Nikolovska, Lence and Markova, Zana (2020) Methods for neuromuscular reeducation for reducing motor deficit and muscle spasm in people with cerebral palsy. International Journal Scientific Papers, 38 (4). pp. 79-84. ISSN 1857-923X
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METHODS FOR NEUROMUSCULAR REEDUCATION FOR REDUCING MOTOR DEFICIT AND MUSCLE SPASM IN PEOPLE WITH CEREBRAL PALSY.pdf Download (639kB) | Preview |
Abstract
Cerebral palsy typically involves a variety of neuromuscular and musculoskeletal problems as: spasticity, dystonia, contractures, abnormal bone growth, poor balance, and loss of selective motor control. Treating them can improve function. The treatments include physical and occupational therapy, oral medications, neurolytic blocks, neurosurgical procedures, surgery and others. Using a multidisciplinary treatment team, the best treatment options can be determined and functional outcomes maximized. Various methods including Botox injection, surgery, physical therapy, orthosis, shoe modifications, and casting are available to manage spasticity and reduce intoeing gait deviations.
The purpose of this research is to determine the effectiveness of different methods of neuromuscular reeducation to reduce motor deficits and muscle spasms in persons with cerebral palsy
Methods of research: In order to determine the effectiveness of various methods of neuromuscular reeducation to reduce motor deficits and muscle spasms in people with cerebral palsy, we used the Cochrane database of systematic reviews.
We used the search strategy recommended by the Cochrane Movement Disorders Group to find relevant articles for the review, by using search terms and synonyms for "Cerebral Palsy" and filters to recruit clinical trials.
Results and Discussion:
A systematic review of randomized and quasi-randomized controlled trials has been conducted to determine the best available evidence of the effectiveness of different methods of reducing spasticity in persons with cerebral palsy.
After classification of clinical trials, it may be noted that the most used methods and interventions for neuro musculoskeletal rehabilitation of people with cerebral palsy are: Surgery, Application of Botulinum Toxin, Electrical stimulation, Radial Extracorporeal Shock Wave Therapy, Traditional Chinese medicine and Hypo therapy
Conclusion: research shows that by applying the methods and interventions alone, cannot achieve satisfactory results in reducing muscle spasms in people with CP. For successful and effective treatment of Cerebral Palsy, a multidisciplinary approach and comprehensive rehabilitation is required.
To achieve satisfactory effects in the treatment of people with CP, it is necessary to combine different methods and interventions with Physical Medicine and Kinesiotherapy. Physiotherapy plays a central role in the treatment of CP. It is focused on maximizing the potential of people with CP and restoring their psychological and social well-being.
Keywords: cerebral palsy, rehabilitation, spastic hypertonia, motor control
Field: Medical Sciences and Health
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Basic medicine Medical and Health Sciences > Health sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Lence Nikolovska |
| Date Deposited: | 21 Apr 2020 10:14 |
| Last Modified: | 21 Apr 2020 10:14 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/23982 |
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