ABSTRACT
Introducción: El traje terapéutico o Therasuit es una órtesis blanda que se usa durante el entrenamiento intensivo de patrones de movimiento en personas con afecciones neurológicas como la parálisis cerebral. Objetivo: Describir los cambios en la función motora gruesa en una población pediátrica con distintos tipos de parálisis cerebral, tratada con el traje terapéutico. Métodos: Estudio observacional longitudinal y retrospectivo donde se tomaron mediciones de la función motora gruesa antes y después de la aplicación del traje terapéutico a 56 niños que asistieron a un centro de neurorehabilitación en Cali, Colombia entre Junio de 2008 a Diciembre de 2014. Los niños se encontraban entre 3 -13 años de edad y en niveles I-V según la Clasificación de la Función Motora Gruesa. Se usó el test de Wicolxon para comparar las medianas de los puntajes de las mediciones con la Gross Motor Function Measure de 88 ítems. Resultados: Se observaron cambios positivos después de la aplicación del traje en los puntajes totales de la Gross Motor Function Measure (p= 0). Se hallaron diferencias positivas en todas las edades (dif. = 2 a 2,5 p<0,05), mayor en los niños de 11 a 13 años. Conclusiones: Los cambios observados después de aplicar el traje terapéutico a niños con parálisis cerebral sugieren que el entrenamiento motor con este enfoque terapéutico es efectivo para el logro de habilidades motoras gruesas. El cambio es más visible en niños severamente comprometidos y con espasticidad(AU)
Introduction: The therapeutic suit or Therasuit is a complementary therapy used in rehabilitation for intensive training of motor patterns in people with cerebral palsy. Objective: To describe the changes in the motor function in a pediatric population with different types of cerebral palsys. Methods: Observational, longitudinal and retrospective study in which the gross motor functions were measured before and after trying the therapeutic suit in 56 children admitted in the Center of Neurorehabilitation in Cali, Colombia from June 2008 to December 2014. The 56 participants had ages from 3 to 13 years, and levels from I to V according to the Classification of Gross Motor Function (GMFCS). Wicolxon test was used to compare the median scores of the 88-item Gross Motor Function Measure (GMFM-66) scale scores applied to children before and after the treatment with the suit. Results: After the application of the suit in children with CP, the differences in the measurements of GMFM-88 were effective (p= 0). Stratification of the population studied by age registered positive differences (dif. = 2 a 2,5 p<0,05) in all ages and greater in children aged 11 to 13 years in the total scores. Conclusions: The positive changes observed after applying the therapeutic suit to children with cerebral paralysis suggest that motor training with this therapeutic approach is effective for the achievement of gross motor skills. The change is more evident in children with severe manifestations and spasticity(AU)
Subject(s)
Child, Preschool , Child , Adolescent , Splints , Cerebral Palsy/therapy , Cerebral Palsy/epidemiology , Retrospective Studies , Longitudinal Studies , Observational Studies as Topic , Motor Skills , Motor Skills/ethicsABSTRACT
Objective To explore the effects of intensive therapy program on gross motor function of children with spastic cerebral palsy. Methods Thirty 3-15 year old children with spastic cerebral palsy and level I-III in gross motor function classification system (GMFCS) were randomly divide into 2 groups. The trial group adopted intensive therapy program for treatment, including functional dynamic suit and universal exercise unit combined with functional movement training. The control group adopted core stability training for treatment. Children in two groups took a 1-month training program for 3 hours per day and 5 days per week. The pediatric evaluation of gross motor function measure (GMFM-66) and peabody developmental motor scale (PDMS-2) were administered before and after treatment. Results The scores of GMFM-66 as well as the stationary and locomotion scores of PDMS-2 in both groups showed significant differences within group (P<0.01) after treatment. For the scores of GMFM and PDMS-2 between two groups, no significant differences were found. Conclusions The intensive therapy program can improve the gross motor function of children with spastic cerebral palsy and gain the same effects as core stability training, which can provide a novel and effective intervention for children with cerebral palsy.
ABSTRACT
Objective To explore the effects of intensive therapy program on gross motor function of children with spastic cerebral palsy.Methods Thirty 3-15 year old children with spastic cerebral palsy and level Ⅰ-Ⅲ in gross motor function classification system (GMFCS) were randomly divide into 2 groups.The trial group adopted intensive therapy program for treatment,including functional dynamic suit and universal exercise unit combined with functional movement training.The control group adopted core stability training for treatment.Children in two groups took a 1-month training program for 3 hours per day and 5 days per week.The pediatric evaluation of gross motor function measure (GMFM-66) and peabody developmental motor scale (PDMS-2) were administered before and after treatment.Results The scores of GMFM-66 as well as the stationary and locomotion scores of PDMS-2 in both groups showed significant differences within group (P ＜ 0.01) after treatment.For the scores of GMFM and PDMS-2 between two groups,no significant differences were found.Conclusions The intensive therapy program can improve the gross motor function of children with spastic cerebral palsy and gain the same effects as core stability training,which can provide a novel and effective intervention for children with cerebral palsy.