PHYSICAL THERAPY FEATURES OF STATIC AND DYNAMIC MOTOR DISORDERS IN NON-PROGRESSIVE ORGANIC DISRUPTIONS OF CENTRAL NERVOUS SYSTEM

  2. 2018
  3. PHYSICAL THERAPY FEATURES OF STATIC AND DYNAMIC MOTOR DISORDERS IN NON-PROGRESSIVE ORGANIC DISRUPTIONS OF CENTRAL NERVOUS SYSTEM
Show/Download

Publication of the article:

«Bulletin of problems biology and medicine», 2018 Issue 1 Part 1, 142,

Nekhanevych O. B., Yun Byoung Yul

PHYSICAL THERAPY FEATURES OF STATIC AND DYNAMIC MOTOR DISORDERS IN NON-PROGRESSIVE ORGANIC DISRUPTIONS OF CENTRAL NERVOUS SYSTEM

About the author:

Nekhanevych O. B., Yun Byoung Yul

Heading:

LITERATURE REVIEWS

Type of article:

Scentific article

Annotation:

Non-progressive organic disruptions of the central nervous system are accompanied by impaired motor functions (spasticity, dystonia, muscle contractures, muscle weakness and difficulty in coordination that ultimately affects the ability to control movements). One of the most common clinical forms in the group of nonprogressive organic disruptions of the central nervous system is cerebral palsy (CP). The incidence of cerebral palsy in the world is 2.1, and in Ukraine – 2.56 cases per 1000 live births. Pathology of the motor sphere with CP is very diverse, however, most often the violation of the function of the neuromuscular system is manifested excessively increased or reduced muscle tone. Especially important here is the loss of gross motor functions (ability to run, walking, standing, sitting). Therefore, one of the main tasks in the rehabilitation of such patients is precisely the restoration of static-dynamic motor disorders. However, despite the achievements of modern medicine, one in three patients with CP is not able to walk. This points to the imperfection of modern approaches to rehabilitation and needs to be generalized and to find new methods of recovery. The purpose of this workwas to determine the state of the problem of physical therapy of static-dynamic motor disorders in people with non-progressive lesions of the central nervous system. Object and methods.To accomplish this goal, an analysis of literary sources in modern databases was carried out: abstract database “Ukrainka Science”, Google Scholar, RINC, Web of Science, PubMed, Medline, Cochrane Central Register of Controlled Trials. The search depth is 12 years (from January 2007 to January 2018). Research results. Most experts say that the early start of rehabilitation is most important for the successful rehabilitation of patients with CP. However, there are difficulties in early diagnosis of such conditions. Thus, the diagnosis of CP, as a rule, is only established at the end of the first-third year of the child’s life. This leads to severe consequences in the form of motor, lingual, and psychological deficits, which generally leads to social deprivation of such patients. The main principles of modern rehabilitation of CP are patient-centered measures and multidisciplinary approach involving a number of specialists, including physical therapists. The main goal of the modern rehabilitation model for CP is the restoration of functional activity and the maximum possible participation in social, domestic and professional aspects of life. Special attention is devoted to the restoration of gross motor functions and treatment the spasticity. The basis of modern rehabilitation of persons with CP is the complex involvement in the active process of the restoration of a number of functional systems of the body: sensory, motor, cognitive, linguistic, emotional and communicative. Conclusions.Despite the significant achievements in the rehabilitation of patients with non-progressive diseases of the nervous system, the problem of recovery of disturbed static-dynamic motor functions remains relevant and timely. The existence of a large number of individual methods of rehabilitation of such patients only proves the fact that the problem is not fully studied and requires generalization and standardization, which is based on international experience, a comprehensive involvement of all possible rehabilitation and individualization of restorative interventions. In the comprehensive rehabilitation technique to achieve a better rehabilitation effect, in particular the restoration of one of the most important functions of the human body – walking, it is necessary to take into account the pathophysiological features of the formation of an impaired motor stereotype in the process of ontogenesis of the patient, in particular the violation of the reciprocity of muscle antagonists. These theoretical data require further elaboration and implementation in the practice of health care.

Tags:

physical therapy, static-dynamic disorders, non-progressive organic disruptions, central nervous system

Bibliography:

 

  1. Bljum EJe, Bljum NJe, Antonov AR. K voprosu jetiologii i patogeneza detskogo cerebral’nogo paralicha (DCP). Vestnik RUDN. 2004;2(26):123-5. [in Russiаn].
  2. Gurkova MV. Koncepcija Bobat kak metod reabilitacii detej, diagnostirovannyh detskim cerebral’nym paralichom. Mezhdunarodnye kriterii po ocenke funkcianal’nogo sostojanija rebenka i planirovanie terapii. Aktual’nye nauchnye issledovanija v sovremennom mire. 2017;5-10(25):11-5. [in Russiаn].
  3. Zdvizhkova VM, Tarakanova KE. Kіnezіologіchna dіagnostika і terapіja za metodom Vojti u kompleksnіj reabіlіtacії dіtej z organіchnim urazhennjam nervovoї sistemi. Dostupno: http://health-ua.com/pics/pdf/ZU_2011_Nevro_3/28-29.pdf[in Ukrainian].
  4. Kobjakova GF, Morozova LH, Salahov IJe, Novikov JuO. Kompleksnoe primenenie Vojta-terapii i osteopatii pri lechenii detej s posledstvijami perinatal’nogo porazhenija central’noj nervnoj sistemy. Manual’naja terapija. 2016;2(62):21-9. [in Russiаn].
  5. Kozjavkіn VІ. Zajavnik ta patentovlasnik Kozjavkіn Volodimir Іllіch. Sposіb bagatokomponentnoi іntensivnoi reabіlіtacіi hvorih na ditjachij cerebral’nij paralіch. Раt. 55018 (UA) МPК (2009) A61В 10/00. u200908947. 2010 Hrud10. [in Ukrainian].
  6. Kozjavkіn VІ. Zajavnik ta patentovlasnik Kozjavkіn Volodimir Іllіch. Sposіb іntensivnoi nejroreabіlіtacіi hvorih na ditjachij cerebral’nij paralіch za metodom V. Kozjavkіna. Pat. 66711 (UA) МPК (2011.01) A61H 23/00. u201108912. 2012 Sich 10. [in Ukrainian]. 
  7. Krivoshlik JuN. Sovremennye metody fizicheskoj reabilitacii detej doshkol’nogo vozrasta, bol’nyh cerebral’nym paralichom: versii, teorii, spory (obzor literatury). Slobozhans’kij naukovo-sportivnij vіsnik. 2013;2(35):157-60. [in Russiаn].
  8. Mugerman BI. Ocenka organizacii proizvol’nyh dvizhenij v pozdnej rezidual’noj stadii cerebral’nogo paralicha. Zhurnal nevrologii i psihiatrii. 2009;7:62-5.[in Russiаn].
  9. Mugerman BI, Paramonova DB. Mesto jelektromiografii v ocenke jeffektivnosti reabilitacii bol’nyh detskim cerebral’nym paralichom. Lechebnaja fizicheskaja kul’tura i sportivnaja medicina. 2009;1(61):40-4. [in Russiаn].
  10. Semenova KA. Vosstanovitel’noe lechenie detej s perinatal’nym porazheniem nervnoj sistemy i s detskim cerebral’nym paralichem. Moskva: Zakon i porjadok, serija «Velikaja Rossija. Nasledie»; 2007. 616 s. [in Russiаn].
  11. Smoljanіnov AG. Zajavnik ta patentovlasnik Smoljanіnov Anatolіj Grigorovich. Sposіb lіkuvannja ditjachogo cerebral’nogo paralіchu.Pat. 94520 (UA) МПК (2014.01) A61H 1/00 A61H 5/00 A61H 39/00. u201410100. 2014 Lystop10. [in Ukrainian].
  12. Statistichnij bjuleten’: zakladi ohoroni zdorov’ja ta zahvorjuvanіst’ naselennja Ukrayni u 2010 rocі. Derzhkomstat Ukrayni. Kyi’v; 2011. s. 96. [in Ukrainian].
  13. Stepanova GA, Burkova NG, Bulatova OV, Demchuk AV. Reabilitacija detej s cerebral’nym detskim paralichom sredstvami adaptivnoj fizicheskoj kul’tury. Biznes. Obrazovanie. Pravo. Vestnik volgogradskogo instituta biznesa. 2013;1(22):238-40. [in Russiаn].
  14. Strashko EJu. Zajavnik ta patentovlasnik Strashko Єvgen Jurіjovich. Sposіb lіkuvannja dіtej, hvorih na spastichnі formi ditjachogo cerebral’nogo paralіchu. Раt. 60934 (UA) МPК (2011.01) A61H 1/02 (2006.01) A61H 3/00. u201102938. 2011 Cherv 25. [in Ukrainian].
  15. Cerebral’nij paralіch ta іnshі organіchnі urazhennja golovnogo mozku u dіtej, jakі suprovodzhujut’sja ruhovimi porushennjami. Adaptovana klіnіchna nastanova, zasnovana na dokazah. Nakaz Mіnіsterstva ohoroni zdorov’ja 09.04.2013 № 286. Dostupno: www.moz.gov.ua[in Ukrainian].
  16. Shiralieva RK, Mamedova MN. Principy profilaktiki, lechenija i reabilitacii razlichnyh form detskogo cerebral’nogo paralicha. Rossijskij vestnik perinatologii i pediatrii. 2008;6:48-52. [in Russiаn].
  17. Aarts PB, Hartingsveldt M, Anderson P, et al. Description and a Case Report of a Modified Constraint-induced Movement Therapy Combined with Bimanual Training for Young Children with Unilateral Spastic Cerebral Palsy. Occupational Therapy International. 2012;19(2):76-87.
  18. Aarts PB, Jongerius PH, Geerdink YA, et al. Modified Constraint-Induced Movement Therapy combined with Bimanual Training (mCIMTBiT) in children with unilateral spastic cerebral palsy: how are improvements in arm-hand use established? Research in Developmental Disabilities. 2011;32:271-9.
  19. Abou Al-Shaar H, Imtiaz MT, Alhalabi H, et al. Selective dorsal rhizotomy: A multidisciplinary approach to treating spastic diplegia. Asian J Neurosurg. 2017;12(3):454-65.
  20. Bosnjak V. Cerebral palsy in children – diagnostic aims and outcome studies in international comparison. Cerebral’ni paralichi, metody likuvannja ta ocinka efektyvnosti: Mater. II Mizhnar. sympozium. Truskavec; 2010. s. 4-7. 
  21. Cahill PJ, Samdani AF, Brusalis CM, et al. Youth and Experience: The Effect of Surgeon Experience on Outcomes in Cerebral Palsy Scoliosis Surgery. Spine Deform. 2018;6(1):54-9. 
  22. Capio CM, Sit CH, Abernethy B, Rotor ER. Physical activity measurement instruments for children with cerebral palsy: a systematic review. Dev Med Child Neurol. 2010;52:908-16.
  23. Carlon SL, Taylor NF, Dodd KJ, Shields N. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disabil Rehabil. 2013;35:647-55.
  24. Cerebral Palsy in Under 25s: Assessment and Management. National Guideline Alliance (UK). London: National Institute for Health and Care Excellence; 2017. Available from: https://www.nice.org.uk 
  25. Cimolin V, Beretta E, Piccinini L, et al. Constraint-Induced Movement Therapy for Children With Hemiplegia After Traumatic Brain Injury: A Quantitative Study. Journal of Head Trauma Rehabilitation. 2012;27(3):177-87.
  26. Clanchy KM, Tweedy SM, Boyd R. Measurement of habitual physical activity performance in adolescents with cerebral palsy: a systematic review. Dev Med Child Neurol. 2011;53:499-505.
  27. Coker P, Karakostas T, Dodds C, Hsiang S. Gait characteristics of children with hemiplegic cerebral palsy before and after modified constraintinduced movement therapy. Disability & Rehabilitation. 2010;32(5):402-8.
  28. D’Aquino D, Moussa AA, Ammar A, et al. Selective dorsal rhizotomy for the treatment of severe spastic cerebral palsy: efficacy and therapeutic durability in GMFCS grade IV and V children. Acta Neurochir (Wien). 2017.
  29. Désirée B, Lesley W, Eileen F, et al. Health-related physical fitness for children with cerebral palsy. J Child Neurol. 2014;29(8):1091-100.
  30. Eek MN, Olsson K, Lindh K, et al. Intrathecal baclofen in dyskinetic cerebral palsy: effects on function and activity. Dev Med Child Neurol. 2018;60(1):94-9. 
  31. Fowler EG, Knutson LM, Demuth SK, et al. Pediatric endurance and limb strengthening (PEDALS) for children with cerebral palsy using stationary cycling: a randomized controlled trial. Physical Therapy. 2010;90:367-81. 
  32. Fragala-Pinkham MA, O’Neil ME, Bjornson KF, Boyd RN. Fitness and physical activity in children and youth with disabilities. Int J Pediatr. 2012;11:162-648. 
  33. Franzén M, Hägglund G, Alriksson-Schmidt A, Franzén M. Treatment with Botulinum toxin A in a total population of children with cerebral palsy – a retrospective cohort registry study. BMC Musculoskelet Disord. 2017;18(1):520. 
  34. Gillett JG, Lichtwark GA, Boyd R, Barber LA. FAST CP: protocol of a randomized controlled trial of the efficacy of a 12-week combined Functional Anaerobic and Strength Training programme on muscle properties and mechanical gait deficiencies in adolescents and young adults with spastic-type cerebral palsy. BMJ. 2015;5:008-059. 
  35. Gorter JW, Timmons BW. Measurement of habitual physical activity and sedentary behavior of youth with cerebral palsy: work in progress. Dev Med Child Neurol. 2014;56:911.
  36. Gorton GE, Abel MF, Oeffinger DJ, et al. A prospective cohort study of the effects of lower extremity orthopaedic surgery on outcome measures in ambulatory children with cerebral palsy. Journal of Pediatric Orthopedics. 2009;29:903-9.
  37. Hanna SE, Rosenbaum PL, Bartlett DJ, et al. Stability and decline in gross motor function among children and youth with cerebral palsy aged 2 to 21 years. Dev Med Child Neurol. 2009;51:295-302.
  38. Hussain AW, Onambele GL, Williams AG, et al. Muscle size, activation, and coactivation in adults with cerebral palsy. Muscle Nerve. 2014;49:76-83.
  39. Ishikawa S, Kang M, Bjornson KF, Song K. Reliably measuring ambulatory activity levels of children and adolescents with cerebral palsy. Arch Phys Med Rehabil. 2013;94:132-7.
  40. Kanovsky P, Bares M, Severa S, Richardson A. Dysport Paediatric Limb Spasticity Study Group. Long-term efficacy and tolerability of 4-monthly versus yearly botulinum toxin type A treatment for lower-limb spasticity in children with cerebral palsy. Developmental Medicine and Child Neurology. 2009;51:436-45.
  41. Katz-Leurer M, Rotem H, Keren O, Meyer S. The effects of a ‘home-based’ task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury. Clinical Rehabilitation. 2009;23:714-24.
  42. Kawano A, Yanagizono T, Kadouchi I, et al. Ultrasonographic evaluation of changes in the muscle architecture of the gastrocnemius with botulinum toxin treatment for lower extremity spasticity in children with cerebral palsy. J Orthop Sci. 2017;17:30293-2. 
  43. Klotz MC, Krautwurst BK, Hirsch K, et al. Does additional patella tendon shortening influence the effects of multilevel surgeryto correct flexed knee gait in cerebral palsy: A randomized controlled trial. Gait Posture. 2017;60:217-24.
  44. Kraus T, Gegenleitner K, Svehlik M, et al. Long-term therapy with intrathecal baclofen improves quality of life in children with severe spastic cerebral palsy. Eur J Paediatr Neurol. 2017;21(3):565-9. 
  45. Kurenkov AL, Klochkova OA, Bursagova BI, et al. Efficacy and safety of botulinum toxin type A (Incobotulinumtoxin A) in the treatment of patients with cerebral palsy. Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(11):37-44. 
  46. Kwiecień-Czerwieniec I, Krukowska J, Woldańska-Okońska M. Influence of toxin botulin on walk stereotype of children with juvenile cerebral palsy. The functional examination performed by BTS, comprehensive movement analysis system. A preliminary report. Wiad Lek.2014;67(2Pt.1):59-63.
  47. Kwon JY, Hwang JH, Kim JS. Botulinum toxin a injection into calf muscles for treatment of spastic equinus in cerebral palsy: a controlled trial comparing sonography and electric stimulation-guided injection techniques: a preliminary report. American Journal of Physical Medicine and Rehabilitation. 2010;89:279-86.
  48. Lee JH, Sung IY, Yoo JY. Therapeutic effects of strengthening exercise on gait function of cerebral palsy. Disability and Rehabilitation. 2008;30:1439-44.
  49. Lungu C, Hirtz D, Damiano D, et al. Report of a workshop on research gaps in the treatment of cerebral palsy. Neurology. 2016;87(12):1293-8. 
  50. Margaret E, O’Neil M, Fragala-Pinkham N, et al. Reliability and Validity of Objective Measures of Physical Activity in Youth With Cerebral Palsy Who Are Ambulatory. Phys Ther. 2016;96(1):37-45. 
  51. Martín Lorenzo T, Rocon E, Martínez Caballero I, et al. Prolonged stretching of the ankle plantarflexors elicits muscle-tendon adaptations relevant to ankle gait kinetics in children with spastic cerebral palsy. Med Hypotheses. 2017;109:65-9. 
  52. Mitchell LE, Ziviani J, Boyd RN. Habitual physical activity of independently ambulant children and adolescents with cerebral palsy: are they doing enough? Phys Ther. 2015;95:202-11. 
  53. Monbaliu E, Himmelmann K, Lin JP, et al. Clinical presentation and management of dyskinetic cerebral palsy. Lancet Neurol. 2017;16(9):741-9. 
  54. National Guideline Alliance (UK). Spasticity in under 19s: management, 2016. London: National Institute for Health and Care Excellence; 2016. Available from: https://www.nice.org.uk 
  55. Novak I, Cusick A, Lannin N. Occupational therapy home programs for cerebral palsy: double-blind, randomized, controlled trial. Pediatrics. 2009;124:606-14.
  56. Novak I. Evidence-based diagnosis, health care, and rehabilitation for children with cerebral palsy. Journal of Child Neurology. 2014;29(8):1141-56.
  57. Olesch CA, Greaves S, Imms C, et al. Repeat botulinum toxin-A injections in the upper limb of children with hemiplegia: a randomized controlled trial. Developmental Medicine and Child Neurology. 2010;52:79-86.
  58. Oskoui M, Coutinho F, Dykeman J, et al. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Developmental medicine and child neurology. 2013;55(6):509-19.
  59. Paulson A, Vargus-Adams J. Overview of Four Functional Classification Systems Commonly Used in Cerebral Palsy. Children. 2017;4(4):30. 
  60. Ramstad K, Jahnsen R, Lofterod B, Skjeldal OH. Continuous intrathecal baclofen therapy in children with cerebral palsy – when does improvement emerge? Acta Paediatrica. 2010;99:1661-5.
  61. Rosenbaum P, Paneth N, Leviton A, et al. A report on the definition and classification of cerebral palsy. Dev Med Child Neurol Suppl. 2007;109:8-14. 
  62. Sakzewski L, Ziviani J, Abbott DF, et al. Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia. Developmental Medicine & Child Neurology. 2011;53:313-20.
  63. Schasfoort F, Dallmeijer A, Pangalila R, et al. Value of botulinum toxin injections preceding a comprehensive rehabilitation period for children with spastic cerebral palsy: A cost-effectiveness study. J Rehabil Med. 2018;50(1):22-9. 
  64. Sitthinamsuwan B, Phonwijit L, Khampalikit I, et al. Comparison of efficacy between dorsal root entry zone lesioning and selectivedorsal rhizotomy for spasticity of cerebral origin. Acta Neurochir (Wien). 2017;159(12):2421-30. 
  65. Thomason P, Baker R, Dodd K, et al. Single-event multilevel surgery in children with spastic diplegia: a pilot randomized controlled trial. Journal of Bone and Joint Surgery. 2011;93:451-60.
  66. Van Wely L, Becher JG, Balemans AC, Dallmeijer AJ. Ambulatory activity of children with cerebral palsy: which characteristics are important? Dev Med Child Neurol. 2012;54:436-42. 
  67. Verschuren O, Darrah J, Novak I, et al. Health-enhancing physical activity in children with cerebral palsy: more of the same is not enough. Phys Ther. 2014;94:297-305. 
  68. Verschuren O, Ketelaar M, Gorter JW, et al. Exercise training program in children and adolescents with cerebral palsy: a randomized clinical trial. Arch Pediatr Adolesc Med. 2007;161:1075-81.
  69. Xu K, Yan T, Mai J. A randomized controlled trial to compare two botulinum toxin injection techniques on the functional improvement of the leg of children with cerebral palsy. Clinical Rehabilitation. 2009;23:800-11.
  70. Yeargin-Allsopp M, Van Naarden Braun K, Doernberg NS, et al. Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a multisite collaboration. Pediatrics. 2008;121:547-54.
  71. Yoon YK, Lee KC, Cho HE, et al. Outcomes of intrathecal baclofen therapy in patients with cerebral palsy and acquired brain injury. Medicine (Baltimore). 2017;96(34):72-4.

 

Publication of the article:

«Bulletin of problems biology and medicine» Issue 1 Part 1 (142), 2018 year, 50-55 pages, index UDK 61:615.81-84:616-009.1-8:616.833.17-009.11

DOI:

10.29254/2077-4214-2018-1-1-142-50-55

2018 Issue 1 Part 1, 142
06.03.2023
Was this article helpful?
15
0