Comparison between the Effect of Neurodevelopmental Treatment and Sensory Integration Therapy on Gross Motor Function in Children with Cerebral Palsy

ObjectiveThis study was planned to compare the effects of neurodevelopmental treatment and sensory integration therapy on gross motor function in children with cerebral palsyMaterials & MethodsTwenty two children with spastic CP were randomly divided into two groups. Sensory integrative therapy was given to the first group (n=11), and neurodevelopmental treatment was given to the second group (n=11). All children were evaluated with GMFM-88. Treatment was scheduled for three - one hour sessions per week for 3 months.ResultsTwenty two children with spastic CP (11 diplegia and 11 quadriplegia) participated in this study. When two groups were compared, a significant difference was found in lying and rolling (P=0.003), sitting  (0.009), crawling and kneeling (0.02) and standing ability (P=0.04). But there was no significant difference in walking, running, and jumping abilities between the two groups (0.417). Paired t-tests revealed a significant difference between pre and post test results, with increases in scores of lying and rolling, sitting, crawling and kneeling, standing in sensory integration therapy (SIT) and neurodevelopmental treatment (NDT) approaches.Conclusion Neurodevelopmental treatment and sensory integration therapy improved gross motor function in children with cerebral palsy in four dimensions (lying and rolling, sitting, crawling and kneeling, standing). However, walking, running and jumping did not significantly improve

An Analysis of the Managerial Performance of the Councils in Sustainable Rural Development in Rostam City, Iran

After the Islamic Revolution, and especially since 1998 onwards, rural the Councils in country as the first civil institutions that arose from opinion of the majority of people in determining their fate have had noticeable role in the processes of management and development of the rural community centers. This study aimed to evaluate the performance of the Councils in the field of sustainable rural development of Rostam city in Fars province. This study was conducted by descriptive-analytical method and by using survey method. The statistical population includes 78 villages with the Councils of this city which is selected by stratified random sampling method and with appropriate choice of 50 villages. Then, the village council members (three) were studied and ultimately necessary studies have been conducted on 125 rural council members. The data collection tool was a questionnaire with open-ended questions and its face validity was confirmed and its reliability was also confirmed by Cronbach's alpha (r=0.79). The research results indicate that the performance of the Councils of studied villages in six dimensions of performance including socio-cultural, economic and resource, environmental, constructional and infrastructural, relationships with organizations and institutions and conductor plan has been in moderate level. The results of hierarchical regression analysis also showed that among the studied structures social capital, government support, and participation of people respectively, 0.20, 0.43 and 0.25 change the standard deviation of the Councils of studied villages

An Analysis of the Managerial Performance of the Councils in Sustainable Rural Development in Rostam City, Iran

After the Islamic Revolution, and especially since 1998 onwards, rural the Councils in country as the first civil institutions that arose from opinion of the majority of people in determining their fate have had noticeable role in the processes of management and development of the rural community centers. This study aimed to evaluate the performance of the Councils in the field of sustainable rural development of Rostam city in Fars province. This study was conducted by descriptive-analytical method and by using survey method. The statistical population includes 78 villages with the Councils of this city which is selected by stratified random sampling method and with appropriate choice of 50 villages. Then, the village council members (three) were studied and ultimately necessary studies have been conducted on 125 rural council members. The data collection tool was a questionnaire with open-ended questions and its face validity was confirmed and its reliability was also confirmed by Cronbach's alpha (r=0.79). The research results indicate that the performance of the Councils of studied villages in six dimensions of performance including socio-cultural, economic and resource, environmental, constructional and infrastructural, relationships with organizations and institutions and conductor plan has been in moderate level. The results of hierarchical regression analysis also showed that among the studied structures social capital, government support, and participation of people respectively, 0.20, 0.43 and 0.25 change the standard deviation of the Councils of studied villages

Effect of Sensory Integration Therapy on Gross Motor Function in Children with Cerebral Palsy

ObjectiveThe primary problem in children with cerebral palsy (CP), frequently referred for occupational therapy, is gross motor dysfunction. The current study was designed to investigate the effects of sensory integration therapy (SIT) on gross motor skills in CP patients.Materials & MethodsTwenty-four children with diplegic spastic CP were randomly divided into two groups: First group (n=14,6 girls, 8 boys), age range 2 to 6 years, mean age 3.9 years; the second or control group (n=10, 5 girls, 5 boys), age range 2 to 6 years, mean age 3.4 years. SIT training was given to the first group and only the home program was given for the second group. All children were evaluated with gross motor function measurement (GMFM 88) for rolling, sitting, crawling, standing and walking position before and after intervention. Treatment duration for both groups was 1 hour, 5 days per week for a period of 12 weeks.ResultsGross motor function in children of the case group improved significantly better that in the control group, after intervention in sitting (P=0.02), crawling (P=0.001) and standing (P=0.03) positions; however no significant difference was seen in rolling (P=0.65) and walking (P=0.69) ability assessment.ConclusionThis study showed the beneficial effects of the SIT training program for children with CP; the SIT intervention had a significantly positive effect on gross motor function in the children with diplegic spastic CP. Moreover the results of the present study showed that sensory integration and vestibular stimulation were effective in children with cerebral palsy.

Need to Perform Rehabilitation Exercises at Home by Parents of Children with Neurological Diseases to Maintain Performance During COVID-19 Lockdown

With the outbreak of the novel pandemic coronavirus disease 2019 (COVID-19) worldwide, many pediatric rehabilitation clinics have closed to support social &physical distancing and therapist like other people are staying in their homes. There is common concern of parents and caregivers that how and with which quality children's rehabilitation exercises should be proceed. Most children with neurological diseases have problems such as muscle spasticity, range of motion limitation, muscle shortening, balance loss, mobility and movement impairment. The aim of this research was to summarize the necessaries of home based rehabilitation exercises program during quarantine period

Investigating Effects of Vertical Baffles on Damping of Shallow Water Sloshing using a 3D Model

Liquid sloshing is a common phenomenon in the transporting of liquid tanks. A safe liquid transporting needs to control the entered fluctuating forces to the tank walls, before leading these forces to large forces and momentums. Using predesigned baffles is a simple method for solving this problem. Smoothed Particle Hydrodynamics is a Lagrangian method that has been widely used to model such phenomena. In the present study, a three-dimensional incompressible SPH model has been developed for simulating the liquid sloshing phenomenon. This model has been improved using the kernel gradient correction tensors, particle shifting algorithms, turbulence model, and free surface particle detectors. The results of the three-dimensional numerical model are compared with an experimental model, showing a very good accuracy of the three-dimensional numerical method used. This study aims to investigate vertical baffle effects on the control and damping of liquid sloshing. The results of the present investigation show that in this particular case, by using baffles, it is possible to reduce more than 50% of the maximum value of pressure fluctuations in the slashing phenomenon

The effect of Kinesio Taping on hand grip and active range of motion of hand in children with Cerebral Palsy

Abstract Objective: Kinesio taping is a relatively new technique which uses in rehabilitation of neurologic disease. The aim of this study was to investigate the effects of kinesio taping on hand grip and active range of motion of hand in children with Cerebral Palsy.Materials and Methods: In experimental study with pre-test and three post-test, Thirty two children with cerebral palsy randomly were placed in experimental (n=17) and control group (n=15).  Kinesio taping was applied on dorsum of forearm and hand. Evaluation was performed initially, two days after taping and two days after tape removal. Goniometer was used to evaluate active range of motion of wrist extension. Also, vigorimeter was used to evaluate of grip strength.Results: In all variable, data showed that in pre-test there is no difference between groups but in post-tests; initially after application of taping with p<0.05, two days after application of taping with p<0.05 and follow-up (two days after removed taping) with p<0.05 were significantly differences between trial and control group.Conclusion: Kinesio taping in neurorehabilitation of children with cerebral palsy can be a useful option to promote power or grip strength and active range of motion of wrist and thumb.

Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy

How to Cite This Article: labaf S, Shamsoddini A, Hollisaz MT, Sobhani V, Shakibaee A . Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iran J Child Neurol. Spring 2015;9(1):37-42.AbstractObjectiveNeurodevelopmental treatments are an advanced therapeutic approach practiced by experienced occupational therapists for the rehabilitation of children with cerebral palsy. The primary challenge in children with cerebral palsy is gross motor dysfunction. We studied the effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy.Materials & MethodsIn a quasi-experimental design, 28 children with cerebral palsy were randomly divided into two groups. Neurodevelopmental therapy was given to a first group (n=15) with a mean age of 4.9 years; and a second group with a mean age 4.4 years (n=13) who were the control group. All children were evaluated with the Gross Motor Function Measure. Treatments were scheduled for three - one-hour sessions per week for 3 months.ResultsWe obtained statistically significant differences in the values between the baseline and post treatment in two groups. The groups were significantly different in laying and rolling (P=0.000), sitting (0.002), crawling and kneeling (0.004), and standing abilities (P=0.005). However, there were no significantdifferences in walking, running, and jumping abilities between the two groups (0.090).ConclusionWe concluded that the neurodevelopmental treatment improved gross motor function in children with cerebral palsy in four dimensions (laying and rolling, sitting, crawling and kneeling, and standing). However, walking, running, and jumping did not improve significantly