The Usage of Physiotherapeutic Intervention to Improve the Function Ability of the Upper Limb

Clinical study has tested usage robotic-assisted therapy to improve movements of the upper limb in children and adolescents with cerebral palsy (CP). Cerebral palsy is the commonly used name for a group of conditions characterised by motor dysfunction due to non-progressive brain damage early in life [1]. CP is one of the most common disabilities in childhood and makes heavy demands on families, children, and health, educational, and social services [2]. The range of severity may be from total dependency and immobility to adequate abilities of talking, independent self-care and walking, running and other skills, although with some clumsy actions [1]. The most frequently cited definitions of CP are: a disorder of posture and movement due to a defect or lesion in the immature brain or a group of movement and posture disorders that are associated with progressive alteration of the immature brain during fetal or infant growth. The disorders are permanent but not invariable, and these disorders do place some limitations on daily living. CP is often associated with sensory deficits, cognition impairments, communication and motor disabilities, behavior issues, seizure disorder, pain, and secondary musculoskeletal problems. The main causes and risk factors are: multiple birth, extreme prematurity, birth asphyxia, feeding issues, prolonged hospitalization, or postnatal infection [2]. A number of people with cerebral palsy are now able to benefit from mainstream education and further education. They participate more in various activities in society. These opportunities are assisted by legislation, advances in technology and changing attitudes in their society [1]. A cure for CP, which means repair of the underlying brain damage, is not currently available; therefore, the management of children with CP usually focuses on maintaining and improving quality of life and function and preventing secondary complications. Patients with CP are at a high risk of developing musculoskeletal problems that are mainly related to physical growth, abnormal muscle tone, weakness, a lack of mobility, poor balance, and a loss of selective motor control. Treatments for CP patients depend on the specific patient’s pathology and range from physical therapy to medication and surgery [2]. When distinguishing therapeutic approaches by Abstract Background: The aim of clinical study was to investigate and compare impact of robotic assisted therapy by using virtual reality to classical kinesiotherapy improving the function abilities of upper limb.