Intensive Pediatric Physical Therapy
Intensive Program
1-Space suit therapy
History of space suit:
In the late 1960's
the Russian center for Aeronautical and space
medicine have invented the
Penguin suit to be worn by Astronauts
during their long
stay in space to prevent harmful effects of zero gravity,absence of
gravitational force,on the musculoskeletal system results on complication of
immobilization.on the other hand cerebral palsy child can't over come the
force of gravity lead to more immobilization result in complication of
immobilization.After many years of research,the Penguin suit was modified to
the adeli suit and used for rehabilitation of (cp) and other neuromuscular
disorders with successful results.
In the mid 90's
Euromed clinic in Poland have taken a further step in this new technique and
developed an Intensive suit therapy utilizing the adeli suit.
In 2002 therasuit LLC
company developed a new suit (thera suit) and started promoting the
Intensive suit therapy in the U.S.A.
In january 2007 the
Inensive course begin in CURE STEP CENTER by DR.MOHAMED ORABY
using the space suit.
space suit:
A breathable easy to
wear suit designed to correct the posture and movements of the cp patient.
it consists of a cap
,vest,short,knee pad and adapted shoes
that are connected through a
system of elastics and adjustable supportive straps.
the elastics and the
adjustable supportive straps put the body in proper alignment to teach the cp child
the proper pattern of movement. they also tend to approximate the joints , which
will stimulate the proprioception that gives the patient a clear feeling of joints
,leading to easier control of movement.
the elastics resist
all muscles at the same time so strengthening all muscles responsible for
normal pattern of movement at the same time, also resistance is big proprioceptive
stimualtion.
the elastics will add
a load of (15 - 40 kg.) to the already existing gravitational force making the cp child
learn to deal with both loads at the same time, which will strengthen the anti
gravity force ( muscles). this will give more strength to muscles in their fight
against gravity once they are off the space suit.
The elastics of the
upper limbs will add a tension force in the direction of the trunk this will stimulate
and strength the muscules responsible for the reaching mechanism and improve
the function of the hands.
The space suit's
elastics will also resist the respiratory muscles,resulting in
improving the ventilation capacity of the lungs,therefor improving speech.
our bungy suit is
differ from other types of suits that it is most adhesive so it act like splint
to support the trunk,pelvis and knees.also this give compressive feeling
as wrapping.
the space suit in itself is nothing
but it duplicate the benefits of the exercises done in it.there are
special exercises for the space suit.
it takes 2 h and half
of the intensive program.
2-Spider therapy
Spider was first
invented by the firma Norman in 1993.
Spider is an in space
therapy by a system of elastics and special belts that eliminate
gravity to a calculated degree, making the weight lighter.this will make the cp
child can move without fear from falling and the normal pattern of movement
can be taught in addition to the developmental of muscle strength.
The spider allows the
development of all gross motor developmental area like head
control,sitting,creeping,kneeling,standing,walking and so on.spider takes one hour
of the intesive program.
The MGU (ugul
therapy) is used to teach the c.p child the normal
pattern of movement
and to strength muscles associated to
the pattern. By induction of
resistive force ( weights ) and avoiding compensatory movements from weakened or affected group of
muscles , while gravitational force is eliminated, the
exercise can be focused on a particular proper
movement.
When you strength the
muscle you need the following :-
1- Active motion.
2- Full range of
motion or maximum.
3- Reach to the point
of fatigue.
4- Resistance should
be above physiological limits and below
failure limits.
5-Isolate the muscle
action.
Ugul therapy is the
propr way to strength the weak muscle of the c.p child but normal multi gym
can't be used because multi gym needs stable person who can sit at least
and also need one who can make isolated motion not synergy.
for this reason we
develope the ugul therapy to provide the child with
the above abilities. (ugul) takes one hour
of the intesive program.
depending on the
evaluation of the cp patient.
cooling down takes 1
h and half of the intensive program
- Trains and re-trains the central nervous system through neural plasticity.
- Normalizes the muscle tone through neural plasticity.
- Improves the gross motor abilities.
- Improves the fine motor abilities.
- Stimulates the reaching mechanism of upper limbs.
- Strengths the muscles of the reaching mechanism of UL.
- Improves posture alignment as close as possible to norm.
- Reaching maximum functional abilities of the patient.
- Restores normal physiological function to the joint.
- Restores normal physiological function to the muscles.
- Restores normal physiological structure to the bones.
- Decreases tactile hypersensitivity.
- Induces proper pattern of movement.
- Stimulates the vestibular system.
- Improves balance and coordination.
- Trains patient to use his/her strong potentials to compensate the weak ones.
- Trains patient to control spasticity,hypotonia and involuntary movement.
- Stimulate and increases the antigravity mechanism.
- Strengths the antigravity force.
- Improves perceptual abilities.
- Improves speech through strengthening of respiratory muscles.
- Improves academic skills.
- Promotes social skills.
Benefits of intensive program
Dr.Mohamed Oraby
Physical therapist
P.T , D.P.T
P.T , D.P.T
Cairo university
To contact:
mob/+966/597992026
