Sling therapy as a means of improving the motor ability of children with spastic paraparesis
The high prevalence of cerebral palsy in the world encourages specialists to look for new methods of rehabilitation, one of which is sling therapy using passive suspension systems of various designs.
Objective: to evaluate the effectiveness of sling therapy in the complex rehabilitation of children with spastic paraparesis due to cerebral palsy.
Methods: two groups of children were included into the study, they were matched by sex and age. The rehabilitation course of the main group (22 patients) included the method of sling-therapy. The control group (20 children) underwent a rehabilitation course without passive suspension systems. The effectiveness of the rehabilitation process was evaluated using the GMFCS classification (Gross Motor Function Classification System), scale GMFM (Gross Motor Function Measure), Ashworth test (Modified Ashworth scale), the coefficient of weight loading, oscillations in the total pressure center, and estimates of the amount of energy expenditure of the patient during movement (Рhysical Сost Іndex, PCI).
Results: after the rehabilitation course the degree of motor abilities increased in children of the main group on average by 23 %, in the control group — by 12 %. The average value of the coefficient of weight bearing in children of the main group increased by 0.29; in control — by 0.08. The average value of oscillations of the total pressure center decreased at selfstanding in the main group by 10 mm, in the control group — by 3 mm; energy movement index for movement — by 8 and 2 units, respectively.
Conclusions: the method of gravitational neuromuscular activation using a passive suspension system in children with lower spastic paraparesis due to cerebral palsy allows strengthening of weakened and relaxing of spasmodic muscles, improving the stabilizing function of the limbs and body, to improve the stereotype of support and walking. This makes it possible to recommend this method for the practical work of rehabilitation centers.
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