Helloooooo - Help with articles on spasticity, ataxia, stretching

[estherderu]

Dear Lola,

My point is that if you have to write or present a case report, we need to know the exact diagnosis, the childs´age, the case itself and most importantly what (physio "technical" treatment, NDT, stretching, orthosis, PNF, functional exercises??) you have been doing.
When you have given us this information we can give you more background information.

kind regards
Esther

[looolaaa]

well i`m gonna talk about a 2 3/12 y/o boy, who diagnosed with spastic CP, brain atrophy and hydrocephalus.

O/E : his muscle tone was 3/4 for L.E and 2/4 for U.E

MMT: 3+/5 grossly graded
funchional activities: he`s I in all bed activities, needs moderate assistance in lie to sit , can sit by himself with poor to fair sitting balance.

my treatment was : i used physioball to reduce spasticity also make him in sidelying to reduce spasticity also.

NDT, tilt table for 45 min, playing therapy to improve sitting and standing balance.

and if he improved i`ll start with gait training and using treadmill, bicycle, stairs etc ...

i found an article about the anti-spastic positions n it was effective, but i couldn`t find anything related to NDT, physioball or balance

thank u so much ,, i hope i made my self clear now

[estherderu]

Dear Lola,

I think the best way to answer your question is by means of posing even more.

well i`m gonna talk about a 2 3/12 y/o boy, who diagnosed with spastic CP, brain atrophy and hydrocephalus. This will be the medical diagnosis, what is your own physiotherapeutic diagnosis?
O/E : his muscle tone was 3/4 for L.E and 2/4 for U.E In what manner was the muscle tone tested? Which test was used and how reliable is this test?

MMT: 3+/5 grossly graded Did you test muscles or functional stength. In the case of muscles, which muscles did you test and why did you think these muscles are of importance ?
funchional activities: he`s I in all bed activities, needs moderate assistance in lie to sit , can sit by himself with poor to fair sitting balance. Did you use the GMFM to assess his function? If not, what assessment did you use? What are the treatment goals you have set out?

my treatment was : i used physioball to reduce spasticity also make him in sidelying to reduce spasticity also. Do you think you can reduce spasticity with exercise? How do you assess this? Can you assess this?

NDT, tilt table for 45 min, playing therapy to improve sitting and standing balance. What is the specific goal for the use of the tilt table? Did you exercise in a certain posture, do you exercise transfers and moving from one plane to the other? How do you improve postural balance with you play therapy?

and if he improved i`ll start with gait training and using treadmill, bicycle, stairs etc ... Is this relevant at this moment?

i found an article about the anti-spastic positions n it was effective, but i couldn`t find anything related to NDT, physioball or balance Where have you been looking for articles?

thank u so much ,, i hope i made my self clear now

I hope that the answers to my questions will give you enough food for thought.

For more reading I can recommend the following websites: About skillsforaction.com | skillsforaction.com Lots of practical recommendations and literature.

Karen E. Adolph > Home

Pediatric Physical Therapy journal pediatric physical therapy

The following sites have been mentioned before:

My Child Without Limits: Home

http://www.physiobob.com/forum/paedi...proach-cp.html

Good luck with you presentation.

The only way to learn is to keep asking yourself and everyone around you questions. I always have and still do.

Esther

[illuminatidinesh]

Try this buddy....

http://cirrie.buffalo.edu/encycloped...c_patients.pdf

I will try to add a book on spasticity later... Running short of time.