Effects of stepping practice with postural support on gross motor abilities of a pre-ambulatory child with cerebral palsy: A case report.

Effects of stepping practice with postural support on gross motor abilities of a pre-ambulatory child with cerebral palsy: A case report. Physiother Theory Pract. 2019 May 29;:1-8 Authors: Snarski KE Abstract Purpose: The purpose of this case report is to describe the impact of family-centered, imbedded practice of stepping with postural support on the motor function of a pre-ambulatory child with cerebral palsy. Summary of Key Points: A child with a diagnosis of cerebral palsy completed 11 weeks of parent-directed, supported-stepping practice. Practice was imbedded into the family's daily routine as part of a family-centered early intervention program. The number of supported steps the client could take in two minutes as well as the percentage of steps requiring assistance was recorded during weekly physical therapy sessions. Outcomes: An increased number of supported steps taken, and a decrease in percentage of steps requiring assistance was documented. Improvement in the child's Gross Motor Function Measure score was also noted. Recommendations for Clinical Practice: There is preliminary support for the effectiveness of parent-directed, supported-stepping practice to improve gross motor function in children with cerebral palsy. PMID: 31140888 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research

Related Links:

Conclusions: Conscious reflection on the factors affecting MLS use could facilitate related clinical decision-making in physiotherapy interventions for children with CP. Increased awareness of MLS and use of a structured framework for reporting MLS are required to promote intentional MLS use and generate CP-specific evidence-based MLS research. PMID: 31154883 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Occup Ther Pediatr Source Type: research
CONCLUSIONS: Current two-wheel bike skills training for children with CP in Australia appears highly variable. Development and testing of bike skills-specific outcome measures and interventions and guidance for therapists on consideration of environmental and personal factors are warranted. PMID: 30880531 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Occup Ther Pediatr Source Type: research
The objective of this review was to summarize and evaluate the effectiveness of physiotherapy interventions in children with CP. PubMed and Cochrane database were searched from January 2006 to April 2017 using the Medical Subject Heading and general keywords. Only systematic reviews and meta-analysis on PT interventions in children diagnosed with CP were included. Two reviewers independently assessed the methodological quality and retrieved the results. Thirty-four systematic reviews were identified that distinguished 15 different interventions. Moderate evidence of effectiveness was found for constraint-induced movement t...
Source: Indian Journal of Orthopaedics - Category: Orthopaedics Authors: Source Type: research
CONCLUSIONS: This study suggests that a large number of interventions are used by physiotherapists in the United Kingdom to improve or maintain lower-limb function among adolescents with CP, not all of which are evidence-based. PMID: 29220616 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Occup Ther Pediatr Source Type: research
CONCLUSIONS: This study offers a view on the increase in the therapeutic effectiveness of botulinum toxin A on the lower limbs when used in conjunction with a physiotherapeutic intervention, with improvements in mobility, gait pattern, range of motion and spasticity, which are maintained after the end of the physical therapy protocol. CLINICAL REHABILITATION IMPACT: The use of botulinum toxin A on the lower limbs when used in conjunction with a physiotherapeutic intervention, can improve muscle tone, allowing a combined treatment and intended to provide improvement of motor ability and functional skills, and potential...
Source: European Journal of Physical and Rehabilitation Medicine - Category: Rehabilitation Authors: Tags: Eur J Phys Rehabil Med Source Type: research
Effect of multilevel lower-limb botulinum injections &intensive physical therapy on children with cerebral palsy. Indian J Med Res. 2017 Nov;146(Supplement):S8-S14 Authors: Juneja M, Jain R, Gautam A, Khanna R, Narang K Abstract Background &objectives: Botulinum toxin is considered as an effective treatment for spasticity in children with cerebral palsy (CP). However, there are only a few long-term studies, and the effects on motor function have been inconclusive. Moreover, due to its high cost and need for intensive post-injection therapy, utility in context of developing nations has not been...
Source: The Indian Journal of Medical Research - Category: Biomedical Science Authors: Tags: Indian J Med Res Source Type: research
Abstract OBJECTIVE: The purpose of this study was to characterize the intervention type delivered to individuals with cerebral palsy (CP) in a pediatric outpatient medical setting and to identify factors associated with the total amount of service within each type. SUBJECTS: Four hundred and twenty-five individuals with CP (1-33 years) Gross Motor Function Classification System (GMFCS): Level I (n = 152); II (n = 63); III (n = 55); IV (n = 80); and V (n = 75). METHODS: Billing code data was extracted retrospectively from 2008 medical records and categorized to reflect four types: body structures and func...
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
DISCUSSION: The participant appeared to benefit from a task-oriented program to improve dynamic balance, functional mobility, and dual-task performance. PMID: 28509631 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
CONCLUSIONS: A physiotherapist-led clinic model for orthopedic monitoring provides increased access to service for children with CP and their families without compromising the perceived quality of care. PMID: 28266885 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: Phys Occup Ther Pediatr Source Type: research
CONCLUSIONS: Implementation of a home-based standing program may have contributed to improved motor skills for this child. Further research is needed to determine the effect of standing interventions on functional motor development for children with severe CP. PMID: 28071965 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - Category: Physiotherapy Authors: Tags: Physiother Theory Pract Source Type: research
More News: Cerebral Palsy | Children | Physical Therapy | Physiotherapy