Motricite Cerebrale最新文献

December 6th, 2021 marks an important milestone in the rehabilitation/rehabilitation of people with Cerebral Palsy, their loved ones and all rehabilitation/rehabilitation professionals. It was on this day that the HAS published the recommendations of good practices of “rehabilitation and rehabilitation of the motor function of the musculoskeletal system of people diagnosed with Cerebral Palsy”. These recommendations are the first in cerebral palsy. They represent a roadmap and a major paradigm shift. The recommendations allow, first of all, all rehabilitators to have a common base on the minimum expectation for the care of patients. They also allow everyone to have an identical communication tool. The other originality of these recommendations is to consecrate the co-construction of concrete rehabilitation objectives with the patient/his family and the rehabilitators. These recommendations remain theoretical. From there, the key importance of the Therapeutic Education of the Patient and the expert patient to help everyone to seize them and then to make them live.

The conclusions of the recommendations HAS according to Reeducation Techniques Le Métayer do not leave indifferent many professionals working with people with Cerebral Palsy. However, most of its teaching is found in the main principles proposed by HAS. There is no need to oppose these two approaches, clinical on the one hand and scientific on the other, but rather to seek the links that unite them in order to improve the quality of reeducation and rehabilitation care.

Cerebral palsy is the main cause of disability in children. It leads to motor, postural and/or sensory dysfunctions for which care is required from birth. This care must be diversified in order to avoid monotony and to maintain good adherence to care. Virtual reality, which has been in full expansion for several years, appears to be an interesting tool for maintaining motivation and diversifying the exercises and modalities offered in rehabilitation to children with cerebral palsy.

Method

A bibliographical research carried out in different search engines (CINAHL, PubMed) with the addition of filters allowed the selection of 21 articles. Five of these articles were selected for their close link with the key words and analyzed in the article below.

Discussion

From the upper limb to balance, virtual reality seems to have an impact on many areas of rehabilitation management. If it appears interesting on the motivation for all the authors, its use meets certain criticisms and the interpretation of the results must be taken with parsimony.

Conclusion

Virtual reality seems to be an interesting tool to use for the rehabilitation of children with cerebral palsy. However, other studies are necessary with less heterogeneity, the use of adapted and validated tools for cerebral palsy and a higher level of proof.

Practice of regular physical activities improve the physical and mental health of children and adults. Numerous studies on children, teenagers and adults with normal growth have seen the light of day for over 10 years and have enabled the establishment of a national and international public health policy in favor of daily physical activity. For children and teenagers with cerebral palsy, we currently do not find recommendations for the physical activities. In order to support cerebral paralyzed children and teenagers as closely as possible to their health needs, an initial assessment of their physical condition seems essential. Thus, this article shows the results of the current publications and studies concerning field tests of physical condition, validated and reliable, in children and/or teenagers with cerebral palsy.

Purpose

Cerebral palsy is the most common motor impairment in children, with a prevalence ranging from 1.5 to 3.8 per 1000 births from one country to another. Many studies highlight the benefits of physical activity in cerebral palsy. Here we study its impact on the spatio-temporal parameters of walking.

Material and methods

The search was conducted on PubMed with the keywords « Cerebral Palsy », « Exercises » and « Walking ». Fourty-nine articles were studied and 5 were selected to be analysed in depth. The study population comprises of children and teenagers with spastic cerebral palsy aged 6 to 16. The targeted intervention is the strengthening of lower body muscles through various exercises with and without specific equipment.

Results

Samples range from 15 to 30 children aged 6 to 16. GMFCS scores range from I to IV. The exercises are offered 3 to 5 times a week with an exercise duration of 25 to 70 min per session. The studies were conducted for 6 to 12 weeks. Different measurement scales were used, one before and one after the intervention. Two studies used a third measure one month before the intervention.

Conclusion

An improvement in the spatio-temporal parameters of walking was observed in all studies; more specifically in walking speed, step length and walking rate. The limitations of these studies are that the samples are small and very heterogeneous. The long-term benefits of these interventions would also be interesting to study.