Effect of ergotherapy on the level of self-care of children with cerebral palsy
Purpose: form a block of ergotherapy for children with cerebral palsy, supplement it with a program of physical rehabilitation and determine its utility in increasing the level of self-service.
Material & Methods: analysis and generalization of foreign and domestic special scientific and methodological literature; pediatric assessment of activity limitations (PEDI). The contingent of subjects – 106 children 4–6 years old, 54 of them with spastic hemiplegia and 52 with spastic diplegia. Methods of physical therapy were included in the exercises with control groups. The main groups received a part of the modified standard procedures, and the key difference was the use in the main groups of ergotherapy, namely targeted therapy.
Results: purpose of ergotherapeutic interventions was to achieve the maximum possible activity of the child. Purposeful therapy required a priority analysis of the task, the environment of performance and the capabilities of the child. Procedures for targeted therapy were built from occupations that included a specific task algorithm. According to the final results, the main groups had significantly better results in a number of items in the self-service section of PEDI.
Conclusions: use of targeted therapy in conjunction with physical therapy has advantages in improving self-service level, compared with the standard protocol of physical therapy.
Vitomskiy, V. (2015), "Assessing the impact of technology of the physical rehabilitation on functionality of the respiratory system of the children with functional single ventricle", Slobozans`kij naukovo-sportivnij visnik, No. 6(50), рр. 44-47. (in Ukr.)
Vіtomskyi, V. (2015), "Physical rehabilitation of children with congenital heart disease: a review of foreign experience and achievements", Theory and Methods of Physical Education and Sports, No. 3. pp. 48-54. (in Ukr.)
Kuschenko, O., Vitomsky, V., Lazareva, O. & Vitomskа, M. (2017), "Means of ergotherapy in increasing the level of functioning and independence of children with cerebral palsy", Molodizh. nauk. visn. Skhidnoievrop. natsion. un-tu imeni Lesi Ukrainky, Vol. 26, pp. 94-102. (in Ukr.)
Martinyuka, V.Y. (ed.) (2016), Osnovi socіal'noї pedіatrії. Navchal'no metodichnij posіbnik [Fundamentals of social pediatrics. Teaching methodological manual], Vol. 1, Kiev. (in Ukr.)
Romenska, T.G. (2016), "The peculiarities of social and living skills formation of preschoolers with typical development and children’s cerebral palsy", Naukovi zapysky Ternopilskoho natsionalnoho pedahohichnoho universytetu imeni Volodymyra Hnatiuka. Ser. Pedahohika, No. 3, pp. 175-182. (in Ukr.)
Finni, N.R. (2005), Pebenok s cerebral'nym paralichom. Pomoshch', uhod, razvitie [Baby with cerebral palsy. Assistance, care, development], Moscow. (in Russ.)
Shevtsov, A.G. (2007), "Occupational therapy as an interdisciplinary sphere of rehabilitation activity", Naukovyi chasopys NPU imeni M.P.Drahomanova. Seriia № 19. Korektsiina pedahohika ta psykholohiia, No. 8, pp. 81-88. (in Ukr.)
Choi, B.C. & Pak, A.W. (2006), "Multidisciplinarity, interdisciplinarity and transdisciplinarity in health research, services, education and policy: 1. definitions, objectives, and evidence of effectiveness", Clin Invest Med., Vol. 29, Iss. 6, pp. 351-364.
Gunel, K.M. (2009), "Rehabilitation of children with cerebral palsy from a physiotherapist’s perspective", Acta Orthop Traumatol Turc., Vol. 43. Iss. 2, pp. 173-180, doi:10.3944/AOTT.2009.173.
Helders, P.J., Engelbert, R.H., Custers, J.W., Gorter, J.W., Takken, T. & Van der Net, J. (2003), "Creating and being created: the changing panorama of paediatric rehabilitation", Pediatr Rehabil., Vol. 6, pp. 5-12.
Imas, Y. & Lazarieva, O. (2017), "Pre-conditions and modern development of specialities in physical therapy and ergo-therapy in Ukraine", Фізичне виховання, спорт і культура здоров'я у сучасному суспільстві, No.2 (38), pp. 10-15.
Trabacca, A., Vespino, T., Di Liddo, A. & Russo L. (2016), "Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care", Journal of Multidisciplinary Healthcare, Vol. 9, pp. 455-462.
Vitomskiy. V.V., Lazarіeva, О.B., Imas, E.V., Zhovnir, V.A. & Emets, I.N. (2017), "Dynamic of bio-geometric profile indicators of children’s with functionally one ventricle posture at stage of physical rehabilitation", Pedagogics, psychology, medical-biological problems of physical training and sports, No. 7; 21(3), pp. 146-151, doi:10.15561/18189172.2017.0308.
Copyright (c) 2018 Oleksandr Kushchenko
This work is licensed under a Creative Commons Attribution 4.0 International License.