Contribution of Neuro-motor Rehabilitation Programs in the Evolution of Children With Cp-hemiparesis...

8/11/2019 Contribution of Neuro-motor Rehabilitation Programs in the Evolution of Children With Cp-hemiparesis (Study N3)

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ISSUE 25/ 2010 ROMANIAN JOURNAL OF PHYSICAL THERAPY

28

CONTRIBUTION OF NEURO-MOTOR REHABILITATION PROGRAMS INTHE EVOLUTION OF CHILDREN WITH CP/HEMIPARESIS (STUDY N3)

CONTRIBUTIA PROGRAMELOR DE RECUPERARE NEUROMOTORIE,IN EVOLUTIA COPIILOR CU PC/ HEMIPAREZ (STUDIUL III)

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1assistant professor, PhD., University of Oradea, The Department of Theoretic, Medical and Physical Therapy Sciences12Main physical therapist, postgradate!"assistant, PhD. #andidate, University of Oradea, The Department of Theoretic, Medical and Physical Therapy Sciences$Main physical therapist, master, licensed therapist in %o&ta and 'o(ath concept, #linic )ospital of Medical *ecovery +'ile -eli Oradea. *OM/0

425 67%8 9:!2$ 7": CP%";2, ''!&29221'!@, 9'!"'"2' ?2, =*$9'%"'"/;$2"9@, :2+>'2&@

R2&*+'"8 Pnerea Cn eviden a

programelor de recperare neromotorie, Cnachi5iionarea motric, pentr recEFtigareafnciei ma&ore mane, mersl (iped Fi aindependenei fncionale la nivele de si dp (Gross Motor Function ClassificationSystem Expanded and Revised GMFCS)(5)Data fiind mltitdinea parametrilor stdiai Fipentr a ptea oferi o imagine de ansam(l aspraaspectelor etiologice, clinico+fncionale, evoltiveFi de recperare, am preferat pre5entarea datelornoastre Cn trei stdii distincte c rmtoareleaparitii si pre5entri lcrare in etenso9.Gn cadrl stdili am evalat achi5iiile motorii Fifncionale a copilli diagnosticat c P#hemipare5, prin Sisteml de #lasificare a -ncieiMotorii =rosiere 4tins Fi *evi5it =ross Motor-nction #lassification System 7 4panded and*evised =M-#S 7 4 > *98,?,1@,119Cn fnctie dediferite vErste din evidenele Cnregistrate Fiprelcrate.S+a o(int n tons fncional optim de atitdine,echili(r Cn cadrl lanrilor msclare agonistantagonist Fi am reFit s de5voltm o formsclar 6va5iadecvat vErstei, necesare vieii Cn

activitila 5ilnice de (a5 'DB9 Fi celeinstrmentale DB9 o(inEnd Fi amplitdinifnc ionale Cn articla ii.


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VOLUMUL 25/ 2010 REVISTA ROMN DE KINETOTERAPIE

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Purp!" # r"!"$r%&The prpose is to emphasi5e the nero+motor reha(ilitation programs, in motor ac6isition,

in order to regain the ma&or hman fnction, t


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srvive, (t they


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-e(rary 2@1@! it is a stdy of longitdinal o(servational type, prospective, non+eperimentaldescriptive9 and it inclded n$@? children aged (et2"'"$ = %"*5 $ 3 2%*!"%T'1!2 $ S"*2 %*129"% =+ ":2 C!$9'! H%>"'! = R2:'1!"'"$-F2! S>',9:!2$% 7'-%"= M'5 S>'

Hemiparesis 67 patients 33,6%

Paraparesis 63 patients 31,2%

Tetraparesis 39 patients 18,7%

Ataxic-cerebellar sy 20 patients 9,8%

t!er "is#r"ers 1$ patients 6,7%

TTA& 203 patients

'esearc! peri#" 01()ebr*ary - 30April 2010 +r#m a n*mber #+ 39 patients


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T'1!2 N . D0 H2+>'2%%

#t#r en.rams/a.e s*bects

2years

#l"

$years

#l"

6years

#l"

8years

#l"

10years

#l"

12years

#l"T#tal&

alin.4n"epen"ent5alin.(( 2 $ 2 3 $ 20

Assiste" 5alin.laterally( 0 2 2 1 1 0 6

alin. 5it!cr*tc!es 1 0 0 1 1 1 $

alin. 5it! +rame 0 0 0 0 1 1 2

*a"r*pe"al 4n"epen"ent( 1 1 0 0 1 1 $

5alin. Assiste" 0 0 0 1 0 0 1

P*ppetp#st*re Hi.! 0 0 1 0 0 0 1

#5 2 2 $ 1 2 1 12

rt!#statism 4n"epen"ent 0 2 3 1 2 1 9

Assiste" 0 0 0 1 0 1 2

ittin. 4n"epen"ent( 1 1 0 0 1 1 $

Assiste" 0 1 0 1 0 0 2

67

Motor acquisitions until the age of year

2

0

1

0

1

0 0

2

0 0

1

0

1

2

3

Indw

alking

Inda

ssisted

walking

Indwalking

withcr

utches

Indw

alking

with

frame

Quad

rupled

wal

king

highpuppet

lowpuppet

in

d

orthos

tatism

assisted

orthos

tatism

ind

sitting

a

ssisted

sitting

Patterns

Casenumber

Motor acquisitions between the ages of 2-4 year

$

2

0 0

1

0 0

2 2

0

1 1

0

1

2

3

4

5

Indw

alking

Inda

ssisted

wa

lking

Indwalking

withcrutches

Indw

alking

with

frame

Quad

rupled

walking

Assisted

quad

rupled

Highpuppet

ow

puppet

Ind

orthostatism

Ass

isted

orthostatism

Ind

sitting

A

ssisted

sitting

Patterns

Casenumber

Motor acquisitions between the ages of 4-6

year

2 2

0 0 0 0

1

$

3

0 0 00112233445

Indwalking

Indassisted

walking

Indwalking

withcrutches

Indwalking

withfra

me

Quadrupled

walkin

g

Assisted

quadrupled

Highpuppet

owpu

ppet

Ind

orthostatism

Assist

ed

orthostatism

Indsitting

Assisted

sitting

Patterns

Casenumber

0

Patterns

Motor acquisitions between the ages of 6-8

year

3

1 1

0 0

1

0

1 1 1

0

1

0

1

2

3

4

Indwalk

ing

Indassisted

walkin

g

Indwalking

withcrutc

hes

Indwalk

ing

withframe

Quadrup

led

walking

Assisted

quadrup

led

Highpup

pet

owpup

pet

Ind

orthostat

ism

Assiste

d

orthostat

ism

Indsitting

Assisted

sitting

Patterns

Casenumber

0


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""


$

1 1 1 1

0 0

2 2

0

1

00

1

2

3

4

5

Indwalking

Indassisted

walking

Indwalking

withcrutches

Indwalking

withfra

me

Quadrupled

walkin

g

Assisted

quadrupled

Highpuppet

owpu

ppet

Ind

orthostatism

Assist

ed

orthostatism

Indsitting

Assisted

sitting

Patterns

Casenumber


0

1 1 1

0 0

1 1 1 1

00

1

2

3

4

5

!

Indwalk

ing

Indassi

sted

walkin

g

Indwalking

withcrutc

hes

Indwalk

ing

withfra

me

Quadrup

led

walkin

g

Assist

ed

quadrup

led

Highpup

pet

owpuppet

Ind

orthostatism

Assisted

orthostatism

Indsit

ting

Assisted

sitt

ing

Patterns

Casenumber

Centralize motor acquisitions

0

in

quaru!le

wal"ing

6#

$n wal"ing

with frame

%#

&ssiste

quaru!le

wal"ing

1#

'igh !u!!et

1#

(ow !u!!et

18#

$n

orthostatis

m1%#

&ssiste

orthostatis

m

%#

$n sitting

6#

&ssiste

sitting

%#

$n ass iste

wal"ing

)#

$n wal"ing

%1#

F+)$' %)%'u!+)!1. The approach of this ">9


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8. O(taining 2==92$" +*%9*!' 9$"! $ ":2 5%=*$9"$'! +*%9!2% and even thedisappearance of dysfnctional condition in several children from the lot "2 >:5%9'! '9"?"5 >0'+P9 this can also (e achieved in

Contribution of Neuro-motor Rehabilitation Programs in the Evolution of Children With Cp-hemiparesis...

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