In the article “Muscle strength and kinetic gait pattern in children with bilateral spastic Cerebral Palsy (CP),” the study being presented asks “Is there a relation between muscle strength and kinetic gait pattern in children with bilateral spastic CP?” (Eek, M. N et al. 2009, p. 333). Because abnormal gait pattern is typically associated in people with CP, the authors wanted to test their hypothesis using three different methods (muscle strength, kinetic gait parameters, and muscle strength and gait kinetics.) Participants were recruited and identified from medical records from the gait laboratory in Gothenburg, Sweden as well as surrounding habilitation centers (Eek, M. N et al. 2009, p. 334). A total of 40 participants were used, 20 …show more content…
(Eek, M. N et al. 2009, p. 334.) Critique: The authors (Eek, M. N et al. 2009) did adequately demonstrate the need/gap in previous research for this study. (Rosenbaum et al. 2003, p.333) described a plateau in motor development around the age of seven and also deterioration in walking ability through adolescence. (Desloovere et al. 2006, p.333) reported measurements of strength to have a higher correlation with gait analysis than range of motion and spasticity. This meant that the muscle strength may have a greater influence on the gait pattern according to Desloovere. (Abel, M. F et al. 1996, p. 333) found that slow walking velocity with short stride length is common in CP children. The authors filled the gap by focusing on muscle strength and kinetic gait patterns. To fill the gap the authors needed to do more testing in plantar flexors in children with CP. The research being questioned is of theoretical significance. A hetrarchical model is being used by having participants walk on a path which uses synergies and coordination and interacting systems in the theory of motor control. The authors have designed a good study by filling the gap in previous studies. The number of participants in this study allows for more accurate data. In total 40 participants were tested. 20 bilateral spastic CP children as well as 20 typical children. None of the participants were excluded from the study. All participants could perform the full muscle
This study consisted of seventeen children with cerebral palsy (CP) that participated in an 18 week riding program which was held at a therapeutic horseback riding center in New York. This particular program used the Gross Motor Function Measure (GMFM) test which has shown great amounts of validity and reliability when assessing motor function in children with CP. Another test used was The
First, the manual muscle test (MMT) established by Daniels and Worthingham evaluates muscle strength in six stages, ranging from 0 (no muscle contraction) to 5 (able to resist strong resistance). The hip joint flexor muscle strength and knee joint extensor muscle strength on the affected side were measured, and the average of the two measurements was used in the analysis. Second, the motor age test (MAT) is based on an evaluation table in which typical motor items in normal childhood development are converted into scores. Scores are allocated to individual motor items. The score varies from 0 to 72 points (or 0–72 months), where 72 points represents the greatest motor ability. Third, Katz’s index (KI) is basic motions of daily living activity in a hospital room were evaluated at the time of initiation of exercise in a rehabilitation room. The KI evaluates whether the patient can perform the following six items, by themselves or with assistance, bathing, dressing, going to the lavatory, movement, self-control of urination and defecation, and eating meals. The evaluation is made using seven categories, from A (all items are performed independently) to G (all items need assistance), based on the number of items performed
My Bachelor’s in Exercise Science has equipped knowledge of the human anatomy and physiology, and exercise testing and prescription for people of different ages and health conditions. During my attendance at the University of Texas at Arlington, I joined the Little Mavs Movement Academy directed by Dr. Priscilla Cacola. I volunteered for a year in this program; while in the program I had the opportunity to learn about developmental coordination disorder (DCD) and how it interferes with activities of daily living and learning of
Olama, K.A., & Thabit, N.S. (2010) performed a randomized controlled trial to determine the efficacy of whole body vibration (WBV) and a designed physical therapy program versus suspension therapy and the same designed physical therapy intervention in balance control in children with hemiparetic CP. Criteria for inclusion for the study were children with hemiparesis cerebral palsy from both sexes ages 8 to 10 years old, able to understand commands given to them, able to stand and walk independently with frequent falling, and balance problems ( as confirmed by the Tilt Board Balance Test). The exclusion criteria consisted of presence of any medical condition such as vision and hearing loss, cardiac abnormalities, and musculoskeletal disorders. Children who met the criteria (n=30) were recruited from the outpatient clinic, College of Physical Therapy, Cairo University The randomization was done according to the Gross Motor Function Classification System (GMFCS). Treatment allocations were done by the selection of a closed envelope randomly selected. Parents and children were informed of the treatment allocation after the selection, procedures were explained to both of them and signed assent and consent were obtained.
The basic gait parameters most frequently used are velocity, step length, and step frequency. Many reports are concerned with pathological gait, but such data must be compared with valid normal reference data to be interpretable. The aim of this study was to compare the participant’s present reference data with basic gait parameters for normal subjects. The experiment involved one voluntary male Exercise and Sport Science student aged 20 with a history of numerous ankle injuries in the last 2 years. The participant weighs 72kg and is 1.76m tall with both legs measuring at 97cm.
conducted a study on 34 children from 3-12 years old who had bilateral spastic (32) or unilateral CP (2) to investigate the effectiveness of hippotherapy. The participants took part in forty-five minute hippotherapy sessions twice a week for an eight week period. These sessions were conducted by a registered occupational therapist (OT) who had been accredited by the American Hippotherapy Association, an assistant to lead the horse, and a volunteer sidewalker. Baseline tests for physical function were conducted prior to the intervention therapy. The participants were then tested for progress after the hippotherapy program had commenced. The measurement tests utilized were: GMFM 66, GMFM 88, and PEDI-FSS. A control group of 21 children with CP were tested and included in the study for comparison and
The Peabody developmental motor scale was designed to assess the motor skills in children from birth through 6 years of age, this assessment use six subtests that
Achievement of normal gait patterns and speed is usually the main objective of gait training. Improvement of
Because CP describes a group of neurological and physical abnormalities, people affected by the disorder may have other neurological and physical problems. CP may not be noticeable at birth. Children with CP develop predictable developmental milestones slowly because of their motor impairments, and these delays in reaching milestones are usually the first symptoms (Gale Enc). Doctors diagnose CP by checking the infant’s motor skills, looking for developmental delays, and considering the child’s medical history. Many Doctors use the Early Motor Pattern Profile (EMPP) to help in their evaluations. The EMPP indicates variations in muscle tone, reflexes, and movement and is used to identify children during the first year of life who are at risk for the development of CP. The EMPP can be done during a routine office visit. Observation and minimal handling can detect abnormal motor patterns, making it quick and inexpensive. EMPP is the beginning of evaluation and intervention (“Early” 692). CP is a neurological disorder affecting motor control. It is the most common physical disability in childhood. It is a lifelong condition that varies from person to person. It can be very mild or extremely severe. There is no known cure, and the cause is not completely understood. The four main categories of CP are spastic, athetoid, ataxic, and mixed. Spastic is stiff and difficult movement. Athetoid is involuntary and uncontrolled movement. Ataxic is a disturbed sense of balance and
Cerebral palsy (CP) is a term that encompasses a group of non-progressive syndromes of posture and motor problems next to lesions in the brain from early development (Appleton & Gupta, 2001). This disorder is caused by disturbances to the fetal or infant central nervous system (Jones, Morgan, Shelton, & Thorogood, 2007). There are two types of cerebral palsy, spastic and non spastic (Jones, Morgan, Shelton, & Thorogood, 2007). CP has a variety of signs and symptoms that coincide with other neurodegenerative disorders. The clinical signs of cerebral palsy are the following: muscle tone abnormalities, impaired motor coordination and control, dysarthria, and fine motor dysfunction. In some cases these are associated with
Cerebral palsy is a broad term used to describe a group of nonprogressive neurological disorders that impair voluntary movement (NINDS Cerebral Palsy, 2016). It is caused by malformation or damage to the brain during pregnancy or shortly after birth. The exact cause of cerebral palsy is difficult to establish, but often damage to the brain is attributed by prematurity, low birth weight, blood clotting, lack of oxygen, or stroke. Cerebral palsy may affect different areas of the brain causing varying symptoms among individuals; however, cerebral palsy always has some sort of impact on muscle coordination and movement (What is Cerebral Palsy?, 2015).
There are many prompts for college admissions and scholarships, however the question I would ask for a scholarship application is “Getting a college education is important to many people throughout the world. Discuss why education is important to you and how have you applied your education to real-world scenarios? Keep in mind you can reference either past, present, or future events when applying your education.” The reason this question is important and the question I would ask is because many people have the capability of learning new information, however they can often struggle on how to apply that knowledge.
Gait speed is suitable for any patient for whom ambulation development is a objective which both comfortable (CGS) and fast gait speed (FGS). Therefore, should be tested comfortable gait speed is also called “habitual gait speed” in some studies have found that the ability in increase/decrease walking speed over or lower down a “comfortable” pace present normal, healthy walking and specify the likely to change to different environments (e.g. crowed hallways, crossing streets). Furthermore, many people with disablement have only one speed for mobility. However, Riley (2001) reports that propulsive alteration to speed changes occur firstly in the hip and secondarily at the ankle. So, in a study of what predicts gait variability in community-dwelling
An observation was held in the alpert Jewish community center. A variety of children between the ages of three to five were observed in activities ranging from physical and motor to social and cognitive development “The Gross Motor Function Measure was designed specifically to evaluate change in gross motor function in children with CP (Russellet al1989). It consists of 88 items
Today there are many severe disability’s that effect individuals on a daily basis. Cerebral Palsy is a condition eliminates control over a person’s movements and the way the body works. The movement disorder is non curable but can be helped with appropriate assistive technology. In this paper you will learn more about Cerebral Palsy, broadening your knowledge on the disease and giving you a better understanding in your respected field of the rehabilitation.