The Effects Of Task Oriented Training On Mobility Function

Cerebral palsy is a condition which has more than one disorder which can affect movement, posture and coordination. This condition can be recognized when the child is born, but also can be detected when the child reaches particular motor development

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.

A study conducted by Mahani, Karmiloo, and Amirsalari (2011) compared the effectiveness of the Modified Adeli Suit therapy (MSAT), Adeli Suit therapy (AST), and Neurodevelopmental therapy (NDT) for children with cerebral palsy. All of the main contributors to this article have received higher-level degrees, and the article was published in a reputable occupational therapy journal. This clinical randomized trial studied a total of thirty-six children that have cerebral palsy and who met the inclusion criteria. The thirty-six children were randomly placed into one of three groups: Modified Adeli Suit therapy, Adeli Suit therapy, and Neurodevelopmental therapy, and each child received their assigned therapy for two hours a day, five days a week for four weeks (Mahani, Karmiloo, & Amirsalari, 2011). The AST group received one hour of prep work, and the second hour was spent wearing the suit where they completed vigorous exercises. In the NDT group, the children spent the entire two hours performing passive and active movements. Lastly, the MSAT group conducted movements similar to the NDT group, during the first hour, and spent the second hour in the suit, where they performed fun and meaningful goal based activities. The Gross Motor Function Measure was used at zero, four, and sixteen weeks to compare the effectiveness of each treatment. The results show that the MSAT was the most effective treatment, and there was no significant difference in outcomes between the AST and NDT groups (Mahani, Karmiloo, & Amirsalari, 2011). However, any of the three intense therapies produced positive improvements. The experimenters believe that the shortened amount of time spent on each movement and the goal based activities correlated with the positive outcomes in the MSAT group (Mahani, Karmiloo, &

Chang, Kwon, Lee, and Kim (2012) conducted a pilot study containing 33 children ages four and up, with cerebral palsy. Hippotherapy sessions were conducted twice a week for 8 consecutive weeks in an 18X27 m indoor riding arena. Each hippotherapy session lasted 30 minutes. After the intervention process, the study showed an outcome that hippotherapy can improve gross motor function and being balance in children with Cerebral Palsy (Chang, H. J., Kwon, J., Lee, J., & Kim, Y., 2012).

The rationale for choosing the article by Gibson, Sprod, and Maher (2009) is that it contained many aspects of the PICO question. The participants had a diagnosis of cerebral palsy and were nonambulatory, and the age of the children ranged from 6 to 9 years old. This functional level is characteristic of a Level IV on the GMFCS for the age range between 6 and 12 years old. The study included a comparison for the use of a standing program and not using a standing program. The outcome measure was popliteal angle measurement of hamstring length that correlates to PROM of knee extension.

According to Lancet Neurology, Cerebral Palsy is “the most common physical disability of childhood… and a clinical diagnosis encompassing a heterogeneous group of neurodevelopmental disorders that cause impairments of movement and posture…” (Moreno-De-Luca, Ledbetter, 2012). It is no wonder then, that Crotched Mountain strives to provide the best of services for individuals living with cerebral palsy. Some of these services include special school programming specific to an individual’s needs as well as thorough rehabilitation interventions and treatment through the hospital and residential living. These unique and purposeful services are what help residents and clients of Crotched Mountain take steps forward in their treatment or recovery. Crotched Mountain Rehab hopes that in offering so many specific programs and adapted services they are able to enhance the quality of lives both in and outside of their doors.

They can opt between different types of therapies or even surgery. Physical therapy will try to help the patient gain some independence through stretching, flexibility exercises and range-of-motion activities. Occupational therapy will help with the development of skills to perform daily life activities. Most of the time they will focus on strengthening their hands and fingers since they are not able to move the majority of their bodies. A benefit of doing this therapy is that it will improve the patient’s learning abilities, which will make a significant change in their lives. Another type of therapy is speech therapy, which aims to improve basic language and vocabulary development. It is crucial that a patient of cerebral palsy knows how to communicate with their caregivers or anyone who can provide help to them. Fortunately, there is also medication that can help the patients with their condition. Benzodiazepines can be prescribed to alleviate muscle stiffness; Diazepam is mostly used at treating stiffness of the legs. Patients can also undergo surgery; a highly recommended one is the Selective Doral Rhizotomy, which main goal is to relax the muscles and improve mobility in various

"Cerebral palsy is the most common physical disability in children and represents the most frequent diagnosis in children who receive physical therapy" ( "Physical", (n.d) , p.1). Thousands of children are affected by the disability every year, cerebral palsy can be detected as early as when the child is an infant. Physical therapist help these children learn better ways to move and balance, as well as learn to walk, use their wheelchair, and stand up without assistance.("Physical" , (n.d) , p.1). Physical therapy for the people affected by the disability is important, so that when at home they can do things for themselves and not rely on someone to do it for them. Physical therapy for these patients should continue at home through an exercise

List the body functions and body structures that have been affected by the client’s cerebral palsy. Identify the areas of occupation that the client enjoys or values.

A source, written by Greve and Schmitt, studied two children that were both diagnosed with spastic diplegia, and during there therapy session, the participants were instructed a set of goals to work toward. To begin, the introduction discussed what issues children with cerebral palsy struggle with. These authors are credible because they work in the Cincinnati Children’s Hospital Medical Center as physical therapists and occupational therapists. The article holds authority in that it was published in the peer-reviewed journal Pediatric Physical Therapy. The introduction discusses the idea that intensive bursts of therapy are more effective than, for example, lower-intensity therapy over a long period of time (Bailes, Greve, & Schmitt, 2010). Authors Bailes, Greve, and Schmitt write, “One such program, the Therasuit Method, is a

This paper is about Cerebral Palsy (CP). Cerebral Palsy is a birth defect that affects the brain. This paper will include the causes, preventions, symptoms, treatments, life expectancy and quality of life.

Every year, thousands of children are diagnosed with Cerebral Palsy. This congenital neuromuscular disorder affects many children from the day of diagnosis to the end of their life. This incurable disorder can affect a wide array of muscular functions, and will permanently debilitate children through adulthood. This disorder arises from congenital brain injury and possible genetic predisposition. There are several therapy options available for children affected that will assist in independence. However, therapy options are expensive and most people cannot afford them. Therefore, there are government assistance programs that will help with expenses. Most importantly, there is ongoing research being funded to learn more about this disease and finding a cure.

Cerebral Palsy, also known as CP, is a motor disability that affects a person when they are a child, and it is also the most common motor disability in found in children. CP is a lifelong disability, caused by damage to the developing brain, in which most cases it happens during the pregnancy(1). The main thing that Cerebral Palsy affects is a person’s ability to move and maintain balance/posture(2). The actual symptoms can vary among the individual. Some people with mild Cerebral Palsy, may have trouble walking properly, but can still do it nonetheless. But, someone with severe Cerebral Palsy may need special equipment to walk, and in some

We do believe that modified suit therapy can be an effective therapy treatment; however, due to the lack of research conducted, we cannot confirm the hypothesis. Due to the physical and neurological aspects of suit therapy, it is more beneficial than traditional therapy techniques such as chiropractic and massage therapy. This is important, because it is always favorable when we make positive breakthroughs in the medical field. At the end of the day, if this treatment is helping patients manage cerebral palsy better, it will be more likely for physical and occupational therapists to pick it up and use it during treatment sessions. The case study articles by Rosenbaum (2003) and Ko, Lee, Kang, and Jeon (2014) both positively contribute in the favoring of suit therapy. It also gave us a good look at the benefits that can come along with using it. The article by Anne Turner was also good to read, because it helped remind us that even though suit therapy seems like a great idea, there are many unanswered questions surrounding this this therapy. Suit therapy does have a lot of potential to benefit many children with cerebral palsy. Overall, there has been limited research conducted on this topic, and although the results show that suit therapy is an effective treatment, all of the

Sabari, J. (2008). Optimizing motor skill using task-related training. In C. A. Trombly Latham & M. V. Radomski (Eds.). Occupational Therapy for Physical Dysfunction (6th ed., pp. 618-641). Philadelphia: Lippincott Williams & Wilkins.