evaluation (demographic and functional)
independent ambulation in spastic Cerebral Palsy
Zăvăleanu Mihaela, Roşulescu Eugenia, Ilinca
Faculty of Physichal Education and Sports,
University of Craiova, Romania
Cerebral palsy (CP) is the most common childhood physical disability
and affects 2 to 2.5 children per 1,000 born. A complete
neurodevelopment assessment of the child with cerebral palsy is
performed by a multidisciplinary clinical team, and should include a
comprehensive evaluation of clinical and functional status, etiological
risk determinants, associated deficits and environmental factors that
influence participation and ambulation.
This study aimed to identify positive and negative prognostic factors
for independent ambulation in a group of children with cerebral palsy.
and Methods: A total of 52 children with spastic CP, who were
rehabilitated in the paediatrics rehabilitation clinic between
2005-2010 years, were included. All subjects received a standardized
physical therapy protocol (kinetotherapy and electrotherapy). They were
completely social, economical, clinical and functional evaluated for a
period of 2 years.
Results: The main
parameters of the progression to the acquisition of independent walking
were negative risk factors (the topography of spasticity with both
legs, paraparesis and tetraparesis, presence of associated disorders as
epilepsy, mental retardation, high levels of muscle spasticity of the
lower limb flexors) and favourable prognostic factors (the mean
reduction of spasticity scores between times of assessments, the
greater the amplitude of movement in the AM limb joints, the improving
AM from an assessment at another, and a high score of BBS).
We believe that these results could be useful for both clinicians and
physical therapists in monitoring the application rehabilitation
program and as prognostic factors for independent ambulation of
cerebral palsied children.
palsy, ambulation, risk factors