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- Myhr, Ulla, et al.
(författare)
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Improvement of functional sitting position for children with cerebral palsy
- 1991
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Ingår i: Developmental Medicine & Child Neurology. - : Wiley. - 0012-1622 .- 1469-8749. ; 33:3, s. 246-256
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Tidskriftsartikel (refereegranskat)abstract
- Twenty-three children with cerebral palsy were photographed and video-filmed in six different sitting positions--including a hypothetical functional position--and the video-films and photographs were analysed. It was found that pathological movements were minimised and postural control and arm and hand function best when the child was sitting in a forward-tipped seat, with a firm backrest supporting the pelvis, arms supported against a table and feet permitted to move backward.
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- Myhr, Ulla, et al.
(författare)
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Influence of different sitting positions and abduction orthoses on leg muscle activity in children with cerebral palsy
- 1993
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Ingår i: Developmental Medicine & Child Neurology. - : Wiley. - 0012-1622 .- 1469-8749. ; 35:10, s. 870-880
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Tidskriftsartikel (refereegranskat)abstract
- A surface electromyogram (EMG) was recorded from four leg muscles to measure the effects of various seat inclinations and an abduction orthosis on eight children with cerebral palsy and controls during performance of an upper-extremity task and while listening to a story. EMG responses were lowest in the forward-leaning and horizontal positions with the abduction orthosis, and highest in reclined and horizontal positions without the orthosis for both groups of children during the performance of an upper-extremity task. While listening to a story, there was no median EMG activity in any muscles of the controls, but there were wide variations in those of the children with cerebral palsy. The results indicate that the use of an abduction orthosis and horizontal and forward-leaning seats decrease lower-extremity muscle activity, and so it is possible that it might also improve upper-extremity function.
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- Myhr, Ulla, et al.
(författare)
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Reducing spasticity and enhancing postural control for the creation of a functional sitting position in children with cerebral palsy: A pilot study
- 1990
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 6:2, s. 65-76
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Tidskriftsartikel (refereegranskat)abstract
- With the aim of creating a functional sitting position and a method to identify factors which reduce spasticity and enhance postural control, a pilot study was conducted of two girls with severe cerebral palsy. The girls were photographed and videotaped seated in six various positions, including their original adapted chairs as well as after different interventions and even a hypothetical functional sitting position. These positions were varied by changing the inclination of the seat, either with or without an abduction orthosis and with or without a table in front of the child. The total time required for postural control was recorded. The children's pathologic/spastic movements were identified and counted. The children's upper bodies relative to the rotational axis at the ischial tuberosities were analysed from photographs. The greatest reduction of spasticity was gained and postural control was markedly superior when three factors were combined: the symmetrical fixation of the child by a belt anchored under the seat; the use of an abduction orthosis; and the placement of the line of gravity of the upper body anterior to the axis of rotation at the ischial tuberosities. These factors were combined with the seat inclined forwards or placed level with the child's forearms supported against a table. Changing the inclination of the seat alone showed no discernible effect.
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- von Wendt, Lennart, et al.
(författare)
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A parent-centred approach to physiotherapy for their handicapped children
- 1984
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Ingår i: Developmental Medicine & Child Neurology. - : Wiley. - 0012-1622 .- 1469-8749. ; 26:4, s. 445-448
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Tidskriftsartikel (refereegranskat)abstract
- A study was made of a parent-centred model for physiotherapy for a group of handicapped children in a sparsely inhabited region in northern Sweden. The parents were responsible for daily therapy, supervised by physiotherapists and occupational therapists. A questionnaire sent to all the parents showed that in 26 of the 39 families who responded the child was receiving daily therapy. Both parents took part in all but three cases, but eight families reported difficulties with the training. The authors conclude that the parents were not overstrained by their high degree of involvement, provided there was close supervision and adequate economic and emotional support.
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