OBJECTIVE Clinical evaluation of the Bionic Glove, a prototype of a new functional electrical stimulation device designed to improve the function of the paralyzed hand after spinal cord injury. PATIENTS Twelve people with spinal cord injury at C5-C7 who had used the device 6 months or more. SETTING Measurements were made at the Institute "Dr Miroslav Zotović" in Belgrade as a part of a mult...

Management of a painful or contracted hip dislocation in individuals with severe spastic quadriplegia is difficult. Clinical and radiographic results of 12 proximal femoral resection-interposition operations performed in seven non-ambulatory persons (five males, two females; mean age 14 years, 8 months; age range 6 years 11 months to 19 years 8 months) with severe spasticity were reviewed to de...

OBJECTIVE The purpose of this study was to explore the effects of a powered mobility riding toy on the participation behaviors of young children with complex developmental delays. METHOD A single-subject withdrawal design was used to study the effects of powered mobility on child-initiated movement occurrences, initiation of contact with others, and affect. The participants were two young chi...

552 O ccupational and physical therapists are often concerned with maintaining joint range of motion in children with neurological impairment. The presence of spastic posturing may be a serious problem that limits activities of daily living and qual ity of movement. Traditional therapy techniques include passive range of motion exercises, active exercises, positioning, and neurodevelopmental tr...

Parents generally have the right to make medical decisions for their children. This right can be challenged when the parents’ decision seems to go against the child’s interests. The toughest such decisions are for a child who will survive with physical and neurocognitive impairments. We discuss a case of a 5-year-old boy who suffered a spinal injury as a result of a motor vehicle accident and w...

OBJECTIVE To explore the relationship between gross motor and intellectual function in children with cerebral palsy (CP). DESIGN A cross-sectional study. SETTING Occupational therapy clinic. PARTICIPANTS Children with CP (N=662; 281 girls, 381 boys; age range, 3-14y). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Intelligence testing was carried out by means of the Wechsler Pres...

Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latter according to four main clinical patterns of walking observable in these chi...

The purpose of this study was to analyze associations between prenatal factors and cerebral palsy in a geographically based cohort of very low birth weight infants. Cases (n = 80) and controls had birth weights of 500-1,500 g and were born in 1978-1989, to a resident of one of 17 counties in northwest North Carolina. Medical records were reviewed for data about prenatal and neonatal factors. As...

BACKGROUND The assessment of rehabilitation efficacy in spinal cord injury (SCI) should be based on a combination of neurological and functional outcome measures. The Spinal Cord Independence Measure II (SCIM II) is an independence scale that was specifically developed for subjects with SCI. However, little is know about the changes in SCIM II scores during and after rehabilitation. OBJECTIVE...

AIM AND OBJECTIVE Cerebral palsy (CP) is the most common motor disability in childhood. This study aimed to describe clinical spectrum, comorbidities, and risk factors associated with CP children. MATERIALS AND METHODS This hospital-based observational study was conducted in tertiary level hospital in Jaipur including 180 CP children aged 1-12 years, attending the Paediatric Neurology Outdoor...