4e Colloque en
Déficience Motrice Cérébrale
4th Cerebral Palsy
Conference
|
Ça bouge en paralysie
cérébrale!
Cerebral Palsy on the Move!
Le jeudi 30 octobre 2008 / Thursday, October 30,
2008
Université Laval, Québec,
Québec, Canada
Voici la liste
complète des
conférences présentées lors de ce colloque.
Jusqu'à ce que les vidéos soient disponibles, vous pouvez
visionner les présentations Power Point des conférences.
Liste des conférenciers:
Conférence annuelle de la Chaire de
Recherche en Paralysie Cérébrale de l'Université
Laval
Andrew Gordon, Ph.D., OT
Columbia University,
New-York, USA.
Intensity-based
Rehabilitation of the Upper Extremity in Children with Congenital
Hemiplegia
Children with
hemiplegic cerebral palsy (CP) often have impairments in involved upper
extremity function that affect their independance and quality of life.
Until recently, evidence-based treatments of impaired hand function
have been largely lacking. Recent studies suggest that children with
hemiplegia may benefit from intensive practice. One recent treatment
approach providing intensive unimanual practice, constraint-induced
movement therapy (CIMT), has shown promise for the improvement of
unimanual hand function. Here we present evidence that CIMT may be
beneficial for some children with hemiplegia. We also suggest that
there are a number of conceptual problems and limitations associated
with CIMT, with the most important being that CIMT is a unimanual
intervention, and increased functional independence in the child's
environment requires use of both hands in cooperation. Thus we followup
with the introduction and supporting evidence for intensive bimanual
therapy. Our findings suggest that restraining the more affected upper
extremity is not required to elicit changes in involved upper extremity
function.
Power Point Presentation of the
Conference (english)
Présentation
Power Point de la conférence (français)
haut
de page
Désirée B. Maltais, Ph.D., PT
Centre
interdisciplinaire de recherche en réadaptation et
intégration sociale (CIRRIS)
Université
Laval
La mobilité chez
les adultes ayant une déficience motrice cérébrale
: Les déterminants et la pertinence dans la vie quotidienne
As adults with
cerebral palsy (CP) grow older, there is an increased risk for their
general mobility and walking capacity to decrease, which could lead to
less social participation. Little is known, however, about the
anthropometric and physiologic correlates of their general mobility and
walking capacity. The primary purpose of the study was to describe the
relationships between 1) general mobility and walking capacity, and 2)
selected anthropometric, physiologic and related variables. The
secondary purpose was to assess the relationships between social
participation and mobility and walking capacity.
Présentation Power Point de
la conférence (français)
Power
Point Presentation of the Conference (english)
Annette Majnemer, Ph.D., OT
McGill University
Montreal Children's Hospital-MUHC
Promoting Participation in Leisure Activities for
Children with Cerebral Palsy
Participation in
leisure activities is essential for children, to develop skill
competencies, foster friendships, explore personal interests and
achieve a sense of well-being. Children with cerebral palsy (CP)
experience impairments and acitivity limitations across multiple
domains, placing them at risk for decreased participation. The
objective of this study was to characterize the level of involvement in
leisure activities and compare this with their preferences for
activities. Factors associated with greater interest and participation
in leisure activities were also identified. Children 6-12 years of age
with CP who could actively assist in the completion of the Children's
Assessment of Participation and Enjoyment (CAPE) and Preferences for
Activities of Children (PAC) were assessed. Results indicate that
children with CP are actively involved in a range of leisure
activities, and particularly prefer and participate in recreational and
social activities, with less involvement in physical and skill-based
activities. Mastery motivation and involvement in rehabilitation
services were facilitators of participation, whereas behavioral
and cognitive difficulties, activity limitations and parental stress
were barriers. Demographic characteristics (age, gender), motivation
and cognitive and motor abilities influenced activity preferences. High
preference ('would like to do') for certain activities was not always
associated with high particiaption ('does do') in those activities.
Intrinsic to child-centred practice, rehabilitation efforts should be
directed at identifying child preferences and overcoming obstacles to
participation. Health promotion initiatives that promote particiaption
may consider addressing a number of potentially modifiable attributes
identified in this study that influence involvement and enjoyment of
leisure activities.
Power
Point Presentation of the Conference (english)
Présentation
Power Point de la conférence (français)
Line Nadeau Ph.D.
Centre interdisciplinaire de recherche en
réadaptation et intégration sociale (CIRRIS)
Université Laval
Le sentiment de compétence des jeunes avec
une DMC : Y a-t-il anguille sous roche?
La question du
sentiment de compétence des enfants vivant avec une
déficience motrice cérébrale (DMC) suscite un
intérêt croissant chez les chercheurs et les intervenants.
Le consensus général qui se dégage des travaux de
recherche dans le domaine suggère qu'à l'exception de
certains domaines comme la compétence athlétique et
scolaire, les enfants avec DMC se sentent aussi compétents
globalement que leurs pairs qui ne vivent pas avec une
déficience motrice. Est-ce là une bonne nouvelle? Doit-on
se concentrer uniquement sur l'amélioration des habiletés
fonctionnelles? La présentation adresse des questions sur les
conséquences possibles de conclure hâtivement que les
enfants avec DMC ne sont pas à risque de problème de
compétence personnelle.
Présentation
Power Point de la conférence (français)
Power
Point Presentation of the Conference (english)
haut de page
Nancy L. Young, Ph.D.
Laurentian University, Ontario, Canada
Transition to Adult Healthcare : Health Status
and Healthcare Utilization
Advances in clinical
care have been successful, and as a result people who have CP are
living longer. Almost all will enter adulthood. In order to maintain
their health as adults with CP they will need access to routine health
care but also specialized care. It is important to have a good
understanding of their health care needs, both so that we can plan for
their health services needs as a group, but also to education health
care practitioners regarding what to expect as they enter adulthood.
This paper will present details on the health status and health care
utilization of a group of youth and young adult with CP from the
Province of Ontario.
Power
Point Presentation of the Conference (english)
Présentation
Power Point de la conférence (français)
Conférence
annuelle de la Chaire de Recherche en Paralysie Cérébrale
de l'Université Laval
|
Diane Damiano, Ph.D., PT
National Institutes of Health (NIH), Bethesda,
Maryland, USA.
Activity in Cerebral Palsy: How it Helps Muscles
(and Brains!)
The focus of this
talk is on the promotion of activity in cerebral palsy from the
perspective of physiotherapy. Muscle structure, function and plasticity
will be the major themes and our research evaluating muscle strength,
fatigue and muscle size in CP will be highlighted to illustrate these
concepts. The use of muscle ultra sound to evaluate muscle structure
and infer functionality will be presented. The take home message is
that we need to ensure that persons with cerebral palsy increase both
their levels and intensities of activity in their daily lives. The
evidence for the use of devices such as treadmills and motor-assisted
cycles to augment exercise capabilities will be also discussed.
Finally, the potential effects of activity-based therapies on cortical
plasticity have major implications for neurorehabilitation and the
field of physiotherapy and should stimulate us all to alter our
practices so that we optimize the physical and neural potential of our
patients.
Power Point Presentation of the
Conference (english)
Présentation
Power Point de la conférence (français)
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