- Cerebral Palsy and Movement Disorders
- Botulinum Toxin and Related Neurological Disorders
- Infant Development and Preterm Care
- Family and Disability Support Research
- Stroke Rehabilitation and Recovery
- Children's Physical and Motor Development
- Muscle activation and electromyography studies
- Child Nutrition and Feeding Issues
- Medical Practices and Rehabilitation
- Blood Pressure and Hypertension Studies
- Musculoskeletal pain and rehabilitation
- Adolescent and Pediatric Healthcare
- Spinal Cord Injury Research
- Nerve Injury and Rehabilitation
- Hip disorders and treatments
- Neonatal and fetal brain pathology
- Musculoskeletal Disorders and Rehabilitation
- Balance, Gait, and Falls Prevention
- Neurogenetic and Muscular Disorders Research
- Tactile and Sensory Interactions
- Health and Medical Studies
- Autism Spectrum Disorder Research
University Children's Hospital Zurich
2015-2024
University of Zurich
2021-2024
Queen Margaret University
2021-2024
Universitätskinderklinik
2021
University of Basel
2021
Boston Children's Hospital
2015
Aim As there is little evidence for concurrent validity of the Eating and Drinking Ability Classification System ( EDACS ), this study aimed to determine its reliability in children adolescents with cerebral palsy CP ). Method After an extensive translation procedure, we applied German language version 52 participants (30 males, 22 females, mean age 9y 7mo [ SD 4y 2mo]). We correlated (Kendall's tau or K τ ) levels Bogenhausener Dysphagiescore BODS level assistance Manual MACS item ‘eating’...
Purpose: We investigated the combined impact of trunk control and lower extremities impairments on predicting gait capacity in children with cerebral palsy (CP) evaluated relationships between impairments.Methods: Data 52 CP [29 boys, mean age 11 years 9 months (±4 6 months)] were included this observational study. Gait was measured by "modified Time Up Go test". Experienced therapists performed "Modified Ashworth Scale", "Manual Muscle Test", "Selective Control Assessment Lower Extremity",...
Aim Assessing impaired selective voluntary movement control in children with cerebral palsy ( CP ) has gained increasing interest. We investigated construct validity and intra‐ interrater reliability of the Selective Control Assessment Lower Extremity SCALE ). Method Thirty‐nine (21 males, 18 females) spastic , mean age 12 years 6 months [range 6y 11mo–19y 9mo], Gross Motor Function Classification System GMFCS levels I to IV participated. Differences scores were determined on joint between...
The Hypertonia Assessment Tool is a 7-item instrument that discriminates spasticity, dystonia, and rigidity on 3 levels: item scores, subtype, hypertonia diagnosis for each extremity. We quantified the inter- intrarater reliability using Kappa statistics, Gwet's first-order agreement coefficient (both with 95% confidence interval), percentage all levels. For validity, we compared subtype clinical provided by physicians. Two physiotherapists tested 45 children neuromotor disorders. interrater...
This study investigated the intra- and interrater reliability of Trunk Control Measurement Scale (TCMS) German version, with its subscores, in children neuromotor disorders. Further, discriminative validity TCMS was assessed by comparing scores Functional Independence Measure for children.Bland-Altman analyses intraclass correlation coefficients were applied to investigate reliability. The ability evaluated receiver operating characteristics.Ninety (mean age 11y 5mo; range 5y-18y 11mo)...
Aim Preventing restrictions to lower limb movement is part of the treatment given children with cerebral palsy ( CP ). Such can be assessed using ‘straight leg raise’ SLR ) test. This study investigated interrater reliability and practicability test in . Method Experienced physiotherapists examined 23 (6–18y; eight females, 15 males) twice. The hip range motion ROM was measured an electrogoniometer, rated based on sensitizing manoeuvres biceps femoris muscle activity. Practicability by...
To investigate the feasibility, discriminative and convergent validity, inter-rater reliability of a lower limb tactile function 2 body awareness assessments in children with upper motor neuron (UMN) lesions.Cross-sectional psychometric study.Pediatric rehabilitation center.Forty individuals UMN lesions (mean age 11.7 years, SD 3.4 years; 27 girls) 40 neurotypically developing same participated (N=80).Not applicable.We assessed threshold (TT) monofilaments localization tasks (TLTs) for...
Purpose Somatosensory function of the lower limbs is rarely assessed in children with upper motor neuron lesions despite its potential relevance for function. We explored consensus regarding somatosensory categories (exteroception, proprioception, interoception, and body awareness), modalities, outcome measures relevant to limb function.Methods Fifteen international experts experience assessment participated this Delphi study. Surveys four rounds, conducted online, included questions on...
In children with cerebral palsy (CP), stiffness, caused by contractile and non-contractile structures, can influence motor performance. This study sought to determine whether the nerve mobility had a relevant impact on performance in CP. We hypothesized that positive Straight Leg Raise (SLR) test, as well smaller SLR hip angle, would relate lower leg muscle strength, reduced capacity less CP.We applied cross-sectional analysis data including SLR, Gross Motor Function Measure (GMFM-66) number...
Introduction Somatosensory function can be reduced in children with Upper Motor Neuron (UMN) lesions. Therefore, we investigated relationships between somatosensory functions of the foot and motor outcomes UMN Method In this cross-sectional study, assessed Tactile Threshold (TT) monofilaments body awareness Localisation Tasks for spatial-related action (TLT ) structural-related perception representation at sole. Furthermore, four outcomes: Selective Control Assessment Lower Extremity...
Background Cognitive-motor training in form of exergames has been found to be feasible and effective for the improvement motor cognitive functioning older adults several patient populations. Exergame under unstable conditions might increase proprioceptive resources needed thus a superior approach compared exergame on stable ground stroke patients, who often have deficits. Objective Aim this study is assess feasibility effects exergame-based cognitive-motor labile platform physical...
To investigate the feasibility, discriminative and convergent validity, reliability of a lower limb sensor-based proprioception measure in children with upper motor neuron (UMN) lesions.
Die Zerebralparese ist die häufigste Ursache für körperliche Behinderungen im frühen Kindesalter. Sie begleitet betroffenen Menschen den Rest ihres Lebens. In diesem Überblick erfahren Sie, wie sich Mobilität bei entwickeln kann und wichtig es ist, dass auch Kinder schon frühzeitig ihr größtmögliches Potenzial ausschöpfen.
The purpose of this study was to create a clear, standardized test description rate spasticity severity into four categories according the definition given by Lance [1], referred as Velocity Dependent Measure Spasticity (VDMS).Muscle groups upper and lower limbs children with neuromotor disorders were evaluated on their response passive movement in fast-versus slow-velocity condition. interrater test-retest reliability assessed using Gwet's alpha one (95%-CI) percentage agreement.Two...