Abstract
This case series explores the use of functional electrical stimulation, motor learning, resistance training, and task-specific training to improve upper extremity use and function among adults with cerebral palsy (CP).
Primary Author and Speaker: Alanna Herman
Additional Authors and Speakers: Genevieve Lagonera
Cerebral palsy is associated with long-term motor, sensory and cognitive impairments that impact function. Since neurodevelopment is a longstanding process, individuals can benefit from goal-directed rehab to drive neuroplasticity. This can lead to improved motor function and community participation. CP is often recognized as a childhood diagnosis; therefore, access to appropriate rehab and medical specialists can be challenging (Aisen et al.,2011). A study by Nieuwenhuijsen and colleagues (2009) used the COPM and ICF to further explore difficulties reported by young adults with CP. These included self-care, household tasks, leisure, work and mobility. This presentation will explore a case series that highlights the impact of applying principles of neuro re-education to adults with CP. Patients participated in OT sessions 2x per week for a variable amount of time ranging from several months to one year. Treatment techniques included functional electrical stimulation, motor learning, resistance training and task-specific training. Outcome measures included upper extremity AROM, dynamometry, Box and Blocks, Patient Specific Functional Scale (PSFS) and ADL/IADL function. Patients demonstrated improvements in AROM, grip strength, FMC as well as increased upper extremity functional use needed for ADLs. The application of neuro rehabilitation principles in adults with CP should be more widely considered as they can assist with increasing participation in meaningful daily tasks and improve quality of life.
Aisen, M. L., Kerkovich, D., Mast, J., Mulroy, S., Wren, T. A., Kay, R. M., & Rethlefsen, S. A. (2011). Cerebral palsy: clinical care and neurological rehabilitation. The Lancet. Neurology, 10(9), 844–852. https://doi.org/10.1016/S1474-4422(11)70176-4
Nieuwenhuijsen, C., Donkervoort, M., Nieuwstraten, W., Stam, H. J., Roebroeck, M. E., & Transition Research Group South West Netherlands (2009). Experienced problems of young adults with cerebral palsy: targets for rehabilitation care. Archives of physical medicine and rehabilitation, 90(11), 1891–1897. https://doi.org/10.1016/j.apmr.2009.06.014