Search results for "REY"
showing 10 items of 639 documents
Deteriorated stabilization of walking in individuals with spastic cerebral palsy revealed by a simulated tripping perturbation
2014
Abstract. The aim of this study was to make use of a pr eviously introduced method of a simulated tripping perturbation to examine stability of walking in individuals with and with out cerebral palsy. This tripping perturbation is a forward-dynamics analys is, and it works so that in a subjec t-specific muscle-driven simulation of walking, created from experimental gait data, a force is applied to the swin g-foot, and resulting changes in the kinematics are observed. Here, changes in the fore-aft position of the trunk were analyzed. Subjects were 10 children with spastic diplegic cerebral palsy and eight un impaired children walking at their self-sel ected speed. Several tripping perturbati…
"Me halutaan ymmärtää" : vanhempien käsityksiä fysioterapeuttisesta ohjauksesta CP-lapsen botuliinihoidon yhteydessä
2014
Kemialliset ja ortopediset hoidot ovat nousseet perinteisen fysioterapian rinnalle spastisuuden hoitokeinona. Siitä huolimatta että kahden viime vuosikymmenen aikana näiden hoitojen suosio on kasvanut, ne eivät korvaa perinteistä fysioterapiaa. Kemiallisena hoitona botuliinitoksiini A -hoidon suosio on perustunut leikkaustarpeen viivyttämiseen, kivun hallintaan sekä spastisuuden helpottumisen kautta toiminnallisuuden lisääntymiseen erityisesti lievästi tai keskivaikeasti CP-vammaisilla lapsilla ja nuorilla. Botuliinihoidon tehokas hyödyntäminen edellyttää sekä fysioterapian että perheen fysioterapeuttisen ohjauksen toteutumista. Lapsen elinympäristö on perhe, ja vanhempien käsityksiä botuli…
Wearable electromyography recordings during daily life activities in children with cerebral palsy.
2020
To test whether wearable textile electromyography (EMG) recording systems may detect differences in muscle activity levels during daily activities between children with cerebral palsy (CP) and age-matched typically developing children.Wearable textile EMG recording systems were used to obtain leg muscle activity in 10 children with spastic CP (four females, six males; mean age 9y 6mo, standard deviation [SD] 2y 4mo, range: 6-13y; Gross Motor Function Classification System [GMFCS] level I and II) and 11 typically developing children (four females, seven males; mean age 9y 9mo, SD 1y 11mo, 7-12y) at rest and while performing seven daily activities.Children with CP showed significantly lower a…
A test of the effort equalization hypothesis in children with cerebral palsy who have an asymmetric gait.
2022
Healthy people can walk nearly effortlessly thanks to their instinctively adaptive gait patterns that tend to minimize metabolic energy consumption. However, the economy of gait is severely impaired in many neurological disorders such as stroke or cerebral palsy (CP). Moreover, self-selected asymmetry of impaired gait does not seem to unequivocally coincide with the minimal energy cost, suggesting the presence of other adaptive origins. Here, we used hemiparetic CP gait as a model to test the hypothesis that pathological asymmetric gait patterns are chosen to equalize the relative muscle efforts between the affected and unaffected limbs. We determined the relative muscle efforts for the ank…
Safety and efficacy outcomes after intranasal administration of neural stem cells in cerebral palsy : a randomized phase 1/2 controlled trial
2023
Abstract Background Neural stem cells (NSCs) are believed to have the most therapeutic potential for neurological disorders because they can differentiate into various neurons and glial cells. This research evaluated the safety and efficacy of intranasal administration of NSCs in children with cerebral palsy (CP). The functional brain network (FBN) analysis based on electroencephalogram (EEG) and voxel-based morphometry (VBM) analysis based on T1-weighted images were performed to evaluate functional and structural changes in the brain. Methods A total of 25 CP patients aged 3–12 years were randomly assigned to the treatment group (n = 15), which received an intranasal infusion of NSCs loade…
P 042 - Gait complexity quantified using inertial measurement units in children with cerebral palsy
2018
Children with cerebral palsy (CP) have various gait impairments, and consequently their gait is less stable compared to typically developed (TD) controls. Gait kinematics are also affected more in CP than TD by concurrent dual and cognitive tasks. Inertial measurement units (IMU) provide efficient tool to quantify gait stability, but the practical value of IMU based gait assessment has not been tested in children with CP. nonPeerReviewed
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…
Päähiirtä käyttävän CP-nuoren tietokoneavusteinen musiikinohjausprosessi
2008
"Nykyään sitä on oppinut arvostaa" : nuorten, joilla on CP- vamma, kokemuksia pitkäaikaisesta fysioterapiasta
2012
Pro gradu- tutkimukseni tarkoituksena on ymmärtää ja kuvata nuorten, joilla on CP- vamma, kokemuksia pitkäaikaisesta fysioterapiasta fenomenologis- hermeneuttisen tutkimusasetelman kautta. Tutkimus liittyy laajempaan Jyväskylän yliopiston koordinoimaan Potilasohjaus fysioterapiassa – projektiin ja sillä on tutkimuslupa HUS:n eettiseltä toimikunnalta. Tutkimukseen osallistui 10 nuorta, joilla on ollut fysioterapiaa pienestä lapsesta lähtien, 16-22 -vuotta. Aineisto kerättiin avoimien yksilöllisten haastattelujen avulla ja analysoitiin Spiegelbergin (1982) ja Laineen (2010) aineistoanalyysimenetelmän kautta. Tutkimukseen osallistuneiden nuorten merkityskokonaisuuksina ilmenivät: fysioterapia …