Darbo objektas: vaikai, sergantys cerebrinio paralyžiaus forma ─ spastine diplegija. Tyrimo problema: vaikų, sergančių spastine diplegija, stambiosios motorikos funkcijų gerinimas, spastikos ir kontraktūrų mažinimas, plaštakos raumenų funkcijos stiprinimas. Hipotezė: kineziterapija, vaikams, sergantiems spazmine diplegija, turėtų padėti pasiekti kuo geresnių rezultatų stiprinant raumenų jėgą, mažinant spastiką ir kontraktūras bei tobulinant stambiosios motorikos funkcijas. Tyrimo tikslas: nustatyti kineziterapijos efektyvumą vaikams, sergantiems cerebrinio paralyžiaus forma ─ spastine diplegija. Tyrimo uždaviniai: 1. Išanalizuoti išrašus iš tiriamųjų medicininių dokumentacijų. 2. Įvertinti vaikų plaštakos raumenų jėgą amžiaus ir lyties aspektu prieš kineziterapiją ir po jos. 3. Įvertinti stambiosios motorikos funkcijų, pagal „Ėjimo, bėgimo ir šokinėjimo“, „Stovėjimo“ ir „Šliaužimo ir klūpėjimo“ testų parametrų dinamiką, taikant kineziterapiją amžiaus ir lyties aspektu. 4. Įvertinti vaikų kojų spastiškumą ir išmatuoti pėdos tiesimo amplitudę prieš kineziterapiją ir po jos. Išanalizavus tyrimo rezultatus padarytos šios išvados: 1. Išanalizuota, kad daugiausiai iš visų tiriamųjų cerebrinio paralyžiaus forma ─ spastine diplegija susirgo dėl gimdymo metu ištiktos hipoksijos ir pasireiškus infekcijai, tik vienas atvejis dėl auglio sukeltų padarinių. Tyrime dalyvavo daugiau berniukų nei mergaičių. 2. Nustatyta, kad po kineziterapijos tiriamųjų plaštakų raumenų jėga padidėjo... [toliau žr. visą tekstą] / Object of the study: children with cerebral palsy ─ spastic diplegic form. Problem of the study: development of spastic diplegic children’s gross motor function, decreasing of spasticity and contractures, strengthening of palms’ muscles. Purpose of the study: to define efficiency of physiotherapy of spastic diplegic children. Tasks of the study: 1. To analyze extracts from medical documentation. 2. To evaluate strength of palms’ muscles of spastic diplegic children in sex and age aspects before and after physiotherapy. 3. To measure dynamics of gross motor function tests’– “Walking, running and jumping”, “Standing”, “Crawling and kneeling” parameters according gender and age before and after physiotherapy. 4. To evaluate spasticity of legs and measure range of passive dorsi-flexion of feet before and after physiotherapy. Conclusions: 1. Analyzed, that in the majority of studied cases the reason of getting sick with cerebral palsy – spastic diplegia – is suffering of a child from hypoxia or catching infection during bearing, only one case - aroused growth. In the survey took part more boys than girls. 2. Defined, that after physiotherapy strength of palms’ muscles of tested children increased. The best result was showed by boys of 8-9 years old and the worse ─ by girls and boys of 4-5 years old. 3. Having measured parameters of Gross Motor function tests’ – “Walking, running and jumping”, “Standing”, “Crawling and kneeling”, it was found out that dynamics of tests’... [to full text]

The purpose of this study was to establish an influence on static and dynamic postural control in sitting for voluntary arm movement for children with diplegic cerebral palsy. The investigation was fulfilled with control and experimental groups. The control group included ten healthy children and the experimental group included ten children with cerebral palsy. The age of the children was from 10 to 13 years. Subjects had to perform the same task with a single arm for four times. Every time the demands of postural control were increasing – the distance between objects and outward stability was changing. Task performing time was measured and visual estimation of the quality of postural control was done. The study showed that children with cerebral palsy performed the task slower than healthy ones (P < 0.05). The task performance time in the experimental group increased depending on growing distance between objects (p <0.05) and increased depending on decreasing outward stability (p < 0.05). The task’s time in the control group increased only when the distance was increasing between objects (p < 0.05), though when outward stability was decreasing the task’s performance time decreased (p < 0.05). A connection between task’s performance speed in standard conditions and task’s performance speed when the distance between objects was increased (r = 0.8), outward stability was decreased (r = 0.79), the distance between objects was increased and outward stability was decreased (r = 0... [to full text]

Education reform changes taking place in Lithuania, one of the main tasks of this reform became the reorganization of education of children with special needs. The reorganization of special education changes not only the state of children with special needs but also the whole educational system. The isolation of these children that existed before the reorganization objected the principle of equal learning opportunities. The accepted child’s birthright to live in his/her own family, to be brought up in familiar environment which meets his/her needs. It became the main assumption of disabled children integrated learning at secondary schools. More and more children, having cerebral palsy (CP), are being educated at secondary schools. Despite big attempts to create optimal conditions for educating these children, it is not always successful. The author of this work was interested in difficulties that children of this category, their pedagogues, parents and classmates meet with, when these children are educated to integrate into secondary schools. Aim of research: to view and to evaluate providing complex help to children, having CP, integrating into secondary schools. Object of research: education of children having children cerebral paralysis at integrated secondary schools. Aims of research: 1. Evaluate special educational needs of children who took part in this research. 2. To find out the breaches of educating children with CP at secondary schools. 3. Referring to... [to full text]