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Prone position -Swiss ball training  

Prone position -Swiss ball training  

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This case study describes the physical therapy of a 9-year-old male child with spastic diplegic cerebral palsy with the aim to improve his gross motor function and social skills. The child had severe impairments across the full spectrum of developmental functions, especially affecting the gross motor and self-care functions at Stage V of gross moto...

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... approach was given to facilitate neck extensors using various aids such as brush and ice followed by Swiss ball to and fro exercises, and thumping activities were also done on him. To inhibit hyperextension posture sensory integration therapy was given to the child by keeping him in prone position on different platforms such as Wobble board, Bolster, and Swiss ball as shown in Figure 1. The patient's PT sessions were structured to challenge his dynamic balance by encouraging movement transitions to develop his automatic righting reactions and equilibrium reactions in different positions. ...

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Citations

... Os artigos selecionados se diferem entre estudo experimental de caso único [3][4][5][6]9,14,16,17,22,23,26,28] e estudos experimentais ou quase-experimentais [1,2,11,12,13,[18][19][20][21]29,30]. A amostra dos estudos selecionados foi constituída por voluntários com PC do tipo DE, com idade que variou de 1 a 26 anos. ...
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A paralisia cerebral (PC) é uma das causas mais comuns de incapacidade motora na infância. Resulta de uma perturbação não progressiva no cérebro imaturo. A diplégica espástica (DE) é a forma mais comum de PC e cursa com deficiência nos membros inferiores e no padrão de marcha. Tal limitação tem impacto negativo no desempenho da criança para realizar tarefas básicas de vida diária. O presente estudo objetivou revisar a literatura científica acerca das principais técnicas utilizadas para reabilitar os membros inferiores de crianças com DE. A pesquisa bibliográfica foi realizada nas bases de dados Lilacs, Scielo, Pubmed e incluiu artigos publicados, entre 2010 e 2018, em inglês e português. Após aplicar os critérios de inclusão e exclusão, um total de 28 estudos foi selecionado para a revisão. As principais técnicas encontradas no tratamento da DE foram: método Pilates, Equoterapia, Esteira, Hidroterapia, Therasuit, Bobath, Estimulação Elétrica Funcional e Realidade Virtual. Todos os estudos encontraram efeitos positivos. Os resultados revelaram que o uso isolado de uma das técnicas não é tão eficaz quanto o uso concomitante de duas ou mais delas. A maioria dos estudos revisados são estudos de caso. Novos estudos controlados e com amostras maiores ainda são necessários.Palavras-chave: paralisia cerebral, membros inferiores, Fisioterapia.
... The positioning of CP child in hammock improves vestibular stimulation and reduces the extensor tone in CP child. 14 The positioning of CP child in the CP chair provides proprioceptive stimulation that improves normal muscular tone with the child having tonic labyrinthine reflex. 15 The child positioning in prone lying with neck righting reflex encourages sensory motor system. ...
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Objective: To evaluate the effect of positioning on tonic labyrinthine reflex in children with cerebral palsy. Methods: The quasi-experimental study was conducted at the Institute of Psychological Services and Physical Rehabilitation, Lahore, from July 2016 to June 2017, and comprised children with spastic and athetoid cerebral palsy aged six months to three years. Gross Motor Functional Classification Scale level V was taken as baseline measure. Data was obtained and functional motor abilities were assessed by Motor Function Measure-20 Scale. Participants received intervention in the form of positioning in hammock for 10 hours, in-between sitting in cerebral palsy chair with harness along with sensory motor integration techniques. The readings were compared before the intervention and after the treatment strategies. SPSS 21 was used to analyse the data. Results: Of the 30 subjects, 18(60%) were boys, and 7(23%) had athetoid cerebral palsy. The overall mean age was 18.13±7.33 months. Motor function variables significantly improved post-intervention (p<0.05). Conclusions: Positioning provided significant improvement and positive effect in tonic labyrinthine reflex of spastic and athetoid cerebral palsy children.