Cerebral Palsy Physical Therapy

Cerebral Palsy Physical Therapy focus on addressing restrictions can multiply and cause a variety of other debilitating issues for the child further into his/her development.

Multi-Disciplinary Approach

We enhance our client's health by  using a variety of therapies such body therapy i.e. Myofascial Release, Deep tissue massage, Trigger point therapy, mind-body medicine, i.e. biofeedback or Neurofeedback and  energy work i.e TCM Acupressure or acupuncture and customized Posture Exercise Therapy along with nutritional interventions to achieve a better state of fitness and health.

These interventions may help your child's strength, flexibility, balance, motor development and mobility.Our therapist uses manual techniques to manipulate the soft tissues of the body muscles, fascia, skin and tendons to  release adhesions, strains and sprains in the fascia and muscles. Therapist will work on the connective tissue to help free the soft tissues and thus releasing the chronic pain.  Integrated physical therapy can relieve muscle tension and stress, promote relaxation, and improve circulation and range of motion. We systematically organizes the body’s network of soft tissues and joints to support the muscular and skeletal system to its natural structural integration.  

Our unique integration of complementary alternative therapies has facilitated pain relief and better quality of life of our clients on a regular basis.

Complementary Alternative Medicine Approaches

We integrates a variety of physical therapy techniques for the proper diagnosis and treatment of  common pain conditions. Our comprehensive approach has become the mainstay of diagnosis for the treatment of common pain.Differential diagnosis 

• Comprehensive patient history 
• Pain mapping 
• Range of motion evaluation 
• Postural analysis 
• Identification of perpetuating factors 
• Correction of perpetuating factors 
• Integrated Manual techniques to treat myofascial pain and dysfunction 
• Personalized patient rehabilitation program 
• Client's education 
• Ergonomic interventions  

Re-assessment and postural correction, movement education, along with Biofeedback and nutritional interventions to enhance your recovery, achieve a better state of fitness and health. 

Cerebral Palsy Physical Therapy Major Benefits

• Lessening of severity of symptoms
• Increase range of motion
• Increase muscular strength and endurance 
• Increase capacity to perform daily activities and work rate 
• Improved coordination and skill of movement 
• Unproved muscle tone 
• Improved peak oxygen uptake 
• Decrease use of medication 

Learn more

Effects of Trigger Point Therapy on children with cerebral palsy

Physical Therapy to Keep Your Child Healthy and Fit for Life

Cerebral Palsy and Exercise

Effects of a new orthosis and physical therapy on gait in a subject with longstanding hemiplegia

Trigger points: diagnosis and management

Acupressure and meridian massage: combined effects on increasing body weight in premature infants

Clinical treatment (non surgical) of spasticity in cerebral palsy

Can Strength Training Predictably Improve Gait Kinematics? A Pilot Study on the Effects of Hip And Knee Extensor Strengthening on Lower-Extremity Alignment in Cerebral Palsy

Functional strength training in cerebral palsy: A pilot study of a group circuit training class for children aged 4-8 years

A randomized clinical trial of strength training in young people with cerebral palsy

Increasing ankle strength to improve gait and function in children with cerebral palsy: a pilot study

Psychological problems in children with cerebral palsy: a cross-sectional European study

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Cerebral Palsy: Hope Through Research

References:

Books

A. Leon (Eds.). (1995). Physical activity and cardiovascular health :a national consensus. Champaign, Illinois: Human Kinetics Publishers.

Mac Keith Press (Eds.). (1987). Orthopedic Management in Cerebral Palsy: Goals, Treatment, and Management. Cambridge University Press.

National Institutes of Health. (1995). NIH Consensus Development Conference on Physical Activity and Cardiovascular Health :NIH Consensus Development Conference December 18-20, 1995. Bethesda, Maryland: National Institutes of Health, Continuing Medical Education.

Sherrill, C. (1998). Adapted Physical Activity, Recreation and Sport: Crossdisciplinary and Lifespan. Boston, Massachusetts: McGraw-Hill Higher Education.

Journals

Van den Berg-Emons, R., van Baak, M., de Barbanson, D., Speth, L., & Saris, W. (1996). Reliability of tests to determine peak aerobic power, anaerobic power and isokinetic muscle strength in children with spastic cerebral palsy. Developmental Medicine and Child Neurology, 38, 1117-1125.

Tirosh, E., Bar-Or, O., and Rosenbaum, P. (1990). New muscle power test in neuromuscular disease: Feasibility and reliability. American Journal of Diseases of Childhood, 144, 1083-1088.

Rose, J., Gamble, J., Medeiros, J., & Parker, R. (1985). Energy cost index as an estimate of energy expenditure of cerebral-palsied children during assisted ambulation. Developmental Medicine and Child Neurology, 27, 485-490.

Rose, J., Gamble, J., Medeiros, J., Burgos, A., & Haskell, W. (1989). Energy cost of walking in normal children and in those with cerebral palsy: Comparison of heart rate and oxygen uptake. Journal of Pediatric Orthopaedics, 9, 276-279.

Rose, J., Gamble, J., Burgos, A., & Haskell, W. (1990). Energy expenditure index of walking for normal children and for children with cerebral palsy. Developmental Medicine and Child Neurology, 32, 333-340.

Parker, D., Carrier, L., Hebestreit, H., & Bar-Or, O. (1992). Anaerobic endurance and peak muscle power in children with spastic cerebral palsy. American Journal of Diseases of Childhood, 146, 1069-1073.

Palmer, F., Shapiro, B., Wachtel, R., Allen, M., Hiller, J., Harryman, S., Mosher, B., Meinert, C., & Capute, A. (1988). The effects of physical therapy on cerebral palsy. The New England Journal of Medicine, 318, 803-808.

Olney, S., MacPhail, H., Hedden, D., & Boyce, W. (1990). Work and power in hemiplegic cerebral palsy gait. Physical Therapy, 70, 431-438.

Mayo, N. (1991). The effect of physical therapy for children with motor delay and cerebral palsy. American Journal of Physical Medicine & Rehabilitation, 70, 258-267.

MacPhail, H., & Kramer, J. (1991). Effect of isokinetic strength-training on functional ability and walking efficiency in adolescents with cerebral palsy. Developmental Medicine and Child Neurology, 37, 763-775.

Lundberg, A. (1984). Longitudinal study of physical working capacity of young people with spastic cerebral palsy. Developmental Medicine and Child Neurology, 26, 328-334.

Lundberg, A. (1978). Maximal aerobic capacity of young people with spastic cerebral palsy. Developmental Medicine and Child Neurology, 20, 205-210.

Kramer, J., & MacPhail, H. (1994). Relationships among measures of walking efficiency, gross motor ability, and isokinetic strength in adolescents with cerebral palsy. Pediatric Physical Therapy, 10, 3-8.

King, E., Gooch, J., Howell, G., Peters, M., Bloswick, D., & Brown, D. (1993). Evaluation of the hip-extensor tricycle in improving gait in children with cerebral palsy. Developmental Medicine and Child Neurology, 35, 1048-1054.

Ito, J., Araki, A., Tanaka, J., Tasaki, T., Cho, K., & Yamazaki, R. (1996). Muscle histopathology in spastic cerebral palsy. Brain & Development, 18, 299-303.

Graves, P. (1995). Therapy methods for cerebral palsy. Journal of Paediatric Children's Health, 31, 24-28.

Fiatarone, M.A., Marks, E.C., Meredith, C.N., Lipsitz, L.A., & Evans, W.J. (1990). High intensity strength training in nonagenarians: Effects on skeletal muscle. Journal of the American Medical Association, 263, 3029-3034 3029-3034.

Fetters, L., & Kluzik, J. (1996). The effects of neurodevelopmental treatment versus practice on reaching of children with spastic cerebral palsy. Physical Therapy, 76, 346-358.

Fernandez, J., Ptetti, K., & Betzen, M. (1990). Physiological capacities of individuals with cerebral palsy. Human Factors, 4, 457-466.

Damiano, D., Kelly, L., & Vaughn, C. (1994). Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Physical Therapy, 75, 658-667.

Damiano, D.L., Vaughan, C., & Abel, M.F. (1995). Muscle response to heavy resistance exercise in children with spastic cerebral palsy. Developmental Medicine and Child Neurology, 37, 731-739.

Bower, E. (1993). Physiotherapy for cerebral palsy: A historical review. Bailliere's Clinical Neurology, 2, 29-54.

Bhambhani, Y., Holland, L., & Steadward, R. (1993). Maximal aerobic power in cerebral palsied wheelchair athletes: validity and reliability. Archives of Physical Medicine and Rehabilitation, 74, 305-311.

van der Woude LH, Bakker WH, Elkhuizen JW, Veeger HE, Gwinn T. (1997). Anaerobic work capacity in elite wheelchair athletes. Am J Phys Med Rehabil, 76(5), 355-365.

Rimmer JH, Braddock D, Pitetti KH. (1996). Research on physical activity and disability: an emerging national priority. Medicine and science in sports and exercise, 28(11), 1366-1372.

Richter KJ, Gaebler-Spira D, Mushett CA. (1996). Sport and the person with spasticity of cerebral origin. Developmental medicine and child neurology, 38(9), 867-870.

Pitetti K.H., Fernandez, J., & Lanciault, M. (1991). Feasibility of an exercise program for adults with cerebral palsy: a pilot study. Adapted Physical Activity Quarterly, 8(4), 333-341.

Pate, R.R., Blair, S.N., Pratt, M. (1995). Physical Activity and Public Health. A Recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of the American Medical Association, 273, 402-407.

O'Connell DG, Barnhart R. (1995). Improvement in wheelchair propulsion in pediatric wheelchair users through resistance training: a pilot study. Archives of Physical Medicine and Rehabilitation, 76(4), 368-372.

O'Connell D.G., Barnhart, R., & Parks, L. (1992). Muscular endurance and wheelchair propulsion in children with cerebral palsy or myelomeningocele. Archives of Physical Medicine and Rehabilitation, 73(8), 709-711.

McCubbin J.A., & Shasby, G. (1985). Effects of isokinetic exercise on adolescents with cerebral palsy. APAQ : Adapted Physical Activity Quarterly, 2(1), 56-64.

Holland L.J., Bhambhani, Y., Ferrara, M., & Steadward, R. (1994). Reliability of the maximal aerobic power and ventilatory threshold in adults with Cerebral Palsy. Archives of Physical Medicine and Rehabilitation, 6(75), 687-691.

Holland LJ, Steadward RD. (1990). Effects of resistance and flexibility training on strength, spasticity/muscle tone, and range of motion of elite athletes with cerebral palsy. Palaestra(6), 27-31.

Damiano DL, Abel MF. (1998). Functional outcomes of strength training in spastic cerebral palsy. Archives of physical medicine and rehabilitation, 79(2), 119-125.

Bhambhani YN. (1992). Maximal aerobic power in cerebral palsied wheelchair athletes: Validity and reliability. Archives of Physical Medicine and Rehabilitation, 73(3), 246-252.

Reports

Turk, M., Overeynder, J., & Janicki, M. (1995). A report of the Workgroup on Aging and Cerebral Palsy. .

U.S. Department of Health and Human Services. (1996). Physical Activity and Health. A Report of the Surgeon General.