Physiotherapy Treatment Approaches for Individuals with Cerebral Palsy: Difference between revisions
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Gross motor skills, functional mobility in the management for the motor deficits, positioning, sitting, transition from sitting to standing, walking with or without assistive devices and orthoses, wheelchair use and transfers, are all areas that the physiotherapist works on using a wide range of physiotherapeutic approaches to infuence functional ability of the child, which we will review. | Gross motor skills, functional mobility in the management for the motor deficits, positioning, sitting, transition from sitting to standing, walking with or without assistive devices and orthoses, wheelchair use and transfers, are all areas that the physiotherapist works on using a wide range of physiotherapeutic approaches to infuence functional ability of the child, which we will review. | ||
== | == Treatment Approaches == | ||
== Treatment Options == | |||
=== Passive Stretching === | |||
It is a manual application for spastic muscles to relieve soft tissue tightness. Manual stretching may increase range of movements, reduce spasticity, or improve walking ef ciency in children with spasticity. <ref name="Mintaze">Mintaze Kerem G. Rehabilitation of children with cerebral palsy from a physiotherapist’s perspective. Acta Orthop Traumatol Turc. 2009;34(2):173-80.</ref><br> | |||
=== Static Weight-bearing Exercises === | |||
They are com- monly used in order to stimulate antigravity muscle strength, prevent hip dislocation, improve bone min- eral density, improve self-con dence, reduce spastic- ity, and improve ne motor function. <ref name="Mintaze" /> | |||
=== Muscle Strengthening Exercises === | |||
It aims to increase the power of weak antagonist muscles and of the corre- sponding spastic agonists and to provide the functional bene ts of strengthening in children with CP. <ref name="Mintaze" /><br> | |||
=== Functional Exercises === | |||
They combine aerobic and anaerobic capacity and strength training in ambulato- ry children, and signi cantly improve physical tness, the intensity of activities, and quality of life. Training programs on static bicycles or treadmill are bene cial for gait and gross motor development without enhanc- ing spasticity and abnormal movement patterns. <ref name="Mintaze" /><br> | |||
=== Electrical Stimulation === | |||
It is proposed as a useful modality in CP due to the lack of selective muscle con- trol required for speci c strengthening programs. In par- ticular, neuromuscular and threshold electrical stimula- tion is used for strengthening the quadriceps muscles in ambulatory diplegic children with CP, who nd resistive strength training dif cult. <ref name="Mintaze" /> | |||
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Inroduction[edit | edit source]
As highlighted by Gunel (2011) Pediatric Rehabilitation requires a Multidisciplianary (MDT) Approach in order to promote the indpendance of the child with an impairment, both functionally and psychologically and increase the quality of life of both the child and their family. Physiotherapists, viewed as the 'movement expert', play a key role within this MDT. The main aim of Physiotherapy, as identified by Gunel (2011), is to support the child with Cerebral Palsy to achieve their potential for physical independence and fitness levels within their community, by minimising the effect of their physical impairments, and to improve the quality of life of the child and their family who have major role to play in the process. [1]
Physiotherapy focuses on function, movement, and optimal use of the child's potential and uses physical approaches to promote, maintain and restore physical, psychological and social well-being within all environments of the child including home, school, recreation, and community environments. [1]
Gross motor skills, functional mobility in the management for the motor deficits, positioning, sitting, transition from sitting to standing, walking with or without assistive devices and orthoses, wheelchair use and transfers, are all areas that the physiotherapist works on using a wide range of physiotherapeutic approaches to infuence functional ability of the child, which we will review.
Treatment Approaches[edit | edit source]
Treatment Options[edit | edit source]
Passive Stretching[edit | edit source]
It is a manual application for spastic muscles to relieve soft tissue tightness. Manual stretching may increase range of movements, reduce spasticity, or improve walking ef ciency in children with spasticity. [2]
Static Weight-bearing Exercises[edit | edit source]
They are com- monly used in order to stimulate antigravity muscle strength, prevent hip dislocation, improve bone min- eral density, improve self-con dence, reduce spastic- ity, and improve ne motor function. [2]
Muscle Strengthening Exercises[edit | edit source]
It aims to increase the power of weak antagonist muscles and of the corre- sponding spastic agonists and to provide the functional bene ts of strengthening in children with CP. [2]
Functional Exercises[edit | edit source]
They combine aerobic and anaerobic capacity and strength training in ambulato- ry children, and signi cantly improve physical tness, the intensity of activities, and quality of life. Training programs on static bicycles or treadmill are bene cial for gait and gross motor development without enhanc- ing spasticity and abnormal movement patterns. [2]
Electrical Stimulation[edit | edit source]
It is proposed as a useful modality in CP due to the lack of selective muscle con- trol required for speci c strengthening programs. In par- ticular, neuromuscular and threshold electrical stimula- tion is used for strengthening the quadriceps muscles in ambulatory diplegic children with CP, who nd resistive strength training dif cult. [2]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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