Vedecké štúdie

Abstract

[Purpose] The purpose of this study was to determine the effects of Adeli suit therapy (AST) on gross motor function and gait function in children with cerebral palsy. [Subjects and Methods] Two participants with spastic cerebral palsy were recruited to undergo AST. AST was applied in 60-minute sessions, five times per week, with 20 sessions total over 4 weeks. Assessments of gross motor function, spatiotemporal parameters, and functional ambulation performance for gait were conducted. [Results] Gross motor function, cadence, and functional ambulation performance improved after the intervention in both cases. [Conclusion] Although additional follow-up studies are required, the results demonstrated improved gross motor function and functional ambulation performance in the children with cerebral palsy. These findings suggest a variety of applications for conservative therapeutic methods that require future clinical trials in children with cerebral palsy.

RESULTS

The gross motor function of case A as assessed by GMFM increased from 87.2% at pretest to 94.37% at post-test; for case B, GMFM increased from 71.17% at pretest to 73.0% at post-test. The gait velocity of case A increased from 78.57 cm/s at pretest to 80.705 cm/s at post-test, while the cadence increased from 135.63 to 136.97 steps/min, the right-sided step length decreased from 39.01 to 37.03 cm, the left-sided step length increased from 31.76 to 37.27 cm, the right-sided stride length increased from 70.08 to 77.52 cm, the left-sided stride length increased from 70.08 to 76.85 cm, and the FAPS increased from 81 to 84 (Table 1).

PMID: 27390453

Prokopenko SV, Rudnev VA, Arakchaa EM, Derevtsova SN.

Abstract

A specially designed device for proprioceptive correction is offered for the restoration of motor functions in the proximal parts of the upper extremity in the central paresis syndrome at the late restorative and residual periods of stroke. The device is a logical continuation of the proprioceptive correction systems Penguin, Gravistat aimed at the restoration of equilibrium and walking in post-stroke patients. It consists of a waistcoat, cuffs connected with a system of elastics which are fixed around the upper arm and arm of the paretic upper extremity. The regulation of the tension of elastics allows to create the regimes of “facilitated” work and increased exertion during active movements in the proximal parts of a paretic arm. The effectiveness of the use of the proprioceptive correction suit for restoration of conscious movements in the upper extremity has been proved in 23 patients in the late restorative and residual periods of stroke. As a result of the treatment, most of the patients showed reliable reduction of paresis expression in the arm, the rate of restoration exceeded the indexes in the control group. It is expedient to use the proprioceptive correction suit in the complex of neurorehabilitation measures for restoration of conscious movements in an arm of the post-stroke patient.

18379502
[PubMed – indexed for MEDLINE]

Bar-Haim S, Harries N, Belokopytov M, Frank A, Copeliovitch L, Kaplanski J, Lahat E.

Source

Faculty of Health Science, Ben-Gurion University, Beer-Sheva, Israel.

Abstract

This study compared the efficacy of Adeli treatment (AST) with neurodevelopmental treatment (NDT) in children with cerebral palsy (CP). Twenty-four children with CP, Levels II to IV according to the Gross Motor Function Classification System (GMFCS), were matched by age and functional status and randomly assigned to the AST or NDT treatment groups. In the AST group (n=12; eight males, four females; mean age 8.3 y [SD 2.0]), six children had spastic/ataxic diplegia, one triplegia and five spastic/mixed quadriplegia. In the NDT group (n=12; nine males, three females; mean age 8.1 y [SD 2.2]), five children had spastic diplegia and seven had spastic/mixed quadriplegia. Both groups were treated for 4 weeks (2 hours daily, 5 days per week, 20 sessions). To compare treatments, the Gross Motor Function Measure (GMFM-66) and the mechanical efficiency index (EIHB) during stair-climbing were measured at baseline, immediately after 1 month of treatment, and 10 months after baseline. The small but significant time effects for GMFM-66 and EIHB that were noted after 1 month of both intensive physiotherapy courses were greater than expected from natural maturation of children with CP at this age. Improvements in motor skills and their retention 9 months after treatment were not significantly different between the two treatment modes. Post hoc analysis indicated a greater increase in EIHB after 1 month (p=0.16) and 10 months (p=0.004) in AST than that in NDT, predominantly in the children with higher motor function (GMFCS Levels II and III). The results suggest that AST might improve mechanical efficiency without a corresponding gain in gross motor skills, especially in children with higher levels of motor function.

The efficacy of Adeli suit treatment in children with cerebral palsy.Turner AE. Dev Med Child Neurol. 2006 May; 48(5):324.

PMID:
16608538
[PubMed – indexed for MEDLINE]

Ment Retard Dev Disabil Res Rev. 2005;11(2):156-63.

Sologubov EG, Iavorskiĭ AB, Kobrin VI, Barer AS, Bosykh VG.

Abstract

The paper presents the findings of stabiligraphic investigations of children afflicted with the hyperkinetic child’s cerebral palsy treated with the method of graduated wearing special therapeutic suit. This device is a modification of space-designated Penguin-suit used to counteract the adverse effect of long-term microgravity on the skeletal muscles and the skeleton. 30 children were investigated prior to, immediately after, and in a delayed period after this treatment. A group of 11 healthy volunteers were also investigated as their control. The program of investigation included routine stabilimetry, the station test, and head rolling tests. The results demonstrate that in healthy subjects the standing pose is primarily acquired and sustained by means of the visual analyzer, whereas the CP patients pose could attain this pose with a significantly weakened control by the visual analyzer. Application of the device increases the role of visual analyzer in the control of standing pose. Following the treatment, the stabilimetric indices of patients changed for the better and approached those in healthy subjects.

PMID:
8664871
[PubMed – indexed for MEDLINE]