Tesi sul tema "Cerebral palsied children – Rehabilitation"
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1
Fitzpatrick, Louise. "The efficacy of the neurodevelopmental therapy treatment approach in 4-7 year old children with cerebral palsy". Thesis, Stellenbosch : Stellenbosch University, 2001. http://hdl.handle.net/10019.1/52523.
Testo completoAbstract (sommario):
Thesis (MSc)--Stellenbosch University, 2001.ENGLISH ABSTRACT: Although the neurodevelopmental therapy (NDT) treatment approach is used extensively in the management of children with cerebral palsy, there is currently very little documented research to support its efficacy. The purpose of this study was to evaluate the efficacy of NDT in terms of its effect on motor function in a group of 10 cerebral palsy children. A multiple simple single-subject design was used in which the children each acted as their own controls. A 5 week baseline period, during which no intervention was received by the children, was followed by a 5 week intervention phase during which the children received twice weekly NDT treatment. The children were assessed at the beginning and end of each phase using the Gross Motor Function Measure (GMFM), and an assessment tool, which allowed the establishment of individualised outcome measures, called TELER. The group of children demonstrated no statistically significant gains in motor function on either of the outcome measures during the baseline phase of the study. However during the intervention phase the overall improvements demonstrated by the group on both the GMFM and TELER were statistically significant. Nine out of the ten children achieved greater improvements in their goal total GMFM scores during the intervention phase than during the baseline phase. Similarly all of the children achieved a greater number of clinically significant improvements on the TELER outcome measures. NDT was beneficial and useful in promoting motor function in this group of cerebral palsy children.
AFRIKAANSE OPSOMMING: Alhoewel die Neuro-ontwikkelingsterapie (NOT) behandelingsbenadering wydeverspreid gebraik word in die behandeling van kinders met serebrale verlamming, is daar huidiglik baie min gedokumenteerde navorsing om die effektiwiteit daarvan te staaf. Die doel van hierdie studie was om die effektitiwiteit van NOT te evalueer met betrekking tot die impak daarvan op die motoriese funksie van ‘n groep van 10 kinders met serebrale verlamming. ‘n Veelvuldige eenvoudige enkeling -subjek raamwerk is gebruik waarvolgens die kinders elk as hul eie kontrolegoep ageer het. ‘n 5-weke basislyn fase, waartydens die kinders aan geen intervensies onderwerp is nie, is gevolg deur ‘n 5-weke intervensie fase waartydens die kinders twee keer per week NOT behandeling ontvang het. Die kinders is geevalueer aan die begin en einde van elke fase met die Oorhoofse Motoriese Funksie Maatstaf (OMFM)/Gross Motor Function Measure (GMFM), asook ‘n evalueringsmaatstaf genaamd TELER, wat die bepaling van geindivualiseerde resultate moontlik gemaak het. Die groep kinders het geen statistics bewese vordering in motoriese fiinksies getoon volgens beide die evalueringsmaatstawwe tydens die basislyn fase van die studie nie. Daarteenoor het die groep tydens die intervensie fase oorhoofs gesproke statistics bewese vordering getoon met betrekking tot beide die OMFM en die TELER. Nege uit die 10 kinders het groter vordering getoon met hul totale OMFM resultate tydens die intervensie fase as gedurende die basislyn fase. A1 die kinders het tegelykertyd ‘n groter hoeveelheid substantiewe kliniese verbeterings getoon met betrekking tot hul TELER uitkomste. NOT was voordelig en nuttig in terme van die verbetering van motoriese funksie in die groep van serebraal verlamde kinders.
2
Carrillo, Martin L. "A comparison study of hip range of motion and electromyography during backward walking between children with spastic diplegia and children without known disabilities". FIU Digital Commons, 1994. http://digitalcommons.fiu.edu/etd/2057.
Testo completoAbstract (sommario):
The purpose of this study was to examine the kinematics of the pelvis and the right hip and the electromyographic activity of the gluteus maximus and biceps femoris during backward walking in children with spastic diplegic cerebral palsy and children without known disabilities. Subjects included 6 children, three with a diagnosis of spastic diplegia and three without known disabilities.
The results of the study showed important differences between the experimental group and the control group. Subjects with spastic diplegic cerebral palsy (SDCP) walked backwards with less hip extension, more body rotation, shorter and slower steps, and used a higher percentage of their maximum voluntary contraction than the control group. No significant differences were found between both groups in the total amount of hip sagittal range of motion; however, these motions occurred towards flexion in the group of children with spastic diplegic cerebral palsy and towards neutral and extension in the control group. Independent backward walking seems not to be an effective way to promote active hip extension in children with spastic diplegic cerebral palsy.
Clinicians using backward walking in therapeutic programs may benefit from this data.
3
Redman, Toni Annette. "Upper limb Botulinum Toxin-A in children with hemiplegic cerebral palsy : physiological corticomotor pathways and effect on health related quality of life". University of Western Australia. Faculty of Medicine and Dentistry and Health Sciences, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0123.
Testo completoAbstract (sommario):
[Truncared abstract] Introduction: The assessment of any therapy requires not only an understanding of how that therapy works but also how it affects health related quality of life (HRQOL). Botulinum Toxin A(BoNT-A) therapy for upper limb spasticity management in children with hemiplegic cerebral palsy(CP) is currently under trial. Despite its use for over a decade for lower limb spasticity, little is known about the mechanisms involved in improving motor function and the effect on the child and their familys HRQOL. Both central and peripheral mechanisms are hypothesised[1]. Whilst evidence of improved quality of movement and ability to perform tasks is emerging[2-4], this cannot be directly correlated with an improvement in HRQOL. In addition, the traditional method of assessing child HRQOL by parent proxy reports has come under question[5, 6]. The World Health Organisation now recommends the collection of both parent proxy and child self-reports[7]. Aims: 1. Investigate the corticomotor projections to the upper limb in school aged children with hemiplegic CP and the changes that occur with BoNT-A therapy by transcranial magnetic stimulation (TMS). 2. Investigate the effect of upper limb BoNT-A therapy on HRQOL of school aged children with hemiplegic CP by completion of the PedsQL 4.0 Generic Core Scales and 3.0 CP Module. 3. Determine the concordance between Child Self-Report and Parent Proxy Report scores for the PedsQL 4.0 Generic Core Scales and 3.0 CP Module. 4. Determine the concordance between PedsQL scores and function as assessed by the Melbourne Assessment of Unilateral Upper Limb Function (MUUL). Methods: Design: Prospective randomised pilot study. Setting: Department of Paediatric Rehabilitation, Princess Margaret Hospital, and Centre for Neurological and Neuromuscular Disorders, Perth. Participants: 22 school aged children with hemiplegic CP aged 7yr 0mth-13yr 11mth (12 treatment, 10 control). 3 Treatment: One episode BoNT-A injections (dose 1-2U/kg/muscle) into the upper limb for treatment group. The control group received usual care. ... Conclusion: This pilot study provides preliminary evidence of the effects of upper limb BoNT-A therapy at both a central physiological and a broader quality of life level in school aged children with hemiplegic CP. At a central level, corticomotor pathway reorganisation occurs in the setting of BoNT-A. However the reorganisation is not limited to the affected side pathways suggesting a systemic BoNT-A effect or developmental changes. Similarly, in this pilot study, there was no statistically significant effect of upper limb BoNT-A on the childs HRQOL as assessed by the PedsQL although positive trends were observed 4 for a number of physical and psychosocial domains. The collection of both child self-report and parent proxy reports when assessing HRQOL is recommended, and function needs to be assessed independently. Larger studies across the broader CP population, the design of CP specific HRQOL tools appropriate for use in the higher functioning CP cohort, and alternative better tolerated methods of investigating the motor system in children with movement disorders are recommended.
4
Elliott, Catherine. "Efficacy of lycra arm splints : an international classification of functioning disability and health approach". University of Western Australia. School of Human Movement and Exercise Science, 2005. http://theses.library.uwa.edu.au/adt-WU2006.0017.
Testo completoAbstract (sommario):
[Truncated abstract] This thesis consists of five experimental studies from seven data collection periods. The first two studies quantitatively analyse children with and without cerebral palsy using upper limb three dimensional (3D) motion analysis. Upper limb angular kinematics and sub-structures were measured and analysed, both of which were utilised during subsequent studies. The final three studies assess the efficacy of lycra® arm splints using clinical assessments, 3D dimensional upper limb kinematics and 3D sub-structures. Study 1 analysed 3D movement sub-structures in children with and without cerebral palsy ... The aim of the study was to quantitatively analyse movement sub-structures in children with and without cerebral palsy during four functional tasks taken from the Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment - Randall, Johnson & Reddihough, 1999) ... Results demonstrated significant differences in angular kinematics in children with and without cerebral palsy, while the methodology developed in this study provided improved insight into the movement of the upper limb and trunk during functional tasks. Study 3 reported a randomised controlled trial of lycra® arm splints in children with cerebral palsy across all levels of the International Classification of Functioning Disability and Health (ICF) ... Lycra® arm splints were shown to have a statistically significant impact at the level of participation, whereas no significant difference was seen at the level of impairment and activity. Study 4 reported a randomised controlled trial of the effects of lycra® arm splints on 3D movement sub-structures during functional tasks in children with cerebral palsy ... This research demonstrated that movement sub-structures (including movement time) can be quantified and are amenable to change with intervention. Study 5 reported a randomised controlled trial of the effects of lycra® arm splints on angular kinematics (thorax, shoulder and elbow) during functional tasks in children with cerebral palsy ... The benefits of the splint on angular kinematics were only apparent when worn for the 3 month period, as minimum evidence was established for the short-term (1hour) and long term (3 month post splint wear) carry-over effects.
5
Dallas, Eugenie Alice. "Sibling interactions in cerebral palsied children". Thesis, University of Surrey, 1989. http://epubs.surrey.ac.uk/847347/.
Testo completoAbstract (sommario):
64 Greek cerebral palsied children, aged 2 to 13, and their siblings were observed in a semi-structured play situation at home and their behaviours were compared to those of matched control dyads. The sample was divided into four groups based on the age and birth order of the disabled children. Compared to controls, disabled children were passive and lacking in assertiveness. Their siblings were correspondingly more directive, with younger siblings being obliged to take on a leadership role to fill the "vacuum" created by the deficits of the older disabled child. Interaction in handicap dyads was predominantly hierarchical in nature with disabled children assuming the role of the younger child regardless of their birth order. Control dyads were more egalitarian, with members taking turns in initiating the interaction. Maternal intervention was highest in handicap dyads, particularly among younger groups where social skills were poorly developed. Maternal interviews and adjustment ratings for all children were also obtained. Compared to controls, handicap families experienced pronounced social isolation and a restricted range of activities and the impact of the disabled child was largely negatively evaluated. Ratings of poor adjustment were higher for disabled children but this was at least partly attributable to their physical dependence. Ratings were similar for young siblings but, after the age of 6, 40% of siblings of disabled children versus 18% of controls were rated maladjusted. This was probably due to the fact that, compared with controls, siblings of the disabled experienced many more restrictions and responsibilities, but might also be due to the older siblings' increased awareness of the social stigma of handicap. Finally, teacher ratings and observational data from a special school setting were obtained for a small sample (N=14) of matched cerebral palsied siblings and singletons. Results provided some indications of better adjustment for siblings and lower involvement for singletons.
6
Davies, Kim. "The integration of cerebral palsied children into regular schools /". Title page, table of contents and abstract only, 1987. http://web4.library.adelaide.edu.au/theses/09P/09pd256.pdf.
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7
Russell, Siabhainn C. "From coherence to fragmentation : 'transition policy' affecting young people with cerebral palsy in Scotland". Thesis, University of Aberdeen, 2018. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=238593.
Testo completoAbstract (sommario):
Young people with disabilities face a time of great stress as they move from child to adult care, which profoundly impacts them and their families. They 'transition' from very high and cohering levels of care, until they reach a point, determined by age, when they are receiving low levels of far less cohesive care. Further, the propensity shown by the Scottish Government to devolve down the responsibility for service and local policy delivery, can lead to unforeseen consequences resulting in variation in experiences. Does this devolution of responsibility, to local bodies and service users, produce a valuable personalisation of delivery or a worrying 'postcode lottery'? I draw on policy concepts to examine these two expectations:- 'street level bureaucracy' and the 'personalisation' agenda highlight the potential for discretion, learning and transfer, and accountability theory, highlight the potential to cooperate or conform to the same basic standards. I examine the case of young disabled people in Scotland moving from child orientated to adult care to show, through semi-structured interviews and documentary analysis, that there is some cooperation between various professions, but they make sense of policy from different perspectives. I found that, while broad parameters set by the Scottish Government were adhered to, council and health board protocols often varied, meaning that, in some cases, a house address number dictates the level of service delivered. The research is particularly important and timely in that it focuses on Scotland, is cross-professional in focus, has profound social implications and contributes to knowledge in placing 'transition' in the context of public policy theory. It confirms the importance of street level bureaucracy in a new context but, unexpectedly, I found that professionals would welcome increased accountability and outcome measurement.
8
Yu, Ka-man Karen. "Voice onset time production of affricates in cerebral palsied children". Click to view the E-thesis via HKUTO, 1996. http://sunzi.lib.hku.hk/hkuto/record/B36209387.
Testo completoAbstract (sommario):
Thesis (B.Sc)--University of Hong Kong, 1996."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, April 29, 1996." Also available in print.
9
Novak, Iona. "Effectiveness of occupational therapy home program intervention for children with cerebral palsy a double blind randomised controlled trial /". View thesis, 2009. http://handle.uws.edu.au:8081/1959.7/38884.
Testo completoAbstract (sommario):
Thesis (Ph.D.)--University of Western Sydney, 2009.A thesis presented to the University of Western Sydney, College of Health and Science, School of Biomedical and Health Sciences, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.
10
Leung, Yuen-ping Eva. "The effectiveness of strength-focused mutual support group for caretakers of children with cerebral palsy". Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B41715238.
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11
Harvey, Adrienne Ruth. "The functional mobility scale for children with cerebral palsy : reliability and validity /". Connect to thesis, 2008. http://repository.unimelb.edu.au/10187/2310.
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Du, Yanlin Rennan. "Oral health of preschool children with and without cerebral palsy". Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B44173520.
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13
Johnson, David L. "Midthigh adipose tissue infiltration in children with cerebral palsy". Access to citation, abstract and download form provided by ProQuest Information and Learning Company; downloadable PDF file, 56 p, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:1440591.
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Morris, Christopher. "The effect of disability on children with cerebral palsy and their families". Thesis, University of Oxford, 2005. http://ora.ox.ac.uk/objects/uuid:299406e6-9b6b-4ffe-9969-d9a84c8b8f66.
Testo completoAbstract (sommario):
Objectives: To describe the 'activities and participation' of children with cerebral palsy, as defined by the International Classification of Functioning, Disability and Health (ICF), using family-assessed instruments. Methods: A structured review of family assessed instruments appropriate for measuring children's activities and participation was undertaken to identify questionnaires for use in a postal survey. The survey involved a geographically-defined population of children with cerebral palsy between 6 and 12 years old, identified from the 4Child database in Oxford. Indices of children's 'activities and participation' were families' assessment of the Gross Motor Function (GMFCS) and Manual Ability (MACS) Classification Systems, the Activities Scale for Kids (ASK) and Lifestyle Assessment Questionnaire (LAQ-CP). To determine the reliability of families' assessments their classifications of the GMFCS and MACS were compared to ratings made professionals; the response frequencies and internal consistency of the ASK and LAQ-CP scales were also examined. Details of children's impairments and abilities were then used as explanatory variables in multiple regression analyses to identify the effect of disability on children's activities and participation. Results: Families of 129/314 (41%) of the children fully participated in the survey and 175/314 (56%) provided a classification using the GMFCS. These children did not differ from children who did not take part by age, gender or characteristics of their cerebral palsy and associated impairments. Although there was not always perfect agreement the families' classifications of children's movement and manual abilities using the GMFCS and MACS were highly reliable compared to those of health professionals (ICC>0.9). Analysis of the ASK and LAQ-CP showed these also to be reliable. Scores for the ASK and LAQ-CP were generally best predicted by children movement, manual and intellectual disability. Conclusions: Family assessment of children's movement and manual abilities using the GMFCS and MACS was highly reliable compared to health professionals. In concordance with similar studies that used professionally-assessed measures, children's activities and participation were most adversely affected by movement, manual and intellectual disabilities. Family assessment offers a highly reliable method for measuring activities and participation; however currently available instruments do not fully represent all the domains in the ICF.
15
Reid, Siobhan Louise. "Outcomes of an upper limb eccentric strength-training programme for adolescents with cerebral palsy". University of Western Australia. School of Human Movement and Exercise Science, 2007. http://theses.library.uwa.edu.au/adt-WU2008.0016.
Testo completoAbstract (sommario):
[Truncated abstract] Cerebral palsy is the most common physical disability in childhood (Reddihough & Collins, 2003). The most characteristic features of those with cerebral palsy are the physical disabilities that arise as a result of the brain lesion, including; spasticity, muscle weakness and atrophy, soft-tissue contracture and joint deformity. Strength training for young people with cerebral palsy aims to negate the debilitating effects of muscle weakness and improve function. Research need now be dedicated to investigating the mechanisms of strength-training, in an effort to optimise training routines and the prescription of strengthening protocols. The principal goal of the present research was to investigate the impact of eccentric strength training. A novel eccentrically based exercise intervention for the upper limb was implemented to ascertain the benefits on: (i) isokinetic torque development, (ii) the length-tension relationship of muscle (iii) EMG activity, (iv) 3D movement kinematics and (v) psychosocial benefits for children and their families. The analysis of changes in movement kinematics required the development of a reliable and repeatable upper limb 3D biomechanical model for clinical use, constituting chapter three of this thesis. ... This paper advocates the inclusion of measures of work/bodymass and width of the torque-angle relationship as important determinates of the functional integrity of muscle, and the use of EMG activation patterns to characterise neuromuscular mechanisms of training induced changes. The sixth paper aims to determine the effects of the eccentric training programme on upper limb 3D kinematics during functional tasks and to determine if these improvements were also evident on the Melbourne Assessment. Little change was evident in upper arm kinematics following the short-term eccentric training programme, however there was evidence in support of a decrease in compensatory movements at the thorax. The Melbourne Assessment failed to detect any significant changes in performance of functional upper limb tasks following the training programme. The results suggest that 3D kinematic analysis of upper body movement is a sensitive tool for the assessment of interventions for pathological populations. The aim of the seventh paper presented within this body of work was to ascertain the psychosocial outcomes for children with cerebral palsy and their families following the eccentric training programme. This study identified four main themes in the parent and participant responses to the programme; changes in physical health, psychosocial health, changes in activity and participation, and the impact of the psychosocial health of the child on the family were important to participants and their families. This paper reinforces the multi-dimensional nature of the benefits of strength-training, and advocates the assessment of interventions from perspective of the ICF (WHO, 2001). This work has established the reliability of an upper limb 3D biomechanical model for clinical use, and determined the neuromuscular, kinematic, functional and psychosocial outcomes of an upper limb eccentric training programme for adolescents with cerebral palsy and their families.
16
Lai, Cheng-hsiu. "An exploration of temperament among Taiwanese children with mild cerebral palsy /". Digital version accessible at:, 1998. http://wwwlib.umi.com/cr/utexas/main.
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梁婉萍 e Yuen-ping Eva Leung. "The effectiveness of strength-focused mutual support group for caretakers of children with cerebral palsy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B41715238.
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Sandberg, Annika Dahlgren. "Literacy abilities in nonvocal children with cerebral palsy". Göteborg : Dept. of Psychology, Göteborg University, 1996. http://catalog.hathitrust.org/api/volumes/oclc/38956224.html.
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Novak, Iona. "Effectiveness of occupational therapy home program intervention for children with cerebral palsy : a double blind randomised controlled trial". Thesis, View thesis, 2009. http://handle.uws.edu.au:8081/1959.7/38884.
Testo completoAbstract (sommario):
Home programs are widely used by occupational therapists as a strategy to address health and development needs of children with cerebral palsy. Experts believe they are essential. Despite wide-spread clinical use there is no high quality research evidence proving home program effectiveness. Further there is no information that provides a parent perspective on home programs. The aim of this research was to evaluate the effectiveness of occupational therapy home program intervention for school-aged children with cerebral palsy and identify factors perceived to be important in home program practice from a parent perspective. A double blind randomised controlled trial design was used to evaluate effectiveness, where parents and evaluators were blinded to intervention. Children were randomised to three groups, home program intervention for eight weeks (“8WEEKS”), home program intervention for four weeks (“4WEEKS”), and a control group, that did not receive home program intervention (“NoHP”). The primary end-point was change in performance of functional activities and satisfaction with function as measured by the Canadian Occupational Performance Measure (COPM), after eight weeks. Secondary endpoints were change in COPM scores after four weeks, goal achievement at four and eight weeks as measured by Goal Attainment Scale (GAS), quality of arm movement at four and eight weeks measured on the Quality of Upper Extremity Skills Test (QUEST) and participation levels at four and eight weeks measured on the Children’s Assessment of Participation and Enjoyment (CAPE). Parent experience was explored through semistructured interviews of parents who participated in the home program trial. Content analysis of interview data was conducted to the level of “open coding” to identify factors. Results for the primary outcome measure at the primary end point (eight weeks) - Effect of an 8WEEK or 4WEEK home program on COPM scores: comparison between the three groups was conducted using a linear regression model with baseline COPM performance/satisfaction scores, participant age and severity of cerebral palsy as measured by the GMFCS entered into the model as covariates. Overall, there were statistically significant and clinically important differences in performance of activities and satisfaction with function on COPM when comparing either home program group to the NoHP group at eight weeks. There was no difference between 4WEEKS versus 8WEEKS on COPM performance or satisfaction scores at eight weeks. Results on secondary outcome measures: compared to NoHP, receiving a home program for either 4WEEKs or 8WEEKs increased COPM performance scores and GAS measures at four weeks, and increased COPM performance and satisfaction scores, GAS measures, and QUEST scores at eight weeks. There were no differences within or between groups on the CAPE at either four week or eight weeks. There were no statistically significant between-group differences between the 4WEEK and 8WEEK home program groups on any secondary outcome measures. This was most likely the result of a protocol implementation flaw that occurred in the study where 4WEEK group participants continued program activity for the final four weeks when they should have suspended it. Parents perceived their experience of implementing home programs as
characterised by five features: 'guidance for the journey', practice makes perfect, they were a necessary 'way of life', they maximised progress and something that made it easier to juggle competing demands. Positive home program experiences were characterised by: support, realistic expectations, flexibility, motivation from goals, activities that translated to real-life, reminders to practice, progress updates and role clarity. Parents advised other parents to: accept the disability, never refuse help, be honest, consider home programs essential, develop routines and view programs as a way of improving the child and parents’ life. No negative experiences were reported. Parents advised professionals that they wanted: support, interdisciplinary co-ordination of programs, advice without pressure and prognostic guidance for future planning. This dissertation presents new information about occupational therapy home programs. Until this study, there was little research evidence to inform therapist or parent decision-making regarding the therapeutic value of home programs or the parent perspective on home programs. Findings from this dissertation can inform clinical practice and parent decisions regarding the use of home program interventions for children with cerebral palsy.
20
Hudson, Pauline Carole. "An evaluation of the management of tendoachilles shortening in cerebral palsied children". Thesis, University of Salford, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365967.
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Novak, Iona E. "The effect of a standardised occupational therapy home program for children with spastic hemiplegic cerebral palsy". View thesis, 2004. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20050615.162942/index.html.
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Clayton, Kellie. "The behavioural responses of children with cerebral palsy to tactile stimuli /". [St. Lucia, Qld], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18260.pdf.
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Liebich, Ingrid. "Hyperbaric oxygen therapy for children with cerebral palsy : Jebsen-Taylor test of hand function". Thesis, McGill University, 2001. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=31117.
Testo completoAbstract (sommario):
Despite lack of scientific evidence, hyperbaric oxygen therapy (HBO2) has been used as a treatment for children with cerebral palsy (CP). Recently, a multi-centre randomised, double-blind, placebo-controlled trial assessed the efficacy of HBO2 therapy for children with CP. Using the same cohort, the purpose of this study was to examine the effectiveness of HBO2 therapy on hand function using the Jebsen-Taylor test. All children received 40 treatments over a 2-month period. HBO2 treatments were 60 minutes with 100% O2 at 1.75 atmospheres absolute (ATA). Placebo treatments were also 60 minutes with air (21% O2) at 1.3 ATA. Seventy-eight children with CP, aged 3--12 years completed pre and post hand function assessments. Hand function was evaluated using one quantitative measure (time) and three qualitative measures. There were no significant changes between baseline and follow-up tests for any of the measures, although both experimental and control groups improved ( p = 0.08) their total times for the Jebsen test. The HBO2 group improved by 54.5 seconds (8.8%) while the placebo group improved by 47.8 seconds (7.7%). The results indicate that HBO2 therapy did not enhance the hand function of children with CP.
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Dupuis, Christine Angela. "A biomechanical comparison of two seating systems for moderately involved cerebral-palsied children /". Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66156.
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Lai, Chau-kun May. "The help-seeking behaviour of parents of children with cerebral palsy /". [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13417514.
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Wiley, Rachel. "Psychological Correlates of Quality of Life of Children and Adolescents with Cerebral Palsy". Honors in the Major Thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1012.
Testo completoAbstract (sommario):
This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.Bachelors
Arts and Sciences
Psychology
27
Scheffler, Grit. "The potential of transcranial direct current stimulation to facilitate motor learning in children and young people with hemiplegic cerebral palsy". Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=201982.
Testo completoAbstract (sommario):
Transcranial direct current stimulation (tDCS) is a non-invasive stimulation technique that modulates brain function by increasing or decreasing cortical excitability (Nitsche & Paulus, 2001). In chronic stroke patients tDCS has been shown to improve function of the affected arm when combined with rehabilitative motor training (e.g. Lindenberg et al., 2010) and thus has the potential to accelerate motor learning. Its potential as a treatment for upper limb function in hemiplegic cerebral palsy (CP) had not been explored, which was the principle aim of this doctorate. After literature reviews on CP and tDCS (Chapter 1) feasibility work in healthy subjects was conducted to develop and validate the experimental procedures (Chapters 2 to 5). Chapter 2 examined whether tDCS improved motor performance of the non-preferred hand in healthy right-handed adults. The sophisticated kinematic outcome measures detected changes in performance due to learning, but no effect of tDCS was found. In Chapter 3, a novel motor learning task was developed and validated in healthy children and adolescents. This task was added to the study protocol and using a revised study design tDCS was found again to have no benefit on either motor performance or motor learning in healthy adults (Chapter 4). Tolerability, perception and acceptance of electrical stimulation were explored in Chapters 5 and 6, with the former showing that tDCS was well tolerated by healthy adults. Using a qualitative research methodology Chapter 6 established that teenagers with CP and their parents had concerns over the application of electricity on the scalp and how little is currently known of tDCS effects in CP. In Chapter 7, tDCS was applied to a teenager with hemiplegic CP with no clear beneficial effects. Finally, the contribution of this doctoral work with regard to the use of tDCS for the rehabilitation of motor function in CP is discussed in Chapter 8.
28
Udwin, Orlee. "An evaluation of alternative and augmentative systems of communication taught to nonverbal cerebral palsied children". Thesis, King's College London (University of London), 1986. https://kclpure.kcl.ac.uk/portal/en/theses/an-evaluation-of-alternative-and-augmentative-systems-of-communication-taught-to-nonverbal-cerebral-palsied-children(80a35fe5-4f62-4680-a279-6767c843b469).html.
Testo completo
29
DeLacy, Michael. "Postural muscle activation timing in children with and without cerebral palsy /". [St. Lucia, Qld.], 2005. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19973.pdf.
Testo completo
30
Casady, Renee Lynn. "The Effect of Hippotherapy on Ten Children with Cerebral Palsy". The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1363620240.
Testo completo
31
Bell, Kristie L. "Energy expenditure, physical activity and body composition of children with cerebral palsy /". [St. Lucia, Qld.], 2004. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe18505.pdf.
Testo completo
32
Du, Yanlin Rennan, e 杜妍霖. "Oral health of preschool children with and without cerebral palsy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B44173520.
Testo completo
33
Bachlet, Allison M. E. "Nutritional assessment and intervention in children with severe neurological disabilities". Thesis, University of Oxford, 2003. http://ora.ox.ac.uk/objects/uuid:35d74255-e6c4-4ba5-b881-4ddf3cb23aee.
Testo completoAbstract (sommario):
Providing adequate nutrition to children with severe neurological disabilities is extremely difficult due to the high prevalence of oral-motor dysfunction in this group. Short stature and light weight for height are common in disabled children and undernutrition is believed to play a role in this poor growth. This programme of study investigated the effect of gastrostomy-tube feeding in disabled children with oral-motor dysfunction and evaluated the energy balance and body composition of disabled children fed both orally and via gastrostomy-tube over twelve months. The Quality of Life of the children and their carers was also evaluated. Energy intake was measured using three-day dietary diaries and energy expenditure with indirect calorimetry and doubly labelled water. Total body water using oxygen-18 dilution was used to evaluate body composition along with standard anthropometry. Improved growth, nutritional status and general health were seen at six and twelve months after gastrostomy-tube placement. The Quality of Life of the children and their carers also significantly increased. Both energy intake and energy expenditure were found to be lower than reference standards, but energy balance was positive indicating that inadequate nutrition was not the sole cause of poor growth. Body composition was also found to be significantly different from reference. Fat-free mass was significantly low for age and for height. Fat mass was higher in gastrostomy-tube fed children, but lower or normal in disabled children fed orally. Physical activity levels were low for the entire group of disabled children yet the gastrostomy-tube fed children displayed much higher levels of disability. Gastrostomy-tube feeding has a positive impact upon the growth, health and Quality of Life of disabled children and their carers. Careful follow-up is critical in order to optimize health and body composition.
34
Falkmer, Torbjörn. "Transport mobility for children and adolescents with cerebral palsy (CP) /". Linköping : Univ, 2001. http://www.bibl.liu.se/liupubl/disp/disp2001/med672s.pdf.
Testo completo
35
Capio, Catherine Mamaid. "The relationship between fundamental movement skills and physical activity in children with and without cerebral palsy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B49617618.
Testo completoAbstract (sommario):
Previous research has shown that fundamental movement skills (FMS) proficiency influences physical activity (PA) in children, such that those who are more proficient tend to be more active. Sufficient PA engagement in childhood has been associated with positive health outcomes, but little is known about PA levels in children with disabilities. Children with cerebral palsy (CP) represent the largest diagnostic group in pediatric rehabilitation. In one systematic review and six studies, FMS proficiency and PA levels among children with CP were measured, analyzed, and compared with typically developing children. The lack of a valid objective PA measurement method for children with CP was determined in the systematic review, and the first study (Chapter 2) validated the Actigraph accelerometer as a valid objective PA measurement instrument in this population group. FMS measurement in children with CP was addressed in the second study (Chapter 3), which showed that process-and product-oriented measurement are both important in characterizing FMS proficiency in a holistic manner. With the said measurement techniques validated, the third study (Chapter 4) utilized a cross- sectional study design to examine FMS proficiency and PA in children with and without CP. It was found that children were less active and more sedentary during weekends than weekdays. FMS proficiency was negatively associated with sedentary time and positively associated with time spent in moderate to vigorous PA in both groups of children. Process-oriented FMS measures were found to have a stronger influence on PA in children with CP than in typically developing children. With the intention to examine these relationships in a cause-effect study design, a theoretical model for FMS training programs was tested in children with and without disabilities in the fourth and fifth studies (Chapter 5). A movement training approach that minimized the amount of practice errors was found to facilitate improvements in FMS proficiency. This approach was then utilized in the sixth study (Chapter 6), wherein the relationship of FMS proficiency and PA were examined in a quasi-experimental design. It was found that by training FMS, weekend PA was heightened and weekend sedentary time was decreased among children with CP. In comparison, typically developing children manifested decreased weekend sedentary time after FMS training. The findings from these studies contribute to understanding the measurement of FMS and PA in children with CP, the implementation of FMS training in children in general, and the relationship between FMS and PA in children with and without disabilities.published_or_final_version
Human Performance
Doctoral
Doctor of Philosophy
36
Leung, Wai-yee Winnie. "The meaning of stress and coping to parents of spastic children". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B29727339.
Testo completo
37
Irochu-Omare, Margaret Helen. "Parent/caregiver satisfaction with physiotherapy services for children with cerebral palsy: an explorative qualitative study at the cerebral palsy clinic in Mulago Hospital, Kampala, Uganda". Thesis, University of the Western Cape, 2004. http://hdl.handle.net/11394/1527.
Testo completoAbstract (sommario):
Magister Scientiae (Physiotherapy) - MSc(Physio)The extent to which customers are satified with the care they receive from the health professionals has been an important area of interest for researchers, managers and health care workers. The physiotherapy cerebral palsy clinic at Mulago Hospital in Kampala Uganda provides physiotherapy services for parents caregivers of children with cerebral palsy. The parents caregivers visit the clinic seeking physiotherapy services that will address their problems and those of the child. The purpose of this study was to explore the satisfaction that the parents caregivers of children with cerebral palsy get from utilising the physiotherapy services at the clinic and to identify the barriers problems that they encounter that might affect their attendance.
South Africa
38
Boonyong, Sujitra 1973. "Development of postural control during gait in typically developing children and children with cerebral palsy: The effects of dual task conditions". Thesis, University of Oregon, 2010. http://hdl.handle.net/1794/10564.
Testo completoAbstract (sommario):
xiii, 103 p. : ill. A print copy of this thesis is available through the UO Libraries. Search the library catalog for the location and call number.The purpose of this dissertation was (1) to investigate the effects of dual task conditions on the development of postural control during gait in typically developing children while walking and obstacle crossing, and (2) to investigate the attentional requirements of gait in children with cerebral palsy (CP). Forty younger and older typically developing (YTD and OTD) children and 10 children with CP performed a gait task with and without a concurrently auditory Stroop task. Gait and cognitive performance were measured. In study 1, dual task interference with gait performance was found in YTD and OTD children, but not in healthy young adults (HYA). In general, gait performance decrements under dual task contexts were greater in YTD than OTD children, whereas cognitive performance decrements during dual tasking were not different between the two groups of children. Dual task interference was lowest in HYA and highest in YTD children when compared among groups. As the difficulty of the gait task was increased, dual task affects on cognitive performance were now found in YTD and OTD children, but not HYA. In study 2, there were significant differences in dual task interference affecting gait performance in all groups of children. When performing the gait task with a concurrent auditory Stroop task, OTD children showed greater dual-task costs than children with CP for accuracy, but children with CP demonstrated greater dual-task costs than OTD and YTD children for medial Center of Mass-Ankle-joint-center inclination angle. This increased medio-lateral inclination angle in dual task situations has also been seen in older adults with balance deficits and may be associated with an increased risk for falls. YTD children showed dual-task costs in a slowing of gait velocity and stride time, a safer strategy than that used by children with CP. The lower cognitive performance during dual tasking for OTD children suggests that they allocate greater attention to maintain gait stability, whereas YTD children and children with CP do not. In addition, children with CP use a behavior that may increase their risk of falls in complex environments. This dissertation includes unpublished co-authored material.
Committee in charge: Marjorie Woollacott, Chairperson, Human Physiology; Paul van Donkelaar, Member, Human Physiology; Li-Shan Chou, Member, Human Physiology; Paul Dassonville, Outside Member, Psychology
39
Fox, Cynthia Marie. "Intensive voice treatment for children with spastic cerebral palsy". Diss., The University of Arizona, 2002. http://hdl.handle.net/10150/280175.
Testo completoAbstract (sommario):
Purpose. The purpose of this study was to examine the effects of an intensive speech treatment for children with spastic cerebral palsy (CP). Background. Children with spastic CP have speech and voice disorders, which may limit functional communication and negatively impact quality of life. There are limited published outcome data on speech treatment approaches for these children. Recent advances in theories of motor development and behavioral gait and limb treatment provide a solid framework (consistent with theories of motor learning) from which to test different speech treatment concepts (e.g., intensive treatment, high effort exercises, repeated practice trials, and sensory augmentation/sensory awareness training) in children with spastic CP. Method. A multiple baseline single-subject design with replication across participants (five children with spastic CP) was used. Acoustic measures related to voice functioning, auditory-perceptual analysis of speech samples, and perceptual ratings by parents of participants in this study were obtained from baseline, post-treatment, and 6 week follow-up data recording sessions. Results. The four participants who received treatment demonstrated a marked change in performance on one or more of the acoustic measures and there were strong listener preferences for the treated speech samples (post-treatment or follow-up sessions) over baseline samples for most perceptual characteristics rated. In addition, parents of these four participants reported improved perceptions on two or more voice, speech, or communication characteristics following treatment, and all had an overall favorable impression of their child's treatment outcome and of the treatment approach used. No changes were observed in the one participant with CP who did not receive treatment. Conclusions. These findings suggest that in these four participants with CP, intensive speech treatment changed the output of the speech motor system in a manner that listeners preferred over baseline speech samples. In addition, this positive effect was maintained in nearly all cases 6 weeks after the conclusion of treatment. These findings are consistent with those in limb and gait treatment literature, thus highlighting potential key treatment concepts to consider in behavioral treatment for children with spastic CP.
40
Lai, Chau-kun May, e 賴秋勤. "The help-seeking behaviour of parents of children with cerebral palsy". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31249255.
Testo completo
41
Boucher, George Philip. "A biomechanical analysis of the prolonged effects on functional paramenters [sic] of a test seating system for moderately involved cerebral palsied children /". Thesis, McGill University, 1986. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66211.
Testo completo
42
Yudkin, Patricia L. N. "Consequences of birth asphyxia". Thesis, University of Oxford, 1993. http://ora.ox.ac.uk/objects/uuid:d1bc3e23-8a51-4c7b-a0cd-e76f7b5aaa89.
Testo completoAbstract (sommario):
To investigate the relationship between birth asphyxia and neurological impairment a cohort of 184 infants with a low (≤3) one-minute Apgar score was studied. All were singletons, apparently normally formed, and born at term (≥37 weeks' gestation) in the John Radcliffe Hospital, between January 1984 and September 1985. The 181 cohort survivors were traced at the age of five years; 159 were assessed by a paediatrician on a battery of neurodevelopmental tests, and information about a further eight was obtained from other sources. Three infants in the cohort died neonatally with a diagnosis of birth asphyxia, and three had spastic quadriplegia, profound developmental delay and visual impairment. Examination of the perinatal histories of these six children, including their fetal heart rate patterns in labour and acid-base status at delivery, found convincing evidence of birth asphyxia. Only one other child in the cohort exhibited similar signs of birth asphyxia; he was unimpaired at the age of five. To assess the impact of birth asphyxia on the overall rate of cerebral palsy, all cases of cerebral palsy born to Oxford residents in the study period were identified. Of 30 cases of cerebral palsy, the three identified in the follow-up study were the only ones whose impairment could be attributed to birth asphyxia in a full-term birth. Birth asphyxia therefore accounted for 10% of all cases of cerebral palsy, a fraction that agrees with previous estimates. The frequency of cerebral palsy due to birth asphyxia was estimated as 1 in 3800 full-term livebirths. A detailed analysis of the test scores of the 159 children assessed by the paediatrician failed to show any association between their acid-base values at delivery and test scores, or between their fetal heart rate patterns in labour and test scores. These results conform with the view that birth asphyxia has an "all or nothing" effect, and that it presents as a cluster of abnormal neonatal signs, including persistent cerebral depression, severe acidaemia, neonatal encephalopathy, and multiorgan dysfunction.
43
Al-Amri, Mohammad. "A virtual reality based gait rehabilitation system for children with cerebral palsy". Thesis, University of Surrey, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.580341.
Testo completoAbstract (sommario):
Cerebral Palsy (CP) refers to a motor disorder that affects approximately one in every 400 live births in the UK. Living with CP can be challenging for both patients and their families. There are a range of established approaches used by physiotherapists to improve motor capacity in children with CP. Staffing and space allocation, however, can limit the number of rehabilitation sessions that can be offered. Treadmill training has been suggested as one approach to address some of these limitations. Walking using a treadmill can maintain or improve movement function, yet questions remain over the effectiveness of the programme and how to maintain motivation on the part of the child. The inclusion of a virtual reality (VR) environment into training is a possible approach to engage children who might otherwise lack the motivation needed to undertake rehabilitation. VR based lower extremity rehabilitation to improve standing (balance) and walking (gait) skills has been shown to be relevant for patients post stroke. VR has also been noted to help children with CP increase their self- confidence and motivation, resulting in improvements of upper extremity function. The potential for VR based lower extremity rehabilitation for CP has also been reported. It has been suggested, however, that most VR systems are not designed with rehabilitation in mind. Some have been designed specifically for use in rehabilitation, but these can be expensive which has limited their use. Consequently, VR based rehabilitation, particularly for gait assist, has not been reported or investigated in detail. The overall aim of the present work was to develop, design, and investigate the practicality of a virtual rehabilitation system (the Surrey Virtual Reality System - SVRS) suitable for routine clinical use in gait re-education for children with CP. For this work, the practicality evaluation was directed at: satisfaction (how enjoyable is it to use the SVRS); comfort (how easy is it for users to complete tasks, once they have learned the system); safety (how safe is it to use the equipment and what are side effects of using the system); and to some extent utility (to what extent the selected scenarios will benefit the rehabilitation of children with CP effectively). Therefore, pilot game scenarios were developed for training in balance and treadmill based walking. A Real-time Treadmill Speed Control Algorithm was developed as part of the SVRS, which may provide a more immersed and realistic treadmill training. The performance and the 3D presentation quality of the SVRS were first evaluated in 13 young able-bodied using questionnaires. The overall results were positive and showed that the SVRS provided safe and visually acceptable virtual training environments. The statistical results suggest that self selected 'slow' and 'normal' speeds were significantly higher when using the RTSCA. This may suggest that they walked more naturally or confidently on the treadmill when using the RTSCA as compared to the use of conventional treadmill speed control buttons. To investigate the 'practicality' of the SVRS in a clinical situation; three clinicians and two children with CP used it, the latter observed by their parent/guardian and a treating physiotherapist. Feedback was collected using both questionnaires and an open-discussion. The overall results show that the SVRS appears practical for rehabilitation purposes and the children with CP and the other able-bodied participants used the RTSCA safely. Further modification is required in the future research that should focus on formally examining the clinical effectiveness of the SVRS in children with CP. For example, providing a mechanism for clinicians to alter the virtual environment should be considered in order to meet the specific rehabilitation aims for patients.
44
Yap, Rita. "Determinants of responsiveness to botulinum A toxin in children with cerebral palsy". Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=98524.
Testo completoAbstract (sommario):
Botulinum A toxin (BTX) has become increasingly recognized as a treatment option in the management of spasticity in children with cerebral palsy (CP). Preliminary evidence suggests that certain baseline characteristics of the child may affect responsiveness to BTX. However, the contribution of these factors has not been fully elucidated.The primary objective of the study was to examine whether specific intrinsic and extrinsic characteristics of the child were associated with responsiveness to BTX. The results indicate that age, number of treatments, parenting stress and child's motivation were associated with the degree of change in gait pattern, level of ambulation, gross motor function and functional independence. The findings suggest that the contribution of contextual factors (personal and environmental) on responsiveness to BTX is underappreciated in children with mild CP. Identification of potential factors contributing to responsiveness to BTX will assist clinicians in identifying children who would benefit most from this procedure.
45
Cooper, Jasmine. "The determination of sensory deficits in children with hemiplegic cerebral palsy /". Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=61229.
Testo completoAbstract (sommario):
Cerebral palsy is a non-progressive disorder associated with brain injury, defect, or disease, of early onset. Emphasis is placed on the more easily observable motor deficits, with any underlying sensory deficits often being overlooked. Existing sensory assessments have either been standardized on an adult population or for a paediatric population without significant neuromotor impairment. Thus, there is a need to formulate a standardized sensory assessment battery that may be used to evaluate physically handicapped children. A review of the literature highlights the necessity to evaluate the presence and extent or sensory dysfunction in school-age hemiplegic children, using a standardized clinical sensory assessment battery, as well as somatosensory evoked potentials.A reliable sensory battery, which assesses 5 sensory modalities, was formulated and normative data for school-age children was derived. Sensory function was evaluated in 9 hemiplegic children (4-19 years) and 18 healthy age-matched controls. Significant bilateral sensory deficits were documented in hemiplegic children. Thus a sensory assessment should be an integral part of the evaluation of a child with hemiplegia.
46
Schneiberg, Dias Sheila. "Rehabilitation strategies to improve upper limb movement quality in children with cerebral palsy". Thesis, McGill University, 2009. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=66702.
Testo completoAbstract (sommario):
Children with CP are extremely heterogeneous in terms of etiology and clinical features. The diversity of symptoms among CP syndromes is a challenge for different branches of health research. Despite the efforts of many studies in examining rehabilitation strategies to improve upper limb (UL) function in children with CP, the confidence in the validity of these studies' evidence is still moderate to low. One limitation suggested is related to the type of outcomes used to measure improvement. Many are not sensitive enough to detect change (lack of responsiveness), are not age-related, and do not describe the movement quality. Movement quality concerns about movement performance or how well an activity is performed taking into reference normative data from typical populations. The assessment of movement quality in UL activities refers to the measurement of range of motion, hand trajectories, interjoint and intersegment coordination, muscle contraction patterns, and postural adjustments. The objective assessment of movement quality can be made by kinematic and kinetic analyses. The description of movement quality is important, because early brain injuries are more susceptible to 'maladaptative' plasticity, which might result in abnormal movement behaviors. The primary objective of this prospective single subject research design study was to determine the effect of two rehabilitation strategies in UL movement quality: arm constraint and trunk restraint, in the context of a modified constraint induced therapy (mCIT) and a task-oriented intervention, respectively. The UL movement quality was measured by kinematic analysis of a functional reaching task: a self-feeding simulation. Overall, the kinematic variables investigated are related to hand trajectories, arm angles and trunk forward displacement. Two clinical outcomes measuring UL movement quality were also used, the QUEST for the mCIT study, and the MelbouLes enfants avec paralysie cérébrale (PC) constituent un groupe clinique fortement hétérogène, tant au point de vue de l'étiologie que des caractéristiques cliniques. Malgré les efforts de recherche qui ont été déployés dans plusieurs études pour examiner les stratégies de réadaptation visant l'amélioration de la fonction du membre supérieur chez les enfants avec PC, il demeure que la confiance démontrée envers la validité de ces résultats est encore de modérée à faible. Une des limites notées dans la littérature est reliée au type de variables qui sont mesurées : ces variables ne seraient pas assez sensibles pour détecter des changements ou ces études ne décriraient pas la qualité du mouvement. Cette évaluation objective de la qualité de mouvement peut être réalisée par l'intermédiaire d'analyses cinématiques ou cinétiques. La description de la qualité du mouvement est considérée primordiale, puisque des lésions cérébrales en bas âge sont plus susceptibles d'amener une plasticité « maladaptative » et donc d'engendrer des mouvements anormaux.Le premier objectif de cette recherche prospective à protocoles individuels est de déterminer les effets de 2 stratégies de réadaptation visant la qualité du mouvement du membre supérieur: la contrainte du bras et la restriction du tronc, réalisées respectivement dans le contexte d'une intervention par contrainte modifiée (mCIT) et d'une intervention orientée vers la tâche. Globalement, les variables cinématiques mesurées dans ces protocoles comprennent les trajectoires de la main, les angles articulaires du bras et le déplacement du tronc vers l'avant. Deux échelles de mesure cliniques reliées à la qualité du mouvement du bras ont aussi été utilisées : le QUEST (étude mCIT) et le Melboune assessment (intervention orientée vers la tâche). Étant donné l'observation d'une grande variabilité au
47
Reilly, Dinah Sue. "Development of postural control in typically developnig children and children with cerebral palsy : the effects of dual task conditions /". view abstract or download file of text, 2005. http://www.lib.umi.com/cr/uoregon/fullcit?p3190542.
Testo completoAbstract (sommario):
Thesis (Ph. D.)--University of Oregon, 2005.Typescript. Includes vita and abstract. Includes bibliographical references (leaves 115-119). Also available for download via the World Wide Web; free to University of Oregon users.
48
Legodi, M. M. "The self-concept of adolescent learners with cerebral palsy in special schools in Limpopo Province". Thesis, University of Limpopo, 2014. http://hdl.handle.net/10386/1209.
Testo completoAbstract (sommario):
Thesis (M.Ed. (Educational Psychology)) --University of Limpopo, 2014Self-concept is a driving force, (Barongo & Nyamwange, 2013: 7) and Harter (1998: 559) pointed out that improved self-concept is an important means to enhance other desirable outcomes like, self-acceptance and academic improvement. The purpose of this study was therefore to explore the self-concept of adolescent learners with cerebral palsy in special schools in Limpopo Province, to check their level of selfconcept. The objectives of this study were to determine if cerebral palsy affects the self-concept of these learners, to measure their level of self-concept and to find out if intervention improves their self-concept. The sample was selected by means of random sampling. The Self Descriptive Questionnaire (SDQ) with nine subscales was administered to a group of participants, 65 adolescent learners with cerebral palsy, (30 males and 35 females) at the three special schools; Helena Franz, Letaba and Tšhilizini. The questionnaire was administered to the respondents twice, before and after intervention. Pre-test and post-test were done at Helena Franz Special School since it was the only high school among the three special schools catering for cerebral palsied learners in Limpopo Province. The empirical investigation revealed that the self-concept of adolescents with cerebral palsy in special schools in Limpopo Province is not negative but just leaning in the direction of the positive judgments. It further indicated that cerebral palsy affects the self-concept of the adolescent learners and that intervention has a positive impact on the self-concept of adolescent learners with cerebral palsy
49
Bailes, Amy F. "Effects of Functional Electrical Stimulation Neuroprosthesis in Children with Hemiplegic Cerebral Palsy". University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1415615294.
Testo completo
50
Johannes, Eleanor M. "Voice, disability and inclusion: a case study of biology learners with cerebral palsy". Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
Testo completoAbstract (sommario):
This study attempted to ascertain whether the under-representation of black, disadvantaged learners with cerebral palsy in biology and related careers is linked in any way to the method and content of teaching and learning in special education. In addition this study also attempted to identify and uncover the barriers that prevent learners with cerebral palsy from pursuing careers in science and technology related professions.