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jencmaine
Instructor
| Joined: | Sun Jun 11th, 2006 |
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| Posts: | 11 |
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Posted: Fri Apr 6th, 2007 05:47 pm |
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Hi Michelle
THere was a preconference at CSM on neuroplasticity. I didn't attend but maybe someone that did can chime in on this. A PT that attended was sharing with me some thoughts with constrained induce therapy with children vs. adults. The info presented suggested that this is not as effective in children because the pathway was never there to begin with. In the adult suffering a CVA left with hemiparesis, they had that pathway prior to the CVA so they saw better results with constrained induced therapy in adults vs. children. I thought it was interesting, but I don't have specifics as I didn't attend.
Anyone have specifics regarding that conference??
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Michelle Sveda
Instructor
| Joined: | Fri Jul 7th, 2006 |
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Posted: Sun Apr 1st, 2007 10:15 pm |
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| I just read the question regarding significant damage to the basal ganglia and if PWB-GT would be beneficial. A thought I sometimes consider is that children have the highest rate of neuroplastic abilities and that new neural connections could be made that would allow for some degree of compensation.
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plor
Instructor
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Posted: Fri Feb 9th, 2007 07:10 pm |
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Dear Deb,
This is anecdote rather than formal "case study" but since you've gained no other responses..........
Quite a few years ago when I first met Steve and Amir I wanted to look at Walkable for a young "CP" client (about 8 at the time as I recall) who had much more involvement in her uppers than in her lowers and a large athetoid coponent to her hypertonia. She had a history of very early prematurity with severe hyperbilirubinemia which was preseumed to be a major factor in her CNS damage; [generally this type of damage is to the basal ganglia]. With treatment typically 2-3 times a week for six months, we had great success with time/speed/distance on the treadmill; overground carryover was to using a harness/ceiling track system at home, with min assist on occasion, and transfers with assist for balance but full weightbearing and power for sit to stand. The involvement of her uppers never allowed for independence in a typical walker (like rolling reverse or forward), but I think the benefit to cardipulmonary and other health areas and the greater independence in transfers (for an individual who as she aged might otherwise be a two person or machine lift) is HUGE.
so???
plo'r
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debR
Discuss Sales Related Issues
| Joined: | Wed Jul 5th, 2006 |
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Posted: Thu Jan 11th, 2007 05:47 pm |
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In one of the articles you sent, "Up and Walking" it states, "In decorticate cats, the cerebral cortex was removed with the basal ganglia intact and normal walking was possible." It is in the second column under rationale. My question is if a child has damage to the basal ganglia does PWBTT still have positive results? Have any case studies been done on children with insult to the basal ganglia?
I'm looking at two kids but their walking is severely involved due to damage to the basal ganglia. This article made me think the investment might not succeed.
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