جستجوی مقالات مرتبط با کلیدواژه "spastic cerebral palsy" در نشریات گروه "پزشکی"

Limitations in the ability to perform manual functions decrease the individual’s participation in activities of daily living (ADLs). Thus, it is required to study the relationship between manual skills and self-care activities in children. This study aims to investigate the relationship between manual ability and self-care in children with spastic cerebral palsy at the ages of 1 to 8 years.

In this cross-sectional study, 125 children aged 1-8 years with spastic cerebral palsy who were chosen by the convenience sampling method from 8 occupational therapy clinics in Tehran City, Iran, in 2022 were studied. The evaluation tools were manual ability classification system (MACS), mini-manual ability classification system (Mini-MACS), pediatric evaluation of disability inventory (PEDI), and cognitive level form designed in the SPARCLE project. After collecting the data, Stata software, version 14 was used to analyze data using chi-square, Spearman correlation coefficient, Mann-Whitney, Kruskal-Wallis, and regression.

In this research, the mean age of the children was 54.2±15 months and 43.2% had a cognitive level >70. The mean self-care and mobility in children were 49.65±30.60 and 40.78±26.97, respectively. With increasing age, self-care and mobility of children showed a significant increase (P<0.001). No significant difference was observed between boys and girls in self-care and mobility (P<0.05). By changing the education level of the main caregiver, no significant difference was found in self-care and mobility (P<0.05). With the increase in children’s cognitive ability level and MACS level, self-care and mobility improved significantly (P<0.001). Moreover, the level of MACS and mobility with the highest beta values (-0.530 and 0.512, respectively) showed a greater contribution to the prediction of self-care.

The results showed that with increasing age, cognitive ability level, and MACS level, self-care and mobility improve significantly in children with spastic cerebral palsy. Therefore, it is suggested to pay more attention to manual ability to improve self-care and mobility in these children.

Arachnoid cysts are congenital or acquired cerebrospinal fluid (CSF) filled intra arachnoidal lesions, included 1% of all infantile intracranial masses and were discovered incidentally in MRI or CT-scan. The vast majority of these lesions are generally asymptomatic but some patients with arachnoid cyst have headache, dizziness, seizure (or epilepsy), vestibular symptoms and cognitive impairment.

We present a case of a 43-year-old woman who has late onset epilepsia partialis continua and had right spastic cerebral palsy due to huge arachnoid cyst. Surprisingly without any history of seizure, her first seizure presents with sustained seizures (epilepsia partialis continua) and occur in the middle age for the first time.

Most arachnoid cysts are asymptomatic and may not produce any symptoms throughout life. In our case, the late onset epilepsia partialis continua in the 5th decade of life with probably a large arachnoid cyst without any history of seizure before that is unusual. Conservative approaches usually made for the management of arachnoid cysts as patients with these cysts usually maintain the vital neurological functions.

In children with severe spastic cerebral palsy, the presence of primary reflexes prevents normal movement patterns and delayed treatment. Wrapping technique is one of the methods used to reduce muscle tone. Wrapping technique is one of the methods used to increasing upper extremity function. The aim of this study was to evaluate the effect of this technique on the reduction of spasticity and increase the range of upper extremity in children with cerebral palsy.

In this experimental and pilot study, 20 children {mean (±SD) age = 4.35 (±1.18) year} were randomly assigned to intervention and control groups. In both groups, the passive ranges of motion and muscle tone (external shoulder rotation, shoulder abduction, shoulder flexion, and wrist extension) were measured by goniometer and modified Ashworth scale before and after the intervention. Both groups received regular rehabilitation services, and the intervention group took wrapping along with those services. Independent t-test was used to examine the pretest and posttest to differentiate between the two groups.

The results of this test showed an increase in the passive range of motion in the intervention group compared with the control group. Our study also suggested tone reduction in all intended muscles, except in wrist extensor, during 12 treatment sessions in the intervention group.

In summary, the use of the wrapping technique is an effective method for reducing muscle tone and increasing the passive range of motion.