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Full-Text Articles in Medicine and Health Sciences
Effects Of Home-Based Modified Constraint-Induced Movement Therapy In Children With Spastic Cerebral Palsy: A Preliminary Study, Fei-Chuan Chen, Ching-Yi Wu, Hsieh-Ching Chen, Keh-Chung Lin, Chia-Ying Chung, Chia-Ling Chen
Effects Of Home-Based Modified Constraint-Induced Movement Therapy In Children With Spastic Cerebral Palsy: A Preliminary Study, Fei-Chuan Chen, Ching-Yi Wu, Hsieh-Ching Chen, Keh-Chung Lin, Chia-Ying Chung, Chia-Ling Chen
Rehabilitation Practice and Science
Previous studies have shown beneficial effects of modified constraint-induced movement therapy (mCIMT) in improving motor functions of the upper extremities in children with spastic cerebral palsy (CP). However, there are few studies which have used kinematic analysis to validate the effectiveness and mechanisms underlying motor improvement after mCIMT. To promote clinical applicability and children's compliance with mCIMT, this study attempted to investigate the effects of home-based mCIMT in children with spastic CP using integration of clinical measures and kinematic analysis.This study used a randomized controlled trial design. Twelve children with spastic CP (6 boys and 6 girls) were randomly assigned …
Combining Botulinum Toxin Type A Injection And Modified Constraint-Induced Movement Therapy In A Taiwanese Patient With Spastic Hemiplegic Cerebral Palsy: A Casereport, Yi-Chen Tseng, Jui-Yun Su, Yu-Ching Lin
Combining Botulinum Toxin Type A Injection And Modified Constraint-Induced Movement Therapy In A Taiwanese Patient With Spastic Hemiplegic Cerebral Palsy: A Casereport, Yi-Chen Tseng, Jui-Yun Su, Yu-Ching Lin
Rehabilitation Practice and Science
Hypertonia interferes with selective motor control and performance of activities in children with spastic cerebral palsy. At present, most therapists use traditional therapeutic techniques such as neurodevelopmental treatment or other approaches to handle the problems posed by cerebral palsy but the results are not very good. Many studies had shown that botulinum toxin type A (BTX-A) injection can control abnormal muscle tone effectively without major side effects. Constraint-induced movement therapy (CIMT) includes constraint of the sound side upper limb and intensive therapy of the affected limb. In order to reduce spasticity and enhance the use of the affected limb simultaneously, …
Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo
Hippotherapy On Gross Motor Function In A Child With Hypotonic Quadriplegic Cerebral Palsy: A 1-Year Follow-Up, Yueh-Ling Hsieh, Shu-Ya Zhan, Shyi-Kuen Wu, Chen-Chia Yang, Yu-Chun Lee, Hong-Ji Luo
Rehabilitation Practice and Science
Hippotherapy is used to improve gross motor function in children with cerebral palsy (CP). However, the therapeutic effects of hippotherapy using specific position and its longitudinal improvements in children of hypotonic CP have not been thoroughly examined. A 6-year-old girl with hypotonic quadriplegic CP was noted to have generalized hypotonia and global delay in development before intervention. There was sustained improvement in gross motor function after 12-month hippotherapy. She received a 15-minute intervention twice a week for one year with two treatment positions being used, sitting backwards for the first 3 months and prone propped position for the next 9 …
Argininosuccinic Acidemia: A Casereport, Chih-Wei Lin, Huey-Jen Lay, I-Ju Chen
Argininosuccinic Acidemia: A Casereport, Chih-Wei Lin, Huey-Jen Lay, I-Ju Chen
Rehabilitation Practice and Science
Urea cycle disorder (UCD) is one of inborn error diseases. Citrullinemia is the most common disease (1/57000) among them, followed by argininosuccinic acidemia (ASA) (1/70000). The common characteristic of UCD is hyperammonemia induced by the abnormal liver function. Common symptoms at the onset of diseases include altered consciousness, respiratory insufficiency and seizures. Developmental delay, mental retardation, cerebral palsy, and learning disability are common findings in long-term follow-ups. In this report, we give an account of a patient with ASA. Besides the aforementioned symptoms and long-term sequelae, this patient also has the problem of ataxia. However, the patient's conditions and developments …
Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang
Bone Mineral Density In Subjects With Cerebral Palsy: A Preliminary Study In Taiwan, Hsin-Chi Wu, Ming-Chuan Lin, Yi-Shiung Horng, Hong-Yi Chen, Kwang-Hwa Chang
Rehabilitation Practice and Science
Objective: Children with cerebral palsy (CP) have complicated disabilities, and also have the tendency to suffer from osteoporotic fractures. The aim of this study was to explore the bone mineral density (BMD) and to estimate the fracture rate in Taiwanese CP subjects.Materials and methods: To study the BMD and its related factors in 28 Taiwanese CP subjects (16 males, 12 females; age range, 2-24 years; mean age, 9.8 years), we evaluated their BMD in the lumbar spine (LS-BMD) with dual energy x-ray absorptiometry, clinical characteristics, biochemical bone metabolism-related factors, and nutritional status. The fracture rate was evaluated during a three-year …
Botulinum Toxin Type A Treatment For Drooling In Taiwanese Children With Cerebral Palsy: Three Casereports, Yu-Ching Lin, I-Ling Lin, Yu-Te Chiu, Jeng-Yi Shieh
Botulinum Toxin Type A Treatment For Drooling In Taiwanese Children With Cerebral Palsy: Three Casereports, Yu-Ching Lin, I-Ling Lin, Yu-Te Chiu, Jeng-Yi Shieh
Rehabilitation Practice and Science
Botulinum toxin is a promising treatment option for the management of drooling in patients with cerebral palsy. However, the effect of botulinum toxin type A in treating drooling of Taiwanese children with cerebral palsy has not been reported thus far. We injected single dose botulinum toxin into bilateral parotid glands of three children with cerebral palsy, and followed the results over a 9-month period. Drooling improved in all three patients without significant adverse effects during follow up. There were individual differences in terms of efficacy and duration of effect. Two patients had longer duration of effect than that reported in …
Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen
Modified Constraint-Induced Movement Therapy In Spastic Cerebral Palsy: A Pilot Study, Hsuan-Ju Lin, Ching-Yi Wu, Chia-Ling Chen
Rehabilitation Practice and Science
Children with spastic cerebral palsy (CP) usually exhibit motor deficits and limited daily activities. Studies in recent years indicated that constraint-induced movement therapy (CIMT) might improve motor performance in CP patients. Combining kinematic analysis with clinical assessments, this study investigated the effect of modified CIMT (mCIMT) in four children with spastic CP immediately and one month after treatment. During the 3-week intervention, subjects underwent task-related training using the affected hand with restraint of the unaffected hand.The experimental results revealed significant improvements of the affected hand in use frequency, movement quality, grasping pattern, and bimanual coordination, both immediately and one month …
Growth And Body Composition Analysis In Children With Cerebral Palsy, Tsui-Fen Yang, Pei-Hsin Lin, Chueh-Lien Yang, Rai-Chi Chan, Nien-Tzu Kao
Growth And Body Composition Analysis In Children With Cerebral Palsy, Tsui-Fen Yang, Pei-Hsin Lin, Chueh-Lien Yang, Rai-Chi Chan, Nien-Tzu Kao
Rehabilitation Practice and Science
The objective of the present study was to investigate the growth and body composition of younger children with cerebral palsy, using anthropometric measures and bioelectrical impedance analysis (BIA). We also looked into the relative strength and consistency between different measurements in analyzing body composition. Thirty-nine patients, aged 3 to 13, with an established diagnosis of cerebral palsy, and age- and sex-matched control subjects, were recruited for this study. Distribution of height-by-age and weight-by-age percentiles differed significantly between the study and the control groups, whereby the subjects of cerebral palsy grew shorter and lighter than normal subjects. The body fat percentage …
Clinical Effects Of Botulinum Toxin On Spasticity Management In Children With Cerebral Palsy, En-Shiuan Wu, Chia-Ling Chen, Alice M.K. Wong, Ching-Kai Wong, Jun-Xiao Chen, Shin-Ming Lo
Clinical Effects Of Botulinum Toxin On Spasticity Management In Children With Cerebral Palsy, En-Shiuan Wu, Chia-Ling Chen, Alice M.K. Wong, Ching-Kai Wong, Jun-Xiao Chen, Shin-Ming Lo
Rehabilitation Practice and Science
Botulinum toxin type A (BTA) has treated spasticity in cerebral palsy (CP) in recent years. This study investigated both the clinical effects and gait improvements of BTA on spasticity management in children with CP.Twenty-nine children with spastic CP (2-10 years old) were recruited into this study. All subjects received complete clinical assessments, video recording and functional assessments before and 1-3 months after BTA treatment. A questionnaire was employed for the evaluation of parents’ subjective satisfaction. Clinical assessments included muscle tone and joint range of motion (ROM) of bilateral lower limbs. ROMs, including dynamic (R1) and static (R2), were measured by …