Search results for "Palsy"

The gait is less stable in children with cerebral palsy in normal and dual-task gait compared to typically developed peers

2021

There is limited evidence about gait stability and its alteration by concurrent motor and cognitive tasks in children with cerebral palsy (CP). We examined gait stability and how it is altered by constrained cognitive or motor task in CP and their typically developed (TD) controls. Gait kinematics were recorded using inertial-measurement units (IMU) from 18 patients with hemiplegia (13.5 +/- 2.4 years), 12 with diplegia (13.0 +/- 2.1 years), and 31 TD controls (13.5 +/- 2.2 years) during unconstrained gait, and motor (carrying a tray) and cognitive (word naming) task constrained gait at preferred speed (similar to 400 steps/task). Step duration, its standard deviation and refined-compound-m…

P 042 - Gait complexity quantified using inertial measurement units in children with cerebral palsy

2018

Abstract Children with cerebral palsy (CP) have gait impairments, and their gait is affected by concurrent tasks. We used inertial measurement units (IMU) to quantify CP-related gait complexity alterations, and identify effects of dual tasks on gait variability from 12 children with CP and 23 typically developed (TD) controls. The data were collected for normal and dual-tasks (motor; carrying a tray, cognitive; word naming) during walking. Step duration and adjusted multiscale entropy (MSE) index were computed. In overall, children with CP had shorter step duration and greater gait complexity than TD. Gait complexity was higher in vertical direction during the cognitive than normal and moto…

Toimintaterapeuttien ja vanhempien yhteistyö toimintaterapiassa lapsille, joilla on CP-oireisto

2017

Tutkimuksessa selvitettiin toimintaterapeuttien ja vanhempien välistä yhteistyötä Kelan järjestämässä vaikeavammaisten kuntoutuksessa lapsille, joilla oli CP-oireisto. Tutkimuksessa käytettiin aineistoa, joka oli kerätty Kelan kuntoutuksen avopalveluja tuottaneilta toimintaterapeuteilta vuosina 2008–2009. Aineisto kerättiin The Measure of Processes of Care for Service Providers -itsearviointimittarilla (MPOC-SP), jolla kysyttiin palveluntuottajilta, kuinka paljon he olivat toteuttaneet asiakaslähtöisiä toimintatapoja yhteistyössään lasten vanhempien kanssa. Tämän tutkimuksen aineisto analysoitiin SPSS-ohjelmalla. Tutkimuksen tuloksina oli, että lasta kuntouttavista toimintaterapeuteista 92 …

Revising the stretch reflex threshold method to measure stretch hyperreflexia in cerebral palsy

2022

Funding Information: This work was supported by the Olvi Foundation, Research Foundation of Cerebral Palsy Alliance (PHD00321), Finnish Cultural Foundation, University of Jyväskylä, Academy of Finland (grants #296240, #307250, #327288, #311877, #326988), including “Brain changes across the life-span” profiling funding to University of Jyväskylä, Jane and Aatos Erkko Foundation (#602.274), and the Netherlands Organization for Scientific Research (NWO-016.186.144). Ministry of Education and Culture (OKM/28/626/2022). Hyper-resistance is an increased resistance to passive muscle stretch, a common feature in neurological disorders. Stretch hyperreflexia, an exaggerated stretch reflex response, …

Exercise intervention protocol in children and young adults with cerebral palsy : the effects of strength, flexibility and gait training on physical …

2021

Abstract Background Individuals with cerebral palsy (CP) have problems in everyday tasks such as walking and climbing stairs due to a combination of neuromuscular impairments such as spasticity, muscle weakness, reduced joint flexibility and poor coordination. Development of evidence-based interventions are in pivotal role in the development of better targeted rehabilitation of CP, and thus in maintaining their motor function and wellbeing. Our aim is to investigate the efficacy of an individually tailored, multifaceted exercise intervention (EXECP) in children and young adults with CP. EXECP is composed of strength, flexibility and gait training. Furthermore, this study aims to verify the …

2021

Funding Information: We acknowledge the computational resources provided by the Aalto Science-IT project. We would like to thank Marita Kattelus, Tuomas Tolvanen and Toni Auranen from Advanced Magnetic Imaging (AMI) Centre for assistance in the neuroimaging measurements. We would like to thank Helge Kainulainen for providing us with engineering help. We would also like to thank Anni Nora, Nina Ritari, Laura Schildt and Ida ?rma performing the cognitive testing. Motion Analysis Laboratory team in Helsinki University Hospital measuring and analysing the sensorimotor testing, including Piia Haakana, Kati Tammivuori, Sari Korhonen, Elina Ylitalo, Tuula Niemel?, Essi Marttinen-Rossi, Juha-Pekka …

MR imaging of bilateral paramedian thalamic and mesencephalic infarcts: A case report

2010

We describe MR imaging of bilateral infarction of the paramedian portion of the mesencephalus and thalamus due to an occlusion of the Percheron artery. This entity is due to one of the anatomic variants of the perforating arteries supplying the thalamus and mesenchephalus. Clinically this kind of infarction presents with neurologic impairment as a disorder of consciousness, memory dysfunctions, various types of vertical gaze palsy and psychic changes, which need to be differentiated from delirium and coma. At MRI evaluation infarction of the paramedian portion of thalami and midbrain, with a “butterfly wings” pattern, was demonstrated as high signal intensity areas on FLAIR and FSE-T2W ima…

Persistent Tonic Facial Contraction: A Local Brain-Stem Sign

1993

Impairment of facial motility associated with contralateral hemiparesis is characteristic of pontine lesions. In the Millard-Gubler and Foville syndromes, involvement of the facial nerve is nuclear or infranuclear, resulting in a peripheral-type palsy. Conditions of pontine origin showing hyperactivity of facial muscles are facial myokymia and Brissaud’s syndrome. Brissaud and Sicard [4] reported low-frequency phasic cramplike facial contractions and contralateral hemiparesis in inflammatory brain-stem processes.

Peripheral Neuropathy and VIth Nerve Palsy Related to Randall Disease Successfully Treated by High-Dose Melphalan, Autologous Blood Stem Cell Transpl…

2010

Randall disease is an unusual cause of extraocular motor nerve (VI) palsy. A 35-year-old woman was hospitalized for sicca syndrome. The physical examination showed general weakness, weight loss, diplopia related to a left VIth nerve palsy, hypertrophy of the submandibular salivary glands, and peripheral neuropathy. The biological screening revealed renal insufficiency, serum monoclonal kappa light chain immunoglobulin, urinary monoclonal kappa light chain immunoglobulin, albuminuria, and Bence-Jones proteinuria. Bone marrow biopsy revealed medullar plasma cell infiltration. Immunofixation associated with electron microscopy analysis of the salivary glands showed deposits of kappa light chai…

Oral health in children with physical (Cerebral Palsy) and intellectual (Down Syndrome) disabilities: Systematic review I

2016

Introduction Traditionally, patients with physical and/or intellectual disabilities presented greater oral pathology, owing to their condition and to other external factors. Improved social and health conditions make it necessary to update knowledge on their oral and dental health. Material and Methods For this purpose, a bibliographic review was done regarding the state of oral health of children with these two types of disability, in comparison with a control group. Some of the guidelines of the PRISMA statement were taken into account. The ranking of the articles found is based on the modified Newcastle-Ottawa Quality Assessment Scale. The final number of articles evaluated was 14. Param…