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PP-122 Possibility of using the C-Mill therapy guideline in pediatric rehabilitation
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  1. Ulviya Ashrafova,
  2. Ayaz Mamedyarov,
  3. Elena Karmazina,
  4. George Karkashadze
  1. Pediatrics and Child Health Research Institute of Petrovsky National Research Center of Surgery, Moscow, Russia

Abstract

Aim Aim of the study is to analyse the influence of the C-Mill hardware and software system on the motor activity of children with cerebral palsy (CP).

Material and Method Materials and methods. Prospective study was carried it. It included 40 children with CP, 55% - boys, 45% - girls, aged from 5 to 17 years 10 months (mean age - 10 years 5 months). Motor development level was classified according to the GMFCS system: 18 children had level II, 22 children had level III. The rehabilitation program included physical therapy, massage, mechanical treatment with the C-Mill program (figure 1), magnetic therapy of hip joints for 2 weeks long. Statistical analysis was performed via MS Excel 2010’

Abstract PP-122 Picture 1

Rehabilitation session using the system C-Mill: the moment of stepping over the monster in the game ‘Monster’

Results 88% (n = 35) of children have shown decrease in the axis ratio from the deviation point during walking when evaluating the kinematical graph of the total center of pressure in the frontal plane. It represents increase in vertical axis stability of the patient and walking pattern improvement, so the space perception is improving too. 87% of children have shown decrease in the double step period by an average of 4%. Moreover, all children (100%, n = 40) have demonstrated improvement in the psycho-emotional sphere: increased motivation, increased concentration, better mood. It was associated with longer playing time, increased endurance, and the number of deviations from monsters in the game ‘Monster’.

Conclusions CP is one of the leading causes of childhood disability. Rehabilitation of such children is continuous and dynamic process. Nowadays, the use of software and hardware systems with biofeedback become more and more relevant in children’s rehabilitation via computer games. The use of the C-Mill hardware and software system is a promising method for quantitative evaluation of gait disorders in children with CP, and it has shown its efficacy in rehabilitation.

  • cerebral palsy
  • rehabilitation
  • children
  • mechanical treatment
  • a biological feed-back

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