Rehabilitation treatment of spastic cerebral palsy with radial extracorporeal shock wave therapy and rehabilitation therapy article summary

Posted on: February 24, 2019 | By: zknox | Filed under: Gross Motor Function Measure (GMFM)

The purpose of this article is to examine the use of radial extracorporeal shock wave therapy (rESWT) and rehabilitation therapy for the treatment of spastic cerebral palsy. Cerebral Palsy has a prevalence of 2.0-3.5 births out of every 100.  This is prospective randomized control study. This study consisted of 82 children between the ages of 6 years to 12 years, this study was performed over the course of 3 years (2014-2017). Inclusion criteria consisted of 1) being between the ages of 6 and 12, 2) having spastic cerebral palsy, and 3) received multi-stage surgical strategy in the hospital for 6 weeks after lower extremity lysis operation, and 4) were able to participate in shock wave and routine rehabilitation. The participants were split into two groups the treatment group (n=43) and the control group (n=39). Both groups, treatment and control, underwent regular treatment including physical therapy, speech therapy, occupational therapy, and…

Read More

Gross Motor Function Measure – Article Summary

Posted on: February 28, 2021 | By: jdavis81 | Filed under: Gross Motor Function Measure (GMFM)

Title: Impact of Resistance Therapy on Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis Authors: Luisa Collado-Garrido, Paula Parás-Bravo, Pilar Calvo-Martín, and Miguel Santibáñez-Margüello Purpose: The purpose of this article was to identify the effects of resistance training on children with cerebral palsy via a meta-analysis. Study Population: School-aged children ≤18 years old with cerebral palsy. Methods: A bibliographic review was performed on articles from PubMed, ISI, and PEDro related to cerebral palsy and resistance training ranged up to 2018. References from the selected articles were also manually reviewed in addition. In total, 1,795 articles were gathered from these sources, narrowed down to 15 articles following inclusion/exclusion criteria. Included articles are of controlled and non-controlled clinical trials of school-aged children (≤18) with CP, focused on resistance training-based intervention, utilizing outcome measures to describe changes in motor function before and after intervention. Outcome Measures: The Gross Motor…

Read More

Gross Motor Function Measure (GMFM) – Article Review

Posted on: February 27, 2021 | By: kcolby | Filed under: Gross Motor Function Measure (GMFM), T&M Tools

Article Title: The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis Purpose: To analyze effectiveness of Hippotherapy (HPT) interventions on gross motor function in children with CP Study Population, Methods, & Outcome Measures: Comprehensive literature search through PubMed, Web of Science (WoS), Scopus, and Embase databases with keywords: “hippotherapy” & “cerebral palsy” and no publication date nor language filters Inclusion criteria based on PICOS model: population had to have a CP diagnosis, intervention had to be HPT, comparison had to be between HPT and traditional PT intervention or placebo, outcome had to be GMFM, and study design had to be RCT Exclusion criteria: studies with healthy participants, >1 intervention comparison, and use of HPT simulators to carry out intervention Two reviewers independently selected, reviewed, and extracted data from the chosen articles PEDro used to assess methodological quality of the studies: A…

Read More

Article Review: Selective motor control and gross motor function in bilateral cerebral palsy

Posted on: February 24, 2019 | By: cleonard12 | Filed under: Gross Motor Function Measure (GMFM)

Purpose: Investigate the relationship between the Selective Control Assessment of the Lower Extremity (SCALE), muscle volume, Gross Motor Function Measure (GMFM-66), and the Modified Ashworth Scale (MAS) in individuals with cerebral palsy. Study Population: The population recruited for this study included 11 male participants between the age of 12 to 25 years old with a diagnosis of bilateral spastic CP and were a level I-IV on the Gross Motor Function Classification System. Those who had underwent surgery, serial casting, or had been given botox injections in the past year were excluded. Methods/Intervention: In order to obtain muscle volume, all participants underwent a magnetic resonance image (MRI) of both lower extremities to obtain imaging for 18 muscles in each lower extremity. Muscle volumes were averaged between both lower extremities and normalized to body mass. The measurements were obtained by two examiners, and inter-rater reliability was established. Outcome Measures: On the same…

Read More

Gross Motor Function Measure Article Summary

Posted on: February 24, 2019 | By: dlashlee | Filed under: Gross Motor Function Measure (GMFM)

Purpose: The purpose of the study was to assess gait changes over time after children diagnosed with cerebral palsy received a botulinum toxin type A (BTX-A) injection. Study population: The study included nine children between the ages of 4 and 8 years old diagnosed with wither hemiplegic or diplegic cerebral palsy, of which the gross motor functional classification system (GMFCS) was used to assess the severity. Each participant had previously received BTX-A treatment 2-15 times, one of which had been in the last 3-6 months. Methods and Intervention: BTX-A injections were placed in the following muscles, different per participant: hip adductor muscle, rectus femoris, hamstrings, gastrocs, soleus, tibialis posterior and upper limb muscles. Measurements were taken before the injection, and at 4-weeks, 8-weeks and 12 weeks post-injection. Outcome measures: The participants were brought in to have measurements performed four times throughout the study: before BTX-A injection, 4 weeks post-injection, 8…

Read More

Comparing quality of life and habitual physical activity in children with cerebral palsy.

Posted on: February 24, 2019 | By: dlaforge | Filed under: Gross Motor Function Measure (GMFM), T&M Tools

Purpose: This study examined the association between ambulatory status, based on the Gross Motor Function Classification System (GMFCS), Habitual Physical Activity (HPA), and Quality of Life (QOL) in children with Cerebral Palsy (CP) at the age of 5. Study Population: This study used children with CP at the age of 5.  Participants could not have lesions that were progression or neurodegenerative. Methods, Outcome Measures, and Intervention: Participants were assessed based on Gross Motor Function Measure (GMFM) 66 item, as well as placed into ambulatory categories based on the GMFCS in five groups, Level I independent walking without restrictions, Level II independent walking with limited on uneven surfaces, Level III walking with an assistive device, Level IV limited self-mobility or use power mobility, Level V severely limited self-mobility and used wheeled mobility.  HPA was determined by placing an ActiGraph triaxial accelerometer around the lower back of the child for a period…

Read More

Contributing Factors Analysis for the Changes of the Gross Motor Function in Children with Spastic Cerebral Palsy After Physical Therapy

Posted on: March 1, 2018 | By: cgiordano4 | Filed under: Evaluative, Gross Motor Function Measure (GMFM)

Additional information about the GMFM: There is no overall magnitude of change for the GMFM-66 that is “clinically important.” As physical therapists, we must use our clinical judgment to determine this magnitude for each child that we encounter. CanChild Resources. Gross Motor Function Measure (GMFM). Accessed Feb 25th 2018.   Article Review Contributing Factors Analysis for the Changes of the Gross Motor Function in Children with Spastic Cerebral Palsy After Physical Therapy Purpose: This study was aimed to assess different factors that may impact gross motor function in those patients with spastic cerebral palsy. Study population: The patients were children diagnosis with spastic cerebral palsy from 2 to 6 years old. This study included 24 males and 21 females (45 children total) with spastic CP. Those included were not allowed to receive botulinum toxin injection or surgery within the past 6 months. Methods: It was a retrospective study reviewing patient’s…

Read More

Factors Influencing the Gross Motor Outcome of Intensive Therapy in Children with Cerebral Palsy and Developmental Delay

Posted on: February 27, 2018 | By: egeisler | Filed under: Evaluative, Gross Motor Function Measure (GMFM)

Updated Information: The price of the current GMFM user manual (2nd edition, Wiley Publishing Co) has increased to $143.00 since the previous postings. The scoring program, GMAE-2, can be downloaded for free at www.canchild.ca. At this time, there are no additional updates to the information reported in the posts above.   Article Summary: Title: Factors Influencing the Gross Motor Outcome of Intensive Therapy in Children with Cerebral Palsy and Developmental Delay   Purpose: The purpose of this study was to identify factors that are influential in determining the effectiveness of intensive therapy programs on gross motor function in children who have cerebral palsy (CP) or various developmental delays.   Study Population: The population of this study targets children with CP or developmental delays. Inclusion criteria for this study required participants to be less than 7 years old with developmental delays that required both physical and occupational therapy. Mean age at…

Read More

Gross Motor Function Measure Update and Article Summary

Posted on: March 6, 2017 | By: tgalantowicz | Filed under: Gross Motor Function Measure (GMFM)

Updated Information: The price of the GMFM user’s manual, 2nd edition from Wiley Publishing Co. is now $119.00 for the spiral bound paperback copy. The Gross Motor Ability Estimator (GMAE-2), a computer program used for scoring the GMFM, is free for download at CanChild’s website (www.canchild.ca). Requirements for download include: Java version 7, 100MB Free Hard Disk Space is recommended for software and data storage, Windows XP and above (if using Windows), Mac OSX 10.7 and above (if using a Mac), Adobe Acrobat Reader,  Unzip File utility, and a screen display resolution of at least 1024×768.   Article Summary: Habitual Physical Activity in Children with Cerebral Palsy Aged 4 to 5 Years Across all Functional Abilities Purpose: The purpose of the study was to explore the impact of habitual physical activity versus sedentary time on functional abilities in preschool aged children with cerebral palsy. Also, to compare the children in…

Read More

Gross Motor Function Measure (GMFM) Update 2017

Posted on: February 28, 2017 | By: sdineen | Filed under: Evaluative, Gross Motor Function Measure (GMFM)

Updated Information: GMFM (GMFM-66 and GMFM-88) User’s manual, 2nd edition from Wiley Publishing Co. is $119 for a spiral bound paperback The GMFM-88 can be best utilized for children with Cerebral Palsy or Down Syndrome who are very young or whose highest motor ability is lying and rolling. The GMFM-66 is a quicker to administrate than the GMFM-88 and can only be used for children with Cerebral Palsy. The online computer system required for the GMFM-66 has been updated to the GMAE-2 which offers the ability to import data from the original GMAE program and export into CSV files, an updated tutorial, the ability to plot the child’s percentile compared to peers, score sheets, and the ability to calculate scores for the GMFM-88, GMFM-66, GMFM-IS (item set), and GMFM-66-B&C (basal and ceiling). The GMAE-2 is available for free download on the Canchild website https://canchild.ca/en/resources/191-gross-motor-ability-estimator-gmae-2-scoring-software-for-the-gmfm   Article Summary: This study aimed…

Read More
Previous