PP06.10 – 2495: Application of Combofit medical device in neurorehabilitation of cerebral palsy

Objective Coordination therapy improves the CNS function after accidents, in CP (Cerebral Palsy) patients and in degenerative diseases. During therapy patients make rhythmic, dynamic and coordinated stereotype movements that activate and repair premotoric spinal oscillatory circuits with the subsequent improvement of motion. The objective of the study was to investigate the impact of the coordination dynamic therapy on the range of movements and the presence of spasticity in children with CP. Methods The subject matter of the pilot study was 7 patients aged 5 to 18 years with the average age of 11.7 years. All patients were diagnosed as CP, without possibility of independent locomotion. The frequency of coordination dynamic therapy was twice a day with the overall number of ten times, the length of each therapy was 20 minutes. We compared the input and output values of flexion and extension goniometry in the elbow and knee joints according to SFTR and estimated the rate of spasticity by Ashworth scale. Results We recorded the improvement of the locomotion range after the coordination dynamic therapy as statistically significant in the case of right knee joint flexion (p=0.023, t=–3.032°) and extension (p=0.05, t=2.442°), in the left knee joint flexion (p=0.011, t=-3.652°), in the right elbow joint extension (p=0.047, t=2.489°). We also recorded an impact of the after-therapy spasticity (p=0.025, Z=–2.236) as statistically significant. Conclusion The coordination dynamic therapy had a statistically positive impact on the locomotion range in knee and elbow joints and on the spasticity reduction by Ashworth, which enables an improvement of wilful locomotion in CP patients and a higher rate of independence.