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Comprehensive assessment of therapy using the GMFM scale in a female patient with cerebral palsy treated with botulinum toxin

100%
Strus A., Gazurek D.
Medical Rehabilitation
|
2015
|
vol. 19(4)
19-24
PL
Cel: Celem pracy była ocena efektów usprawniania za pomocą skali GMFM u pacjentki z mózgowym porażeniem dziecięcym leczonej toksyną botulinową. Materiał i metody: w obserwacji uczestniczyła 5-letnia dziewczynka, u której rozpoznano obustronne porażenie kurczowe (diplegia spastica) mózgowego porażenia dziecięcego. Badania przeprowadzono w jednym z uniwersyteckich szpitali dziecięcych. Pacjentka uczestniczyła w dwóch 3-tygodniowych turnusach rehabilitacyjnych, gdzie była objęta kompleksową terapią. Każdy turnus rozpoczynał się 2 tygodnie po podaniu toksyny botulinowej. Do oceny efektów usprawniania użyto skali GMFM, którą przeprowadzano zarówno przed terapią, jak i po jej zakończeniu. Wyniki: Wyniki badań wykazały poprawę funkcji motorycznych ocenianych skalą GMFM, a także poprawę struktury ciała, funkcji ciała, czynności i uczestnictwa po zastosowaniu kompleksowego i systematycznego postępowania terapeutycznego. Wnioski: Regularne podawanie toksyny botulinowej, wraz z zastosowaniem kompleksowego postępowania terapeutycznego u badanej pacjentki, wpłynęło na polepszenie i osiągnięcie nowych funkcji motorycznych.
EN
Purpose: The aim of the study was to evaluate the effects of therapy using the GMFM scale in a female patient with cerebral palsy treated with botulinum toxin.Material and Methods: The observation involved a 5-year-old girl diagnosed with spastic diplegia cerebral palsy. The study was conducted at a University Children's Hospital. The patient participated in two 3-week rehabilitation camps involving a comprehensive therapy. Each camp began two weeks after injections of botulinum toxin. The effects of the therapy were assessed using the GMFM scale, and the assessment was performed both before the treatment and after its completion.Results: The results showed an improvement in the motor functions assessed with the GMFM scale and in the structure of the body, the body functions, and levels of activity and participation after the application of a comprehensive and systematic therapeutic intervention.Conclusion: Regular administration of botulinum toxin alongside a comprehensive therapeutic treatment improved the patient’s motor functions and enabled her to achieve new motor functions.
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Normalized gait parameters in NDT-Bobath post-stroke gait rehabilitation

85%
Mikołajewska E.
Open Medicine
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2012
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vol. 7
|
issue 2
176-182
EN
The aim of the research was to evaluate the results of NDT-Bobath method in gait re-education of adult patients after ischemic stroke using normalized parameters of gait. The investigation group consisted of 60 patients, all sufferers of an ischemic stroke, and participated in a rehabilitation program: 10 sessions of NDT-Bobath therapy through 2 weeks (ten days of the therapy). Normalized parameters of gait were calculated based on anthropometric measures of patients and their gait parameters (gait velocity, cadence and stride length) measured in every patient on admission (before the therapy) and after the last session of the therapy to assess rehabilitation effects. Results among patients involved in the research were as follows: in normalized gait velocity: recovery in 42 cases (70 %), relapse in 10 cases (16,67 %), no measurable changes in 8 cases (13.33 %)in normalized cadence: recovery in 39 cases (65 %), relapse in 16 cases (26.67 %), no measurable changes in 5 cases (8.33 %)in normalized stride length: recovery in 50 cases (83.33 %), relapse in 4 cases (6.67 %), no measurable changes in 6 cases (10 %). Observed statistically significant and favourable changes in health status of patients, described by normalized gait parameters, confirm effectiveness of the NDT-Bobath method.
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