palsy Upper Extremity Physical medicine and rehabilitation Pressure medicine Humans Child Motor skill Hemiplegic cerebral palsy Cerebral Palsy Rehabilitation General Medicine Hand Displacement (psychology) medicine.disease Exercise Therapy medicine.anatomical_structure Motor Skills Peak velocity Physical therapy Upper limb Female Psychology Quiet standing |
Zdroj: | Journal of Rehabilitation Medicine. 44:268-271 |
ISSN: | 1650-1977 |
DOI: | 10.2340/16501977-0920 |
Popis: | Objective: t o evaluate the impact of forced use therapy on posture in children with hemiplegic cerebral palsy. Design: Single group pre- and post-training assessments. Subjects: Eight children (mean age 10.5 years (standard deviation 1.26 years)) with hemiplegic cerebral palsy Levels i and II on the gross motor function classification scale. Methods: all participants underwent 12 days (6 h/day) of forced use therapy. Postural asymmetry as well as the centre of pressure range and peak velocity during quiet standing were evaluated before and after the therapy. upper limb functional level was also assessed using the Bruininks Oseretsky test of Motor Proficiency and the Assisting Hand assessment. Results: Before forced use therapy, postural asymmetry tended to decrease when the participants wore the upper limb constraint. after forced use therapy, upper limb functional scores improved significantly, and postural asymmetry tended to decrease, compared with the pre-therapy values. Postural improvement was correlated with postural asymmetry before forced use therapy. No significant differ ences were observed on the centre of pressure displacement parameters during the quiet standing tests in all conditions. Conclusion: this pilot study showed that forced use therapy may be an efficient way to improve postural asymmetry in children with hemiplegic cerebral palsy. |
Databáze: | OpenAIRE |
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