Katja Groleger Sršen

• MD, PRM specialist, PhD
• Head of Department at University Rehabilitation Institute

Background: People with rare neurological diseases (RNDs) often experience symptoms related to movement disorders, requiring a multidisciplinary approach, including rehabilitation. Telemedicine applied to rehabilitation and symptom monitoring may be suitable to ensure treatment consistency and personalized intervention. The objective of this scopin...

Since the first implantation in July 2001, the intrathecal baclofen (ITB) therapy for patients with generalized spasticity has been used in Slovenia for 20 years. The aim of this retrospective study was to evaluate the rates of different complications, especially if catheter-related complications were less frequent after the introduction of the coa...

Purpose: This study aimed to provide a reliable and valid translation of the Scoliosis Research Society-22 (SRS-22r) questionnaire, compare it with the EQ-5D-5 L questionnaire, and analyse health-related quality of life (HRQoL) of patients with idiopathic scoliosis (IS) in Slovenia in order to potentially improve their rehabilitation processes. M...

PREDGOVOR Otroke z motnjami v razvoju, predvsem tiste s cerebralno paralizo, smo v Sloveniji znotraj multidisciplinarnega tima začeli obravnavati že konec 50. let prejšnjega stoletja, z začetki otroške nevrologije. Za začetek otroške nevrologije v Sloveniji sicer štejemo leto 1954, ko so ameriške Slovenke tedanji ljubljanski Otroški kliniki darova...

Background: Children with impairment mobility also have difficulty performing daily activities such as personal care, feeding and dressing. In the latter, children can be helped by adjusting their clothes. We were interested in the experience of parents with dressing their children who can only do so with help or not at all, and above all, whether...

Background Spasticity is characterised by an atypical increase of muscle tone, affecting normal movements and interfering with the patient quality of life. The medicines may limit the effects of the disease and selective dorsal rhizotomy (SDR) can be used for selected cases or cases refractory to medicine. We present the surgical technique and the...

Background: Several therapeutic methods are available to improve hand function in a child with hemiparetic cerebral palsy, from constraint-induced manual therapy and bimanual therapy, to the use of botulinum toxin and orthoses. Recently, robot-assisted exercise in virtual environment has also become popular. It enables a high number of repetitions...

Introduction: The term complex communication needs refers to individuals who cannot meet their everyday communication needs by speech only, and therefore need a suitable communication device. Persons with such complex communication needs represent a diagnostically diverse population, where we are primarily interested in their function. The aim of t...

Abstract Chronic non-malignant pain causes suffering and lasting consequences in the functioning and quality of life of 3-5 % of children, adolescents and their families. Interdisciplinary rehabilitation treatment is already established in some other countries, and we are in the process of establishing it at our institute. It includes education, g...

Kronična bolečina je opredeljena kot vsaj tri mesece ponavljajoča se dnevna bolečina brez neposrednega telesnega izvora. Pojavlja se pri približno 30 % otrocih. Daljša izpostavljenost kronični bolečini pogosto voditi v težave na šolskem, socialnem in psihološkem področju. V prispevku smo se osredotočili na psihološke posledice kronične bolečine pri...

This study investigated changes of gait pattern induced by a 4-week robot-assisted gait training (RAGT) in twelve ambulatory spastic diparesis children with cerebral palsy (CP) aged 10.4+/-3.2 years old by using computerized gait analysis (CGA). Pre-post intervention CGA data of children with CP was contrasted to the normative data of typically dev...

Introduction: Feeding and swallowing disorders (FSD) are common in children with neurological disorders. One of the main measures in treating FSD in adults as well as children is the modification of food texture and liquid consistency. The International Dysphagia Diet Standardization Initiative (IDDSI) has prepared guidelines for classifying food a...

Background: A child's first word is a highly memorable moment for parents and an important indicator of early linguistic, social, and conceptual development. The study aimed to investigate the age of acquisition for the first five words Slovenian-speaking infants and toddlers say and the lexical and semantical characteristics of those words. Method...

Abstract Eating disorders in children can be caused by immaturity, various diseases and disorders of the nervous system, respiratory system, heart and gastrointestinal tract, and environmental factors. In case of serious consequences for the child's health, the child, at least for a transitional period, needs to be inserted a feeding tube. With th...

Introduction: The Box and Block Test is a validated instrument for evaluation of gross manual dexterity and coordination. The test material consists of a wooden box with 150 wooden cubes of different colours. The goal of the test for a participant is to transfer as many cubes as possible, one at a time, from one compartment to the other, in the tim...

Duchennova mišična distrofija (DMD) je najpogostejša in ena najresnejših mišičnih bolezni otroške dobe. Gre za na kromosom X vezano recesivno živčno-mišično bolezen, ki jo povzroča mutacija v genu za distrofin. Primarno prizadene skeletne mišice in srčno mišico. Pri večini dečkov se klinični znaki bolezni izrazijo z napredujočo mišično šibkostjo me...

Background: Impaired gross motor function and other problems of a child with cerebral palsy (CP) can influence his/her quality of life. Only one broader study on the possible impact of CP on health related quality of life (HRQoL) has been run in Slovenia. We wanted to analyse what impact cerebral palsy has on a child’s quality of life. We wanted to...

Background: Children with severely impaired mobility need a well-designed chair to maintain the position of the head and trunk while sitting. In the study, we wanted to assess parental satisfaction with the use of adapted chairs for children and related services. We were also interested in which of the satisfaction items is most important for paren...

Background: In early March 2020, with a rapid increase in the number of patients with SARS-CoV-2 (COVID-19) infection, the World Health Organisation declared a pandemic. In addition to stop- ping public life, the Government of the Republic of Slovenia also ordered the cessation of all non-essential forms of treatment and rehabilitation, the closure...

Background: The ability to move independently is key to participating in daily activities and life roles. Children with movement impairments could be given the same opportunities as their peers through the use of electric-powered wheelchairs (EPW). They need to be well-prepared for obstacles in the environment that can hinder successful EPW use, so...

Povzetek Kognitivni pristop v procesu učenja učinkovitega izvajanja vsakodnevnih aktivnosti (CO-OP) se v klinični praksi uvelja-vlja šele v zadnjih dveh desetletjih. Šele pred kratkim so ga začeli uporabljati tudi pri otrocih s cerebralno paralizo (CP). V članku predstavljamo primer petinpolletnega dečka s CP, s spastično diparezo, ki zmore hojo br...

Abstract Introduction: Chronic nonmalignant pain is defined as pain lasting at least three months, with comprehensive consequences in terms of thoughts, feeling, behaviour and activities of daily life. It is experienced by 3 % to 5 % of children and adolescents, which is why early detection and therapeutic treatment are crucial. The latter can prev...

Abstract Background: We wanted to determine whether children with cerebral palsy (CP) following the selective dorsal rhysotomy (SDR) and phys- iotherapy program had improved their gross motor function over a period of two years. We were also interested in whether the improvement of gross motor function depends on the Gross Motor Function Classifica...

Povzetek Izhodišča: Kognitivni pristop v procesu učenja učinkovitega izvajanja vsakodnevnih aktivnosti (angl. Cognitive Orientation to daily Occupational Performance, v nadaljevanju COOP) se v klinični praksi uveljavlja šele v zadnjih dveh desetletjih. Glede na rezultate že objavljenih raziskav o uporabi COOP pristopa nas je zanimalo, pri koliko ra...

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

This pilot study investigated the efficacy of a four week robot-assisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.

This pilot study investigated the efficacy of a four week robot assisted gait training in twelve children with spastic diparesis. Short-term results and a 3-month follow-up showed statistically significantly increased selective motor control, walking farther distances, gross motor score, and decreased joint contractures.disturbances occurring in th...

Introduction: The choice of the appropriate wheelchair category is influenced by the functional abilities of the child. Later, the child must also learn how to use his/her wheelchair. We wanted to find a suitable test or develop our own. Methods: In the Medline database, we searched for a test that could be used for children who are still learning...

Background: We wanted to translate the ABILHAND-Kids questionnaire into Slovenian and then use it with a small group of children with cerebral palsy (CP) to evaluate the children’s ability to perform various activities. We also wanted to check whether the results correspond to the assigned level of gross motor function (GMFCS) and manual ability (M...

Background: The Cognitive Orientation to Daily Occupational Performance approach (CO-OP) is a client-centreed individual therapeutic approach. The authors developed it for children with develo- pmental coordination disorder (DCD). As this approach has become established in clinical practice in recent years, we wanted to identify the possible differ...

Background: A team of professionals participates in the testing of a suitable wheelchair. The aim of our research was to find out how parents of children with Duchenne muscular dystrophy (DMD) and spinal muscular atrophy (SMA) are satisfied with the technical characteristics of wheelchairs and associated professional services. We were also interest...

The Measure of Processes of Care for professionals (MPOC-SP) is valid and reliable a self-administered questionnaire for paediatric service providers engaged in care for chronically ill children. Our aim was to evaluate internal consistency reliability, one-year stability and some aspects of validity of its Slovene translation. Sixty-seven service...

Аbstract. Neurological gait disturbances require long-term gait rehabilitation. According to existing research results, robot-assisted gait training devices are designed to improve patient’s walking capabilities and to eliminate the operator's physical overloading. The aim of this paper is to present an ergonomic analysis of commercially available...

Abstract Background: Recovery from severe brain damage has its typical features, including disorders of consciousness such as coma, unrespon- sive wakefulness syndrome or state of minimal consciousness. Research shows that multimodal sensory stimulation (MMSS) improves level of consciousness and treatment outcome after severe brain damage. We wante...

Abstract Background: One of the water activity options that have been developed specifically for people with impaired mobility and learning abilities is the Halliwick-based swimming program. As children learn to swim through play activities, they progress relatively slowly. Thus, we wanted to check whether we could use the Cog- nitive Orientation t...

Abstract Background: A family-centred approach is crucial for successful rehabilita- tion programs of children with functional disorders. Aiming to provide high quality intervention for these children, it is very important to acknowledge opinions of parents and perspectives of occupational therapists. We wanted to evaluate these processes of care i...

Izvleček Izhodišča: V več raziskavah je bilo potrjeno, da imajo otroci in mladostni-ki s cerebralno paralizo (CP) zmanjšano aerobno zmogljivost v primerjavi z zdravimi vrstniki. Znano je tudi, da vadba hoje na robotski napravi izboljša shemo hoje, zmanjša spastičnost in izboljša splošno zmogljivost. Namen študije je bilo preveriti, ali pri otrocih...

Abstract Rehabilitation of a child with complete absence of the upper limb requires a comprehensive team approach. The plan of rehabilitation is prepared and adjusted based on initial and follow-up assessments of functional abilities. It comprises the neurodevelopmental program with a biomechanical approach and later on, development and searching f...

Abstract Introduction: The article presents the case of a five-year-old child with cerebral palsy. Due to a walking pattern with toe walking and knee hyper- extension (type 3 according to the Amsterdam classification) the child needed an ankle foot orthosis (AFO). We wanted to check how the pattern of walking with AFO with a dual pneumatic discs sp...

Abstract Background: The goals of rehabilitation can be directed towards improving or restoring body structures and functions, functioning or participa- tion. The latter is influenced by several factors in children with physical disabilities. The model of optimal participation includes a dynamic interaction between the individual characteristics of...

Abstract Background: Feeding problems are often associated with hypersensitivity to oral stimuli. Because of difficulties in the development of sensation and tolerance of individual oral stimuli, such children often selectively accept only a particular type or food texture. In 2015, at the Department for Rehabilitation of Children at the University...

Povzetek Izhodišča: Skolioza je tridimenzionalna torzijska deformacija hrbtenice in trupa, ki jo najdemo pri dveh do treh odstotkih celotne populacije ljudi, pogosteje pri ženskah. Najpogostejša oblika skolioze je adolescentna idiopatska skolioza (AIS). Medtem ko se zdravniki in ostalo zdravstveno osebje vedno bolj zavedajo pomena psiholoških dejav...

Background: Setting goals is an important step in rehabilitation programs. We wanted to explore what kind of goals children with severe neurological impairment (SNI) choose and if these goals differ from those selected by children with developmental coordination disorder (DCD). Methods and participants: Children referred to rehabilitation programs...

Introduction: Goal setting is an important step in the Cognitive Orientation to daily Occupational Performance (CP-OP) approach for children with developmental coordination disorder (DCD). We wanted to better understand what kind of goals they choose most frequently and to evaluate the efficiency of CO-OP program for these children. Methods: In...

Abstract Efficient function of walking is an important therapeutic goal in children with cerebral palsy (CP). The use of orthosis is a generally accepted therapeutic measure to establish or improve gait pattern. The process of selection the appropriate model and fine tuning of individual orthosis with regard to specifics of individual child in ever...

IZVLEČEK Cerebralna paraliza je etiološko zelo heterogena skupina motenj v razvoju gibanja in drže, ki so posledica nenapredujoče okvare možganov pri razvijajočem se plodu ali dojenčku. Poleg zmanjšane zmožnosti funkcioniranja na področjih drže in gibanja so navadno prisotne tudi motnje zaznavanja (vid, sluh, občutek za dotik, bolečino, vibracije i...

Uvod: Terapija s pomočjo robotskih naprav in navidezne resničnosti se v programih rehabilitacije po svetu uporablja vse pogosteje. Študij, kjer avtorji poročajo o pozitivnih rezultatih terapij na robotskih napravah pri otrocih z eno stransko okvaro funkcije roke, je že nekaj. Želeli smo preveriti učinkovitost vadbe na napravi Armeo Spring Pediatric...

Uvod: Težave pri hranjenju so pri otrocih z motnjami v nevrološkem razvoju pogoste. Za otroke s prevladujočo senzorno preobčutljvostjo se je uveljavil stopenjski senzorni pristop učenja hranjenja (angl. Sensory Oral Stimulation approach, v nadaljevanju SOS), ki smo ga pri nas začeli uporabljati v letu 2016. Namen: V retrospektivni študiji smo želel...

V prispevku predstavljamo interdisciplinarno obravnavo dečka, ki si je v starosti 7 let med igro zlomil komolec leve roke. Po kirurškem zdravljenju je akutna bolečina prerasla v kronično. Poglobljena psihološka ocena je pokazala dejavnike tveganja za razvoj kronične bolečine: travmatično doživljanje nesreče, anksioznost, težave s pozornostjo, pogos...

Izhodišče: Postavljanje ciljev je v rehabilitaciji pomemben korak pri načrtovanju terapevtskega programa. Pri pristopih, ki so usmerjeni na klienta, terapevt in pacient sodelujeta pri opredelitvi težav pri vsakodnevnih aktivnostih in postavljanju ciljev ter vrednotenju doseženih rezultatov. Kanadski test ocenjevanja problemov okupacije (COPM) preds...

Original contribution to scientific knowledge a comprehensive analysis of the impact of family characteristics, the health status of children and the treatment/(re)habilitation programs in various institutions, on the assessment of processes of care; the highlighted importance of a key worker; the role of some factors known to be associated with ev...

Setting goals has become an imperative in modern rehabilitation programs. By accurately assessing the functioning of the patient, we set the starting points for the rehabilitation program. The selection and design of goals should involve the patient, his/her relatives and a therapeutic team that helps the patient to recover, improve functioning and...

Background: Setting goals is an important step in planning a therapeutic program. Hence, we were interested in the extent to which the setting of goals in rehabilitation of children – in the fields of physiotherapy, occupational therapy and speech therapy – is actually evident from the accessible literature. Methods: In Medline (Index Medicus) and...

Povzetek Izhodišča: V otroštvu se težave, povezane s hranjenjem, pojavljajo rela-tivno pogosto, še posebej pri otrocih z nevrološkimi motnjami. Učinkovito in varno hranjenje v zgodnjem obdobju neposred-no vpliva na rast in razvoj otrok. Zanesljiva klinična ocena hranjenja in požiranja omogoča zgodnjo prepoznavo motenj hranjenja in požiranja ter pre...

Izvleček Izhodišča: Pri otrocih s cerebralno paralizo (CP), ki se ne zmorejo sa-mostojno gibati (IV. in V. stopnja lestvice za razvrščanje otrok glede na grobe zmožnosti (GMFCS)), lahko že v zgodnjem otroštvu pride do delnega ali popolnega izpaha kolka. Tudi ob tokratnem pregledu literature smo našli le malo podatkov o morebitni učinkovitosti ortoz...

Rationale and aims: The Measure of Processes of Care (MPOC-20) is a self-administered questionnaire for parents of chronically ill or disabled children to report on their experiences of the care process. The aim of this study was to investigate the construct validity of the Slovenian adaptation of MPOC-20. Method: One hundred and seventy-four paren...

Background Cerebral palsy (CP) is, among other features, characterized by postural and movement disorders. Based on the level of gross motor function, children with CP are classified into one of five levels of The Gross Motor Function Classification System (GMFCS). One of the possibilities for the improvement of gait in children with CP is robot as...

Considering the guiding ethical principles, such as autonomy, credibility (facilitating informed consent), beneficence and harmlessness, justice (equality), privacy and confidentiality, integration into the therapeutic process, as well as the spec- ificities of rehabilitation of children, such as epidemiology, course of rehabilitation and close coo...

Background: Functional Independence Measure for Children (WeeFIM) and Pediatric Evaluation of Disability Inventory (PEDI) are among the most commonly used functional assessment tools for measuring functional performance of children. We analysed the correlation between WeeFIM and PEDI, which measure similar areas of functioninng (self-care, mobility...

Abstract Background: Occupational therapists have a range of evaluation instruments at their disposal, which they use to evaluate the recovery progress of a patient and thus the effectiveness of the occupational therapy intervention. Often, however, these evaluation instruments are not sensitive enough to detect small changes in children with funct...

Background: A thorough knowledge of processes of care and their subsequent improvement is one of the possible strategies to reduce the psychosocial problems of parents of chronically ill children. Hence, we wanted to assess the influence of demographic factors, the health status of the chronically ill children and the characteristics of the differe...

Introduction: Constraint induced therapy (CIT) aims to improve the hand and arm use of children with hemiplegia. It involves physical constraint of the unimpaired hand to increase the use of the impaired hand and arm. We wanted to evaluate the efficiency of 4 month CIT program in a group of children with congenital hemiplegia. Methods: We invited a...

The most recent definition of cerebral palsy describes it as a group of disorders of movement and posture, disturbed sensory processing, cognitive, emotional, learning, feeding and swallowing impairments and impairments of communication, causing activity and participation limitations. An important step in the process of (re)habilitation is evaluati...

In some patients severe spasticity of cerebral or spinal origin cannot be treated successfully with conventional oral medication or physical modalities. Intrathecal baclofen therapy with implanted pump has represented effective treatment from mid-80's. Baclofen (Lioresal) is a muscle relaxant and a potent GABA agonist that acts via GABAb receptors...

Povzetek Namen: Okvara brahialnega pleteža (OBP) pri novorojenčkih se pojavlja tudi v sodobnem času. Zanimalo nas je, kakšen je izid (re)habilitacije otrok, ki so bili napoteni v programe celostne (re)habilitacije. Zanimalo nas je tudi ali lahko iz zmožnosti krčenja komolca v starosti od pol do enega leta napovemo funkcijsko stanje roke v starosti...

Tick-borne encephalitis (TBE) is caused by TBE virus (TBEV) and in Slovenia among patients diagnosed with TBE there are 10 % of children younger than 15 years. Four % of these children have severe disease and some cases end with severe neurologic sequelle. We report about a boy with TBE with severe course, that needed prolonged treatment in intensi...

The impairment of brachial plexus (IBP) in the neonate and infant remains an important problem. Risk factors for IBP are well known, but the mechanisms of impairment are not yet fully understood. It is important to identify early signs of IBP and to evaluate the hand function. In the guidelines we propose to use the Toronto scale for evaluation of...

The impairment of the brachial plexus (IBP) in neonates and infants remains an important problem. Risk factors for IBP are well known, but the mechanisms of impairment are not yet fully understood. It is important to identify early signs of IBP and to evaluate the hand function. In the guidelines we propose to use the Toronto scale for the evaluati...

Background: The Measure of Processes of Care (MPOC) was developed as a self-administered questionnaire for parents to report on behaviours of healthcare providers. The original (MPOC-56) and the 20-item version (MPOC-20) have established reliability and validity, but the instrument must be rechecked whenever translated and applied in a different s...

A child with cerebral palsy (CP) is characterized by a reduced ability to maintain posture, to move, to process sensory information and quite frequently to have feeding, speech, behaviour and cognitive problems. Besides the gross motor function professionals are interested in functioning in different domains, such as self-care and social skills. Th...

The Measure of Processes of Care (MPOC) is a questionnaire for parents used to evaluate the behaviours of healthcare providers. We applied its 20-item version (MPOC-20) to explore the associations between parental evaluation of processes of care and child, parent and family characteristics in Slovenia. A novelty of our approach was the emphasis on...

Introduction: Developmental coordination disorder (DCD) is a condition of impaired motor coordination resulting in problems performing everyday motor tasks and is associated with secondary social, emotional, and academic difficulties. There are several intervention approaches available. One of them, the Cognitive Orientation to daily Occupational P...

This paper presents a definition of cerebral palsy (CP), risk factors for CP and review of data that are at present collected for the Surveillance of cerebral palsy in Europe. This is followed by guidelines of the American Academy of Neurology for diagnostic tests that should be performed when brain damage is suspected. In order to develop guidelin...

Introduction: Safe and appropriate nutrition is of great importance for child´s development. Children with developmental disability often present with eating and swallowing problems. Reliable clinical assessment is very important step in the process of effective management and therapeutic treatment of children with disabilities. The study aimed to...

Introduction: Although cerebral palsy is not a progressive disease, contractures and spasticity are common signs of the upper motor neuron damage. One of the recent approaches to improve the function of movement in children with cerebral palsy is automated gait training with the Lokomat. We found some data on improvement of the ranges of passive mo...

Introduction: Developmental coordination disorder is a condition of impaired motor coordination that results in problems performing everyday motor tasks and is often associated with secondary social, emotional, and academic difficulties. Boys are more likely to be affected. A number of intervention approaches exist for working with children with DC...

Introduction: A chronic illness of a child and the associated disability put the child and the whole family at an increased risk for social and mental-health problems. Several risk factors and aspects of the services available to the child and the family are involved. By knowing more about the processes of care we might improve the system and thus...

Introduction: Dysphagia affects one or more phases of swallowing and behaviours in connection to feeding. Clinical signs may be obvious or "silent". The first step in managing dysphagia is to identify those children with the disorder. Dysphagia Disorder Survey was developed to differentiate those people who have dysphagia and unsafe eating behaviou...

Background: When an individual cannot establish speech and language communication, it is necessary to introduce a system of alternative and augmentative communication. When the individual also has a profound movement disability, the use of an eye-tracking system for the computer is required. Data on pre-trial assessment of functional ability and pr...

Background: Because children with cerebral palsy (CP) walk frequently in a typical pattern of toe-walking, they often develop limited range of motion (ROM) in the ankle (limited dorsal flexion). One of the options for improving flexibility is serial casting. We wanted to know whether the serial casting in children with CP who have limited flexibili...

We summarise the early development of sucking and swallowing in the foetus, the neonate and the infant, and the later development of eating and swallowing in children. The development of sucking, feeding and swallowing is entangled and depends on a number of systems. Brain development and functioning plays a key role in the development of sucking a...

Background: One of the skeletal abnormalities frequently found in children with cerebral palsy (CP) is increased femoral neck anteversion (FNA). During clinical examination, FNA can be estimated in children with CP if passive range of motion (ROM) of internal and external hip rotation is measured, observed and compared, as well as by using the Troc...

The Halliwick concept is widely used in different settings to promote joyful movement in water and swimming. To assess the swimming skills and progression of an individual swimmer, a valid and reliable measure should be used. The Halliwick-concept-based Swimming with Independent Measure (SWIM) was introduced for this purpose. We aimed to determine...

The article summarizes the facts about the development of sensory systems, the importance of critical periods for the development of perception, and about the development of focused attention and sensory processing. Those processes are very complex and the child only gradually develops the abilities under various influences, including genes and the...

Abstract. Cerebral palsy is a well-recognized neurodevelopmental condition. The most recent definition describes cerebral palsy as a group of disorders of movement and posture, causing activity limitation. An important step in the process of (re)habilitation is evaluation of functional abilities of an individual. To be as accurate as possible in th...

Background: Brachial plexus palsy in newborns (BPP) is rare, but can result in severe and permanent functional impairment of the affected upper limb. There are some methods and formulas for assessment and prediction of recovery after BPP. Treatment is usually conservative, while operative treatment is necessary in some cases; the latter should be f...

Introduction: Cerebral palsy (CP) is a well-recognized neurodevelopmental non-progressive condition. Two thirds of children with CP are somehow able to walk, but their gait patterns are very diverse. There are very scarce data on possible effects of hip, knee, ankle and foot orthosis (HKAFO) with spring on walking pattern in child with spastic dipa...

Cerebralna paraliza (CP) je dobro poznat razvojno neurološki poremećaj. Najnovija definicija opisuje CP kao grupu poremećaja držanja tijela i kretanja koja prouzrokuju ograničenje aktivnosti. Važan korak u procesu (re)habilitacije je procjena funkcionalnih sposobnosti pojedinca. Da bi mogli biti točniji u procjeni stupnja funkcioniranja, treba kori...

Background:The Pediatric Evaluation of Disability Inventory (PEDI) is one of the most commonly used assessments for children with disability from 6 months to 7.5 years of age. It can be used to give functional descriptions and ability measures for all chronically ill children. The inter-rater reliability for PEDI in Slovenia has not been evaluated...

In the process of developmental (re)habilitation, determination of the functional abilities of an individual is an important step. For that we need appropriate measurement instruments. Because we do not have such measurement instruments in Slovenia, we chose the Pediatric Evaluation of Disability Inventory (PEDI), translated it, and applied it in d...