Download or read book Quantifying the Relationships Among Selective Motor Control Brain Imaging Biomechanics and Physical Therapy in Children with Spastic Bilateral Cerebral Palsy written by Andy Vuong and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral palsy (CP) is a motor disorder caused by an injury to the developing fetal or infantbrain. While the corticospinal tract (CST) is related to selective motor control (SMC) function, an underlying deficit in spastic CP, little is known about CST microstructural impairment, its relationship with motor function measures and neuroplasticity in response to a physical therapy intervention focused on intensive practice of lower extremity (LE) SMC exercises. The aim of this dissertation was to study the effect of Camp Leg Power, a novel LE SMC intervention in spastic CP, on measures of white matter (WM) motor tract microstructure and motor function measures. Children with unilateral or bilateral spastic CP born premature were recruited for CampLeg Power. Diffusion-weighted imaging scans were collected for participants with bilateral CP and periventricular leukomalacia (PVL). Children with typical development (TD) were recruited as brain imaging controls. The Selective Control Assessment of the Lower Extremity (SCALE) and the gross motor function measure were collected for all participants with CP. Motor function measures analyzed included the 10-meter walk/run test, 6-minute walk test, stride length during gait and isokinetic knee joint torque. Twenty-three children with spastic CP were enrolled (3 unilateral, 20 bilateral; mean age SD: 10.1 2.8 years; age range: 5.6-16.6 years). Diffusion-weighted imaging scans were evaluated for a subset of 12 participants with spastic bilateral CP and PVL and 12 children with TD (mean age SD: 10.3 1.5 years; age range: 7.5-12.8 years). The CP group exhibited lower anisotropy, damaged myelination, decreased axonal integrity and greater overall diffusivity throughout the whole brain including WM motor tracts relative to TD. The CP group improved their motor function following Camp Leg Power coinciding with improved myelination of brain motor regions suggesting neuroplasticity in response to intervention. SCALE is a strong clinical correlate of brain motor impairment, baseline motor function and post-intervention motor outcomes. This work contributes to the overall understanding of neuroimaging, clinical correlates ofimpaired WM and biomechanics measures, neuroplasticity and motor function changes in response to a novel LE SMC intervention in spastic CP.

Download or read book Neurologic Correlates of Motor Function in Cerebral Palsy Opportunities for Targeted Treatment written by Jessica Rose and published by Frontiers Media SA. This book was released on 2021-01-06 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Physical Therapy for Children With Cerebral Palsy written by Mary Rahlin and published by Taylor & Francis. This book was released on 2024-06-01 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral palsy is the most common movement disorder encountered in pediatric physical therapy practice. Physical Therapy for Children With Cerebral Palsy: An Evidence-Based Approach is a unique, comprehensive reference that focuses on physical therapy management of children with cerebral palsy through the analysis and synthesis of published research, and it offers evidence-based teaching and learning opportunities to a wide reading audience. Inside, Dr. Mary Rahlin examines the current approach to the diagnosis and classification of cerebral palsy and explores the research evidence related to prognosis; medical management; and physical therapy examination, evaluation, and intervention for children with this condition. Physical Therapy for Children With Cerebral Palsy analyzes cerebral palsy as a lifespan condition and utilizes the framework of International Classification of Functioning, Disability and Health (ICF). Sections include: Typical and atypical development of movement and postural control Cerebral palsy as a development disorder Medical management of alterations of body structures and functions by body systems Physical therapy management, including theoretical foundation, research evidence, and practice Normal and abnormal gait patterns and current evidence for orthotic management and assistive technology Transition to adult life Unique topics discussed: Variability, complexity, and adaptability in motor development The interdisciplinary team and effective interprofessional collaboration Assessment and management of therapy-related behavior Complementary and alternative interventions Segmental kinematic approach to orthotic management via ankle-foot-orthosis/footwear combination Other unique features include “Questions to Ponder” and “Suggested Questions for Future Research” at the end of each chapter. These are intended to generate healthy professional debate on a variety of topics, both in the classroom and in the clinic, and challenge the readers to plan new studies in search for evidence that will continue moving the pediatric physical therapy practice forward. Bonus! Also included with Physical Therapy for Children With Cerebral Palsy is online access to video clips that accompany the text and highlight typical and atypical development, use of assistive technology, life span issues, and transition to adulthood. Physical Therapy for Children With Cerebral Palsy: An Evidence-Based Approach is intended for physical therapy students, educators, residents, and experienced clinicians, including physical therapists, other members of the interdisciplinary team, and researchers working with children with cerebral palsy.

Download or read book Paediatric Biomechanics and Motor Control written by Mark De Ste Croix and published by Taylor & Francis. This book was released on 2013-03-01 with total page 329 pages. Available in PDF, EPUB and Kindle. Book excerpt: Paediatric Biomechanics and Motor Control brings together the very latest developmental research using biomechanical measurement and analysis techniques and is the first book to focus on biomechanical aspects of child development. The book is divided into four main sections – the biological changes in children; developmental changes in muscular force production; developmental changes in the biomechanics of postural control and fundamental motor skills and finally the applications of research into paediatric biomechanics and motor control in selected clinical populations. Written by a team of leading experts in paediatric exercise science, biomechanics and motor control from the UK, the US, Australia and Europe, the book is designed to highlight the key implications of this work for scientists, educators and clinicians. Each chapter is preceded by a short overview of the relevant theoretical concepts and concludes with a summary of the practical and clinical applications in relation to the existing literature on the topic. This book is important reading for any sport or exercise scientist, health scientist, physical therapist, sports coach or clinician with an interest in child development or health.

Download or read book Motor Control of Gait and the Underlying Neural Network in Pediatric Neurology written by Pieter Meyns and published by Frontiers Media SA. This book was released on 2019-10-23 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book NeuroGame Therapy for the Improvement of Ankle Control in Ambulatory Children with Cerebral Palsy written by Torey J. Gilbertson and published by . This book was released on 2015 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cerebral palsy (CP) describes a group of permanent movement and posture disorders occurring from non-progressive injury to the fetal or developing brain. CP affects 3-4 per 1,000 children in the United States and the majority of those children have spasticity as a primary presentation. Though most children with CP are able to walk, with or without the help of an assistive device, many of them have trouble with toe clearance, which can lead to instability and increased fall risk. Learning new motor patterns is possible due to neuroplasticity, but requires a high number of repetitions with the proper challenge, and appropriate feedback. A NeuroGame Therapy (NGT) system was developed that utilizes surface electromyography (sEMG) as a biofeedback device that allows the participant to practice activation of any targeted muscle. The sEMG activation triggers a video game to make the practice enjoyable. The first objective was to determine valid and reliable outcome measures to assess walking children with CP. The second objective was to determine if a different method of assessing range of motion was valid and reliable. The final objective was to determine if using NGT to train the tibialis anterior muscles and pairing game play with immediate walking practice would affect balance, walking, and selective ankle movement in children with CP. First, a scoping review was conducted to determine the most appropriate measures of gait in children with CP, based on the measures’ validity and reliability when used with children with CP. Second, a study was conducted on children with CP and those who were typically developing to determine if using video recording was a valid and reliable method of measuring ankle range of motion. Finally, an intervention study was conducted where nine children with CP used NGT at home for 6 weeks to train their tibialis anterior muscles bilaterally. The results of the review indicated that the 6-minute walk test possessed the strongest evidence for use on children with CP when directly measuring walking capacity. Though the review showed that the Edinburg Gait Scale had the greatest evidence of appropriate psychometric properties in children with CP for measuring movement quality, the gold standard of 3-dimensional kinematic analysis was chosen for the intervention study. The study to determine the validity and reliability of using video recording to measure ankle range of motion revealed high validity and reliability when comparing measurements from video recording to real-time goniometry. Children who participated in the NGT study all showed improvement in at least one outcome measure assessing body structure and function (e.g. sEMG outcomes, muscle contraction force, selective motor control, etc.). Most, but not all, participants showed at least slight improvement in activity level measures (i.e. 6-minute walk test or reported falls). NGT to train the tibialis anterior muscles is feasible in children with CP. More NGT play appeared to yield better results, especially with sEMG outcomes. Overall, NGT did not appear to have an effect on dorsiflexion during gait, but did have a positive influence on dorsiflexion muscle contraction force. The majority of results seen in the post-test were observed again at the follow-up testing. The suggested measures from the scoping review were based on psychometric properties rather than the intended or desired application of the outcome. The range of motion study was based on standardized marking of the leg and ankle and camera position, so is not generalizable to video recording of any other joint, or with recording without using the standardized set-up. The NGT study was subject to measurement error due to the technical nature of the data collection and the fact that children were assessed five times over 12 weeks, so natural variability was inevitable. There were also some technological limitations of the NGT system. Finally, the small sample size and mixed results make it difficult to generalize the results broadly to children with CP. Of the direct measurements, the 6-minute walk test possessed the strongest evidence of psychometric properties when measuring walking capacity in children with CP. The Edinburg Gait Scale had the strongest evidence for use in assessing kinematic properties during gait. Other measures, however, may have clinical utility based on the goals for that child. The video recording assessment of ankle range of motion in children used within this study was supported as a standardized method with high validity and reliability. There is some promise for the NGT system to assist children with CP to improve muscle contraction force, however carry-over to changes in the children’s gait pattern was limited. Given that the children who showed the most change were those that played the longest, more practice may be needed to effect greater change.

Download or read book The HELP Guide to Cerebral Palsy written by Nadire Berker and published by . This book was released on 2005-01-01 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Cerebral Palsy Case reports orthotics and devices measurement and assessment and schools and education written by American Physical Therapy Association and published by . This book was released on 1995 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Identification and Treatment of Gait Problems in Cerebral Palsy written by James R. Gage and published by John Wiley & Sons. This book was released on 2009-09-21 with total page 665 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only book to deal specifically with the treatment of gait problems in cerebral palsy, this comprehensive, multi-disciplinary volume will be invaluable for all those working in the field of cerebral palsy and gait (neurologists, therapists, physiatrists, orthopaedic and neurosurgeons, and bioengineers). The book is divided into two parts. The first is designed to help the reader evaluate and understand a child with cerebral palsy. It deals with neurological control, musculoskeletal growth, and normal gait, as well as cerebral injury, growth deformities and gait pathology in children with cerebral palsy. The second section is a comprehensive overview of management. It emphasizes the most fundamental concept of treatment: manage the child's neurologic dysfunction first and then address the skeletal and muscular consequences of that dysfunction. The book has been thoroughly updated since the previous edition, with a greater focus on treatment and several entirely new topics covered, including chapters on the operative treatment of orthopaedic deformities. Video files are now available with all book purchases as a free digital download - contact [email protected] for more information.

Download or read book Handbook of Human Motion written by and published by Springer. This book was released on 2018-04-24 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Human Motion is a large cross-disciplinary reference work which covers the many interlinked facets of the science and technology of human motion and its measurement. Individual chapters cover fundamental principles and technological developments, the state-of-the-art and consider applications across four broad and interconnected fields; medicine, sport, forensics and animation. The huge strides in technological advancement made over the past century make it possible to measure motion with unprecedented precision, but also lead to new challenges. This work introduces the many different approaches and systems used in motion capture, including IR and ultrasound, mechanical systems and video, plus some emerging techniques. The large variety of techniques used for the study of motion science in medicine can make analysis a complicated process, but extremely effective for the treatment of the patient when well utilised. The handbook descri bes how motion capture techniques are applied in medicine, and shows how the resulting analysis can help in diagnosis and treatment. A closely related field, sports science involves a combination of in-depth medical knowledge and detailed understanding of performance and training techniques, and motion capture can play an extremely important role in linking these disciplines. The handbook considers which technologies are most appropriate in specific circumstances, how they are applied and how this can help prevent injury and improve sporting performance. The application of motion capture in forensic science and security is reviewed, with chapters dedicated to specific areas including employment law, injury analysis, criminal activity and motion/facial recognition. And in the final area of application, the book describes how novel motion capture techniques have been designed specifically to aid the creation of increasingly realistic animation within films and v ideo games, with Lord of the Rings and Avatar just two examples. Chapters will provide an overview of the bespoke motion capture techniques developed for animation, how these have influenced advances in film and game design, and the links to behavioural studies, both in humans and in robotics. Comprising a cross-referenced compendium of different techniques and applications across a broad field, the Handbook of Human Motion provides the reader with a detailed reference and simultaneously a source of inspiration for future work. The book will be of use to students, researchers, engineers and others working in any field relevant to human motion capture.

Download or read book Biomechanics and Motor Control of Human Movement written by David A. Winter and published by John Wiley & Sons. This book was released on 2009-10-12 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: The classic book on human movement in biomechanics, newly updated Widely used and referenced, David Winter's Biomechanics and Motor Control of Human Movement is a classic examination of techniques used to measure and analyze all body movements as mechanical systems, including such everyday movements as walking. It fills the gap in human movement science area where modern science and technology are integrated with anatomy, muscle physiology, and electromyography to assess and understand human movement. In light of the explosive growth of the field, this new edition updates and enhances the text with: Expanded coverage of 3D kinematics and kinetics New materials on biomechanical movement synergies and signal processing, including auto and cross correlation, frequency analysis, analog and digital filtering, and ensemble averaging techniques Presentation of a wide spectrum of measurement and analysis techniques Updates to all existing chapters Basic physical and physiological principles in capsule form for quick reference An essential resource for researchers and student in kinesiology, bioengineering (rehabilitation engineering), physical education, ergonomics, and physical and occupational therapy, this text will also provide valuable to professionals in orthopedics, muscle physiology, and rehabilitation medicine. In response to many requests, the extensive numerical tables contained in Appendix A: "Kinematic, Kinetic, and Energy Data" can also be found at the following Web site: www.wiley.com/go/biomechanics

Download or read book Brain Neurotrauma written by Firas H. Kobeissy and published by CRC Press. This book was released on 2015-02-25 with total page 718 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the contribution from more than one hundred CNS neurotrauma experts, this book provides a comprehensive and up-to-date account on the latest developments in the area of neurotrauma including biomarker studies, experimental models, diagnostic methods, and neurotherapeutic intervention strategies in brain injury research. It discusses neurotrauma mechanisms, biomarker discovery, and neurocognitive and neurobehavioral deficits. Also included are medical interventions and recent neurotherapeutics used in the area of brain injury that have been translated to the area of rehabilitation research. In addition, a section is devoted to models of milder CNS injury, including sports injuries.

Download or read book Paediatric Exercise Science and Medicine written by Neil Armstrong and published by Oxford University Press, USA. This book was released on 2008-10-23 with total page 669 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text explains the principles of developmental exercise science, assessment of performance, the promotion of young people's health and well-being, and the clinical diagnosis and management of sports injuries in children and adolescents.

Download or read book Lifespan Neurorehabilitation written by Dennis Fell and published by F.A. Davis. This book was released on 2018-01-02 with total page 1249 pages. Available in PDF, EPUB and Kindle. Book excerpt: The neuro rehab text that mirrors how you learn and how you practice! Take an evidence-based approach to the neurorehabilitation of adult and pediatric patients across the lifespan that reflects the APTA’s patient management model and the WHO’s International Classification of Function (ICF). You’ll study examination and interventions from the body structure/function impairments and functional activity limitations commonly encountered in patients with neurologic disorders. Then, understanding the disablement process, you’ll be able to organize the clinical data that leads to therapeutic interventions for specific underlying impairments and functional activity limitations that can then be applied as appropriate anytime they are detected, regardless of the medical diagnosis.

Download or read book Frames of Reference for Pediatric Occupational Therapy written by Paula Kramer and published by Lippincott Williams & Wilkins. This book was released on 2018-12-07 with total page 608 pages. Available in PDF, EPUB and Kindle. Book excerpt: Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Frames of Reference for Pediatric Occupational Therapy, Fourth Edition, uses frames of reference for diagnostic categories (neuro-development, social participation, etc.) as effective blueprints for applying theory to pediatric OT practice. Updated with new chapters, case examples, and a new focus on evidence-based practice. This proven approach helps students understand the “why” of each frame of reference before moving on to the “how” of creating effective treatment programs to help pediatric clients lead richer, fuller lives. The book first covers the foundations of frames reference for pediatric OT (Section I), and then covers commonly used frames of reference such as motor skill acquisition, biomechanical, and sensory integration (Section II). A final section discusses newer focused/specific frames of reference like handwriting skills and social participation. A standardized format within each frame of reference chapter covers the same elements (Theoretical Base, Supporting Evidence, the Function/Dysfunction Continuum, Guide to Evaluation, and Application to Practice) to help students build the knowledge and skills needed for effective practice.

Download or read book Ehlers Danlos Syndrome A Multidisciplinary Approach written by J.W.G. Jacobs and published by IOS Press. This book was released on 2018-08-14 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Generalized hypermobility has been known since ancient times, and a clinical description of Ehlers-Danlos syndrome (EDS) is said to have first been recorded by Hippocrates in 400 BC. Hypermobility syndromes occur frequently, but the wide spectrum of possible symptoms, coupled with a relative lack of awareness and recognition, are the reason that they are frequently not recognized, or remain undiagnosed. This book is an international, multidisciplinary guide to hypermobility syndromes, and EDS in particular. It aims to create better awareness of hypermobility syndromes among health professionals, including medical specialists, and to be a guide to the management of such syndromes for patients and practitioners. It is intended for use in daily clinical practice rather than as a reference book for research or the latest developments, and has been written to be understandable for any healthcare worker or educated patient without compromise to the scientific content. The book is organized as follows: chapters on classifications and genetics are followed by chapters on individual types, organ (system) manifestations and complications, and finally ethics and therapeutic strategies, with an appendix on surgery and the precautions which should attend it. A special effort has been made to take account of the perspective of the patient; two of the editors have EDS. The book will be of interest to patients with hypermobility syndromes and their families, as well as to all those healthcare practitioners who may encounter such syndromes in the course of their work.

Download or read book Understanding the Nature of Sensory Integration with Diverse Populations written by Susanne Smith Roley and published by . This book was released on 2001 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: Originally published: San Antonio, Tex.: Therapy Skill Builders, 2001.