كلية العلاج الطبيعي
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Item Effectiveness of adaptive seating on sitting and trunk control in children with cerebral palsy in Khartoum state 2019(Al-Neelain University, 2020) Zainab Hayder ELameen AliAbstract Background: cerebral palsy is a non-progressive lesion of the immature brain that results in impairment of movement and postural control, and is the most common physical disability in childhood. The classification based on clinical finding into spastic, hypotonic, dyskinetic, ataxic and mixed. Trunk control is commonly impaired in children with cerebral palsy which affect on body function and structure. Objective: To study the effect of adaptive seating in sitting posture and postural control among children with cerebral palsy. Methodology: This is a quasi-randomized study conducted in the outpatient Clinic of Faculty of Physiotherapy at AL-Neelain University. 30 patients were recruited and divided randomly into two groups; 15 (study), received adaptive seating chair beside conventional exercise and 15 (comparison), conventional exercises. Both groups have been assessed at the baseline, after two weeks and after month for seating and trunk control by using two scales: GMFM and PDMS. Data was analyzed by SPSS (version 16). Results: using of adaptive seating chair in children with CP will improve seating and trunk control. Conclusion and recommendations: The study concluded that adaptive seating is effective in improvement of seating and trunk control in cerebral palsied children. We recommend that adaptive seating should be included in physiotherapy program for patients with cerebral palsy, and further studies need with bigger sample size. مستخلص البحث المقدمة: الشلل الدماغي هو ضرر ثابت غير متقدم في الدماغ يؤدي الى اعاقة حركية وعدم القدرة غلى التحكم بالوضع الثابت للجسم وهو الإعاقة الأكثر شيوعا في الطفولة. يصنف سريريا إلى تشنجي، منخفض التوتر، خلل الحركة، ترنح، مختلط. يعاني العديد من الأطفال المصابين بالشلل الدماغي من صغوبة في التحكم بالجذع مما يؤثر سلبا على وظائف الجسم وهيكله. الهدف: دراسة تأثير الجلوس التكيفي في وضعية الجلوس والتحكم في الوضع عند الأطفال المصابين بالشلل الدماغي. المنهجية: هذه دراسة شبه عشوائية أجريت في العيادة الخارجية لكلية العلاج الطبيعي بجامعة النيلين. تم تجنيد 30 مريضا وتنقسم عشوائيا إلى مجموعتين. 15 (دراسة) ، حصل على كرسي جلوس متكيف بجانب التمارين التقليدية و 15 (مقارنة) ، تمارين تقليدية. تم تقييم كلا المجموعتين في خط الأساس ، بعد أسبوعين وبعد شهر للتحكم في الجذع والجلوس باستخدام ميزانين:GMFM و PDMS . تم تحليل البيانات بواسطةSPSS (الإصدار 16) النتائج: استخدام الكرسي التكيفء لأطفال الشلل الداغي سوف يحسن من الجلوس والتحكم في الجذع الخلاصة والتوصيات: خلصت الدراسة إلى أن الجلوس التكيفي فعال في تحسين الجلوس والتجكم بالجذع في الأطفال المصابين بالشلل الدماغي. نوصي بإدراج الجلوس التكيفي في برنامج العلاج الطبيعي للمرضى الذين يعانون من الشلل الدماغي ، وتحتاج إلى مزيد من الدراسات مع حجم عينة أكبر.Item Effect of kinesiotaping on hand functions in children with cerebral palsy in Al-Neelain University Faculty of Physiotherapy outpatient clinic (April - October 2018)(Al-Neelain University, 2019) Tarteel Faisal Khedir MohamedBackground: Cerebral palsy is a childhood condition in which there is a motor disability caused by a static, non-progressive lesion in the brain. It is classified clinically based on the changes in muscle tone into spastic, dyskinetic, hypotonic, ataxic and mixed cerebral palsy. The upper extremity is frequently affected in children with cerebral palsy. Many children have only mild fine motor difficulties such as in diplegia whereas others are more severely affected (hemiplegia and quadriplegia) Objective: To study the effect of kinesiotaping on hand functions in cerebral palsied children. Methodology: This is a quasi-randomized study conducted in the outpatient Clinic of Faculty of Physiotherapy at AL-Neelain University. 36 patients were recruited and divided randomly into two groups; 18 (study), received kinesiotaping and 18 (comparison), physical therapy exercises. Both groups have been assessed at the baseline and after two weeks for wrist ROM by goniometer, spasticity by Modified Ashworh Scale and hand function assessment by QUEST scale. Data was analyzed by SPSS (version 16). Results: Both study and control group showed statistically significant improvement in ROM and QUEST score (p value < 0.05). Regarding spasticity study group showed highly statistically significant difference (p= 0.000) in contrast to comparison group (p= 0331). Conclusion and recommendations: The study concluded that kinesiotaping is effective in improvement of hand function in cerebral palsied children. We recommend that kinesiotaping should be included in physiotherapy treatment for patients with cerebral palsy, and further studies need to be conducted to show the effect of kinesiotape in combination with exercises and the long term effect and repetitive intervention.