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Introduction
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Elaboration
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Presentations
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Literature
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Basic features: ·
Big observation field (dimensions of top surface app. 90x60cm)
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Adjustable height
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Thick transparent plastic top-plate (no feeling of cold while touching)
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Reduction of reflexes due to elimination of mirror
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Increase of print contrast by intensifying brightness of the plate lightning
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Side walls directed towards middle, thus they do not disturb examiner's legs
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Diodes to signal device's operation
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The evaluation of correctness of motorial development of small children, especially babies up to 4th week, is very difficult in view of their motorial immaturity. To distinguish correct infant reactions from those incorrect requires a lot of experience in the first months of their lives. The differences in behaviour of healthy children and those with dysfunctions in central nervous system become more visible with age. An early diagnostics is therefore indispensable to protect as many children as possible from lifelong inefficiency. It is especially important in case of infantile cerebral palsy. The treatment of disturbances should start as early as the first half-year of baby's life because the motorial development of a child shows great dynamics during the first life year. The inhibition of the dynamics of this development favours further complications; some very hard-to-eliminate pathological motorial patterns can become consolidated. The choice of methods and therapeutic measures applied for the treatment of babies with disturbances in motorial development takes place according to physiotherapist's knowledge and experience.
The PodoBaby device works on the basis of a developed podoscopic method.
It allows an objective evaluation of the arrangement and size of support surface
of a baby placed on its back or stomach, in relation to the outline of the whole body's projection.
It is also possible to designate angle and length parameters.
PodoBaby can therefore be applied in early diagnostics for motorial disturbances.
It allows the examination of lying children, even infants.
Detection of abnormalities in body arrangement, such as asymmetry,
compulsory body arrangement can be an evidence for incorrect distribution
of tonicity or existence of incorrect fixed reflexes.
Such observation drops us a hint to examine the patient towards infantile cerebral palsy.
By use of a digital camera the PodoBaby device allows us to record motion sequences.
These are the changes of supporting surface during spontaneous motion
of a baby that are recorded as well as its whole body.
It is also possible to record the child's response to a motorial stimulus
that has to evoke a specific pattern of postural reaction.
Such reaction will be improper when the central nervous system is damaged.
The examinations that have been carried out are archived thanks
to which it is easy to monitor the changes in patient's behaviour during
next visits as well as the efficiency of the applied therapy.
It is also possible to make comparisons between individuals.
The PodoBaby device can also be applied in foot diagnostics with children
until the end of the 5th life-year weighing less than 25 kg and that are able to stand up by themselves.
During examination we obtain a picture of the plantar side of the feet (plantokonturogram).
The examination results are analysed by the software and screened
in form of appropriate parameters (surface size of the projection of body's outline,
projection of supporting surface, lengths, angles, plantokonturogram).
Obtained data can be analysed and edited statistically.
After editing the examination we can make a printout.
The examination results are interpreted by the person who operates the device - a doctor,
a physiotherapist or a rehab specialist.
The patient's date are stored on hard disc and archived on any medium (CD_ROM, memory flash card etc.).
The examination on PodoBaby is entirely harmless and non-invasive.
Therefore it can be repeated many times, in case of necessity.
Podobaby can be applied in screening examinations of children with the threat of infantile cerebral palsy,
as well as other defects of posturo-motorial development.
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During analysis of the examination results some measuring points are brought onto the body picture.
The software can designate any lengths, angles, ellipses, outline and area surfaces.
An exemplary diagram you can find below.
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Segment model
- individual points divide the profile into segments
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Back position
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C7- spinous process of 7th cervical vertebra
(sequence of points is given in accordance to sequence of movement
in the software after clicking the right mouse button)
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Stomach position
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Calculated parameters:
10. Length of trunk C7, SP
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Presentations
· Presentation in flash format showing edition of examination
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Literature
Books in Polish:
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„Mózgowe porażenie dziecięce”, pod redakcją R.
Michałowicza, PZWL, 2001
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„Mózgowe
porażenie dziecięce - wskazówki dla rodziców”, Michałowicz R., Chmielik J. i inni, PZWL, 2000
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„Mózgowe
porażenie dziecięce w teorii i terapii”, K. J. Zabłocki, Wydawnictwo
Akademickie „Żak”, Warszawa, 1998
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„ABC rehabilitacji dzieci. Mózgowe porażenie
dziecięce.” Tom 2, pod redakcją M. Borkowskiej,
Pelikan, Warszawa, 1989
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„Rozwój
niemowląt i jego zaburzenia a rehabilitacja metodą Vojty”, G. Banaszek, Alfa Medica Press, Bielsko Biała, 2004
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"Neurokinezjologiczna metoda według
Vojty", Kiebzak W., Szmigiel C., Banaszek G. ‑ w: Rehabilitacja
Medyczna red. Kwolek A., Urban & Partner, Wrocław, 2003.
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"Neurokinezjologiczna
diagnostyka i terapia dzieci z zaburzeniami rozwoju psychoruchowego",
Sadowska L., Wydawnictwo AWF Wrocław, 2000
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„Rehabilitacja w porażeniu mózgowym i zaburzeniach
ruchu”,
Levitt S., PZWL, Warszawa, 2000
Books in English:
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“Cerebral Palsy”, Freeman Miller, 2005, Springer
Rozdział 2: Etiology, Epidemiology, Pathology, and
Diagnosis
from the Web page:
http://www.springer.com/sgw/cda/pageitems/document/cda_downloaddocument/0,,0-0-45-129218-0,00.pdf)
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’’NEW CP’’
Cerebral Palsy - hold to the
light, Peder Esben, 2003, The Danish Society for Cerebral Palsy, Kopenhaga
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“Prevention,
Early Detection and Management of Childhood Disabilities”, 2004
Rozdział 4, Motor and Neurological Disabilities
(from the Web page:
http://www.ahedegypt.org/pubs/Dis_Man/Dis_Man_ch4.pdf)
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“The HELP Guide to Cerebral Palsy”, część 1 - okładka, część 2 - wprowadzenie, część 3, część 4, część 5, część 6.
(ze
strony:http://www.global-help.org/publications/helpcp.html)
Publications from the Web page:
http://www.rehabilitacja.pl:
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Mózgowe
porażenie dziecięce - część pierwsza
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Rehabilitacja
dzieci z mózgowym porażeniem dziecięcym
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Moje dziecko ćwiczy
metodą Vojty
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Terapie znane
i nieznane: Metoda Vaclava Vojty
Publications from the magazine Fizjoterapia Polska (Web page:
http://www.medsport.pl/fiz):
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Niektóre wzorce postawy a zaburzenia
lokomocji u dzieci z mózgowym porażeniem dziecięcym
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Czynniki ryzyka a zaburzenia chodu u
dzieci z mózgowym porażeniem dziecięcym
Publications in English:
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“Motor Development during Infancy and Early
Childhood...”, Malina R., 2003, International Journal of Sport and Health Science, 2, 50-66 (http://www.shobix.co.jp/ijshs/tempfiles/journal/2/20030034.pdf)
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“Prognosis
for Gross Motor Function in Cerebral Palsy”, Rosenbaum
P., 2003, BMJ,
326, 970‑974 (http://jama.ama-assn.org/)
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“Cerebral palsy: what parents and doctors want to
know” (http://bmj.bmjjournals.com/cgi/content/full/326/7396/970)
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“Guidelines for rehabilitation of children
with cerebral palsy”, Ferrari A., Cioni G., 2005, EuraMedicophys.,
41(3), 243-260 (http://www.minervamedica.it/index2.t?show=R33Y2005N03A0243)
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“Basic Principles of the
Neurodevelopmental Treatment”, Dolenc Velickovic T., Velickovic Pera M., 2005, Medicina;
42(41), 112-120
Internet pages of organizations dealing with problems of cerebral palsy:
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Fundacja "Promyk Słońca"
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Centrum Polskiej Rehabilitacji - www.rehabilitacja.pl
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NINDS
(National Institute of Neurological Disorders and Stroke), USA
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Internationale Vojta Gesellschaft e.V.
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AACPDM (American
Academy for Cerebral Palsy and Developmental Medicine)
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CanChild Centre for Childhood Disability
Research
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UCP (United Cerebral Palsy)
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http://www.spastycznosc.com.pl/
Other publications:
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“Prevention,
Early Detection and Management of Childhood Disabilities” (2004)
Cover and table of contents, chapter 1, chapter 2, chapter 3, chapter 5, chapter 6, chapter 7, chapter 8
(from the Web page: http://www.ahedegypt.org/eng/epubs.html)
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„Potrzeby
i możliwości wymiernej oceny wyników rehabilitacji dzieci z mózgowym porażeniem
dziecięcym” Nowotny J., Czupryna K., Domagalska M.; Rehabilitacja Medyczna 2004
nr 4
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Fizjoterapia Polska: http://medsport.pl/fiz/