TAILIEUCHUNG - Efficacy of cold therapy on spasticity and hand function in children with cerebral palsy

Spasticity remains a major cause of disability among children with cerebral palsy (CP). Effective management depends on careful assessment and an interdisciplinary treatment approach. The purpose of this study was to investigate the effect of cold therapy when used in combination with conventional physical and occupational therapy to control upper limbs’ spasticity and to improve hand function in children with spastic CP. Thirty children of both sexes (12 girls and 18 boys) with spastic CP with ages ranged from 4 to 6 years (mean age ± months) participated in this study. They had mild to moderate spasticity in elbow and wrist flexors. Children were randomly divided into two groups of equal number: group I and group II. Children in group I received cold therapy on elbow and wrist flexors immediately before the application of conventional physical and occupational therapy. Those in group II received the same conventional occupational and physical therapy only. In both groups treatment was conducted three times per week for a successive 3 months. Spasticity, range of motion (ROM) and hand function were evaluated before and after the treatment by using the Modified Ashworth Scale, the electronic goniometer and the Peabody Developmental Motor Scale, respectively. | Efficacy of cold therapy on spasticity and hand function in children with cerebral palsy

• Sức khỏe trẻ em
• Cold therapy
• Hand function
• Cerebral palsy
• Occupational therapy
• Children with cerebral palsy
• BMC Pediatrics
• Gross motor function
• Cerebral Palsy Mobility Service
• Gross Motor Function Classification System
• Unilateral spastic cerebral palsy
• Spastic hemiplegia
• Randomised controlled trial
• Ankle kinematics
• Temporal spatial parameters
• BMC Musculoskeletal Disorders
• Dislocated hip joint
• Developmental dysplasia of the hip
• Infantile cerebral palsy
• Cerebral cortex
• Electrical stimulation
• Mobility training
• Sleep disorders
• Sleep Disturbance Scale for Children
• Sleep wake transition
• Children with special needs
• Down syndrome
• Spina bifida
• Parental health
• Young children
• Intensive training
• Motor function
• Functional skills
• Systematic review
• Ankle foot orthosis
• Range of motion
• Total population
• Muscle weakness
• Chronic pain
• Semi structured interviews
• Adolescents experiencing chronic pain
• Physiotherapy intervention
• Family Centred Service
• Motor learning
• Hand and arm use
• Botulinum Toxin A
• Strength training
• Double blind randomized controlled trial
• Carer burden
• National quality registry
• Associated impairments
• Early intervention services
• Follow up program
• Orthotic devices
• Ankle foot orthoses
• Intervention studies
• Treatment effectiveness
• Orthotic management in rest
• Knee ankle foot orthoses
• Ankle dorsiflexion range of motion
• Gastrocnemius muscle
• Stem cells
• Neonatal icterus
• Autologous bone marrow mononuclear cell transplantation
• Hemiplegic gait
• Wisconsin gait scale
• Intra observer reliability
• Inter observer reliability
• Scale adaptation
• Popliteal angle
• Muscle contractures
• Hamstrings spasticity
• Spastic bilateral CP
• Motor control
• Motor training
• Physical therapy
• Executive functions
• Cognitive training
• Computerized therapy
• Quality of life
• Modified sport
• Gross motor
• School aged
• Upper limb
• Somatosensory discrimination
• Goal directed
• Home program
• Unilateral cerebral palsy
• Upper extremity
• Intensive therapy
• Brain injuries
• Treatment outcome