Cerebral palsy or CP, a neurological disorder determined by a multitude of conditions (congenital, pre/natal/postnatal causes), with a prevalence of 2-2.5/1000 births, is characterized by motor and function loss, with the most frequent motor element represented by spasticity, and last but not least, by hypotonia, and secondary gait impairment.
The purpose of our work is to follow up and assess the effects of proprioceptive functional vibratory stimulation (PFVS) on the jump gait pattern of spastic diplegic gait in children with cerebral palsy. The child with jump gait has equinus foot, genu flexum and coxa flecta, related to spasticity on the gastrocnemian and soleus, hamstrings and psoas muscles.
In order to obtain spasticity decrement on the main muscle groups involved in jump gait and improve motor control, we advance the proprioceptive functional vibratory stimulation procedure, as part of the rehabilitation program.
Functional vibratory stimuli were applied using a mobile unit commercial medical device for bedridden and standing patients, on the lower limb antagonist muscles, associated with physical therapy, once a day for two weeks, in a group of 5 children with jump gait and cerebral palsy. Ashworth Modified Scale and 10 meters test were used as evaluation tools for spasticity intensity and establishing improvement or decrement of gait pattern.
The obtained results show a moderate amendment in gait pattern, with slightly softening of the targeted muscles, thus improving the gait pattern, in the subjected group of patients.
Andra Pintilie– M.D. Research Assistant, "Dr. Nicolae Robanescu" Pediatric Neurorehabilitation National Center, Bucharest, Romania
Liliana Padure– M.D., Consultant, "Dr. Nicolae Robanescu" Pediatric Neurorehabilitation National Center, Bucharest, Romania
Andrada Mirea– M.D., Specialist Physician, "Dr. Nicolae Robanescu" Pediatric Neurorehabilitation National Center, Bucharest, Romania
Corina Sporea– Assistant Researcher, Physical Therapist, "Dr. Nicolae Robanescu" Pediatric Neurorehabilitation National Center, Bucharest, Romania