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Assessment of manual abilities in children with infantile cerebral palsy

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Grzegorz Przysada G., Agnieszka Guzik A., Andżelina Wolan-Nieroda A., Magdalena Przybyło M., Mariusz Drużbicki M., Artur Mazur A.
European Journal of Clinical and Experimental Medicine
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2019
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issue 2
136-141
EN
Introduction. Cerebral palsy (CP) is a problem presenting multiple issues and the prevalence of this condition is quite significant. CP risk factors are mainly observed in prematurely born children as well as those affected by complications around the time of birth or during the period of mother’s pregnancy. Quite frequently CP is manifested by abnormal muscle tone, contractures and deformities, and consequently impaired fine and gross motor functions. Aim. The study was designed to examine the level of hand function, i.e. fine motor skills and to investigate whether there is a correlation between development of fine motor and gross motor functions. Material and methods. The study group included 80 children with infantile CP. In the group there were 24 cases with spastic diplegia, 36 with spastic hemiplegia, and 20 with bilateral hemiplegia. During the study the children performed Box and Blocks test, and their parents filled in Manual Ability Classification System (MACS) describing the level of fine motor function development in their children. The children were additionally asked to perform two motor tasks. The first one involved an attempt to assume position on all fours, and the other one checked the ability to assume and maintain standing position. Results. The best scores in the conducted tests were found in children with CP taking the form of spastic diplegia, and the poorest scores in MACS, Box and Blocks test as well as in motor tasks assessing gross motor function were observed in children with bilateral hemiplegia. Conclusion. The form of infantile CP affects the level of manual abilities. There is a correlation between the level of gross motor and fine motor functions development.
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Wprowadzenie alternatywnych i wspomagających metod komunikacji u dziecka z mózgowym porażeniem dziecięcym

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Gryszka-Mędrek Z.
Logopedia Silesiana
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2012
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issue Logopedia Silesiana nr 1
140-158
EN
This article brings up the issue of communication difficulties for people with various disabilities. In the theoretical part it widely explains the rise and development of alternative and supportive methods of communication, and it describes various forms of non-verbal means of communicating. The second part of this article constitutes a case study of a thirteen-year-old mute girl who was taught communicating with application of non-verbal methods, and it also includes a short description of the methods used in working with the child. The course of therapeutic action is to be found in “The Supporting Materials, Didactic Visual aids and Reports” Logopedii Silesiany part.
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Substancja foniczna wypowiedzi w przypadkach dyzartrii w mózgowym porażeniu dziecięcym

100%
Mirecka U.
Logopedia
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2013
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vol. 42
125-134
PL
W artykule przedstawione zostały wyniki badań prowadzonych w 36-osobowej grupie dzieci w wieku 6–15 lat z diagnozą dyzartrii w zespole mózgowego porażenia dziecięcego. Grupa badawcza podzielona była na dwie równoliczne podgrupy: 1) dzieci z normą intelektualną, 2) dzieci z upośledzeniem umysłowym. W badaniach wykorzystana została, jako główna technika diagnostyczna, Skala dyzartrii. Wersja dla dzieci. Prezentowane badania dotyczą jednego z zagadnień opracowywanych w ramach projektu pt. „Segmentalna i suprasegmentalna specyfika ciągu fonicznego a zrozumiałość wypowiedzi w przypadkach dyzartrii w mózgowym porażeniu dziecięcym.” Praca naukowa finansowana ze środków na naukę w latach 2010-2012 jako projekt badawczy.
EN
The article presents the results of studies conducted in a group of 36 children aged 6–15 years, diagnosed with dysarthria in the infantile cerebral palsy syndrome. The experimental group was divided into two equinumerous subgroups: 1) intellectually normal children, 2) mentally retarded children. The main diagnostic technique used in investigations was the Dysarthria Scale. Children’s version. The presented experiments concern one of the problems examined as part of the project “Segmental and Suprasegmental Specificity of the Phonic Sequence and the Intelligibility of Utterances in Dysarthria Cases in Infantile Cerebral Palsy.” The study financed from science-targeted funds in 2010-2012 as a research project.
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Zaburzenia dyzartryczne w ocenie własnej osób z mózgowym porażeniem dziecięcym

100%
Mirecka U.
Logopedia Silesiana
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2014
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issue Logopedia Silesiana nr 3
155-165
EN
The article presents the results of studies conducted in a group of 36 children aged 6–15 years, diagnosed with dysarthria in the infantile cerebral palsy. The experimental group was divided into two equinumerous subgroups: 1) intellectually normal children, 2) mentally retarded children. The main diagnostic technique used in investigations was the Dysarthria Scale. Children’s version. The presented experiments concern one of the problems examined as part of the project “Segmental and Suprasegmental Specificity of the Phonic Sequence and the Intelligibility of Utterances in Dysarthria Cases in Infantile Cerebral Palsy”. The study financed from science-targeted funds in 2010–2012 as a research project.
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The Assessment of Phonological Hearing in Dysarthric Children in the ICP Syndrome. Experimental Studies

88%
Mirecka U.
Logopedia
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2012
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vol. 41 EN
173-185
EN
The article discusses the problem of the assessment of phonological hearing in children aged 6-15, diagnosed with dysarthria in the infantile cerebral palsy syndrome. The experimental group consisting of 36 children was divided into two equinumerous subgroups: 1) intellectually normal children, and 2) mentally retarded children. Diagnostic tests, devised by the author and used in the experiments, were described. These were experimental tests for phonological hearing: phonemic and prosodic. The presented experiments concern one of the problems examined as part of the project “Segmental and Suprasegmental Specificity of the Phonic Sequence and the Intelligibility of Utterances in Dysarthria Cases in Infantile Cerebral Palsy.”
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Ocena zrozumiałości wypowiedzi w dyzartrii

75%
Mirecka U.
Logopedia
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2010-2011
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vol. 39-40
185-196
PL
W artykule podjęty został problem oceny zrozumiałości wypowiedzi osób z dyzartrią w diagnozie klinicznej i w badaniach eksperymentalnych. Egzemplifikację stanowią badania własne autorki, prowadzone w grupie 36 dzieci w wieku 6–15 lat, u których stwierdzone zostały różne postacie kliniczne mózgowego porażenia dziecięcego (mpd.); grupa badawcza złożona jest z dwu równolicznych podgrup: 1) dzieci, u których występuje dyzartria; 2) dzieci, u których dyzartria współwystępuje z oligofazją. W badaniach eksperymentalnych zrozumiałość wypowiedzi pacjentów z mpd. oceniana była przez cztery 33-osobowe grupy studentów (studiów logopedycznych i nielogopedycznych) – na podstawie odsłuchu i obserwacji wizualnej nagrań filmowych sporządzonych w technice cyfrowej. Zagadnienia prezentowane w artykule opracowywane są przez autorkę w ramach projektu badawczego „Segmentalna i suprasegmentalna specyfika ciągu fonicznego a zrozumiałość wypowiedzi w przypadkach dyzartrii w mózgowym porażeniu dziecięcym”.
EN
The article discusses the problem of assessment of utterance intelligibility in patients with dysarthria in clinical diagnosis and in experimental studies. Exemplifications are the author’s own studies conducted in a group of children aged 6–15, diagnosed with different clinical forms of infantile cerebral palsy (ICP); the test group consisted of two equinumerous subgroups: 1. children with dysarthria; 2. children with dysarthria co-occurring with oligophasia. In experimental studies, intelligibility of ICP patients’ utterances was assessed by four groups, each numbering 33 logopedic and non-logopedic students, on the basis of listening to and visual observation of digital film recordings. The problems presented in the article are investigated by the author as part of the research project ‘Segmental and Suprasegmental Specificity of the Phonic Sequence and Intelligibility of Utterances in Dysarthria Cases in Infantile Cerebral Palsy’.
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Ocena słuchu fonologicznego u dzieci z dyzartrią w zespole mpd. Badania eksperymentalne

63%
Mirecka U.
Logopedia
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2012
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vol. 41
183-196
PL
W artykule podjęty został problem oceny słuchu fonologicznego u dzieci w wieku 6–15 lat z diagnozą dyzartrii w zespole mózgowego porażenia dziecięcego. Grupa badawcza, składająca się z 36 osób, podzielona była na dwie równoliczne podgrupy: 1) dzieci z normą intelektualną, 2) dzieci z upośledzeniem umysłowym. W artykule przedstawione zostały wykorzystane w badaniach techniki diagnostyczne skonstruowane przez autorkę – eksperymentalne próby słuchu fonologicznego: fonemowego i prozodycznego. Prezentowane badania dotyczą jednego z zagadnień opracowywanych w ramach projektu: „Segmentalna i suprasegmentalna specyfika ciągu fonicznego a zrozumiałość wypowiedzi w przypadkach dyzartrii w mózgowym porażeniu dziecięcym.”
EN
The article discusses the problem of the assessment of phonological hearing in children aged 6–15, diagnosed with dysarthria in the infantile cerebral palsy syndrome. The experimental group consisting of 36 children was divided into two equinumerous subgroups: 1) intellectually normal children, and 2) mentally retarded children. Diagnostic tests, devised by the author and used in the experiments, were described. These were experimental tests for phonological hearing: phonemic and prosodic. The presented experiments concern one of the problems examined as part of the project “Segmental and Suprasegmental Specificity of the Phonic Sequence and the Intelligibility of Utterances in Dysarthria Cases in Infantile Cerebral Palsy.”
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