ПОКАЗНИКИ ФУНКЦІОНАЛЬНОГО СТАНУ ВЕРХНІХ КІНЦІВОК У ДІТЕЙ ІЗ ЦЕРЕБРАЛЬНИМ ПАРАЛІЧЕМ

• Authors: Наталія Кукса , Віталіна Литвиненко

Title variants

EN

The indicators of the functional state of the upper limbs of children with cerebral paralysis.

• Languages of publication: UK

Abstracts

EN

The article presents the results of the functional state of the upper limbs study of children aged 5-10 with spastic forms of cerebral paralysis. Such methods were used: pedagogical observation, goniometry, carpal dynamometry, modified Ashworth scale of muscle spasticity. The study involved 58 children aged 5–10 with spastic forms of cerebral paralysis: spastic diplegia, tetraparesis, hemiparesis. The pedagogical observation was conducted during the regime moments and education of children in a rehabilitation center. According to the results of the pedagogical observation 96,6 % of children revealed the presence of characteristic pathological installation of the upper limbs in upright posture. Discoordination hand movements during the substantive action was observed among all children; severe deficiency of fine motor skills – in 67,3 %. 93 % of the children had pathological synkinesis. Explicit imitation synkineses is observed in hemiparetic form of cerebral paralysis. Most children with hemiparesis tended to ignore the affected limb during the bimanual manipulation. The nature and degree of lesion of upper limbs of the children with cerebral paralysis vary widely. The study of joints mobility of upper limbs has ascertained a decrease of the amplitude predominantly active movements, especially in the elbow and wrist joints. The indicators of passive mobility were not significantly different from the norm. The average spasticity of the upper limbs was 2,2±0,3 on a 4-point scale Ashworth. As a result of carpal dynamometry of preschool children the muscle strength of the right hand was below the norm by 42,7 %, of the left hand - by 48,1%. Children of primary school age - respectively 33 % and 29,6 %. The lowest indicators were recorded among the children with hemiparesis in the study of the affected limb. The results of the study ascertained the disorders of the functional state of upper limbs of all children with spastic forms of cerebral paralysis. The most pronounced manifestation of the syndrome of motor disorders is observed among the children with spastic diplegia and hemiparesis moderate. The results are close to the data presented in the scientific papers by other scientists. Prospects of further scientific studies are to find new approaches to improve the correction-pedagogical activity and rehabilitation of the children with cerebral paralysis.

Keywords

EN

cerebral paralysis; children aged 5-10; upper limbs; spasticity; mobility; goniometry; muscle strength; carpal dynamometry

• Publisher: Sumy State Pedagogical University named after A.S. Makarenko
• Journal: Педагогічні науки: теорія, історія, інноваційні технології
• Year: 2016
• Issue: 3(57)
• Pages: 181-190

Dates

published

2016-03-28

Contributors

author

Наталія Кукса

author

Віталіна Литвиненко