effects of functional therapy on motor development in children with cerebral palsy

Cerebral palsy [CP] is one of the most common causes of activity limitation in children. Although the central nervous system [CNS] lesion, causing the disorder of posture and movement, is not progressive, the manifestations of the lesion however may change over time. The purpose of this study was to determine the effects of a functional therapy program on motor abilities of children with cerebral palsy. In the year 2007, in a pre- and post design study, fifteen children, diagnosed with CP at the physiotherapy clinic of Zahedan University of Medical Sciences were recruited using simple non - probability sampling by consulting the child neurologist. Before and after intervention, subjects were classified with Gross Motor Function Classification System [GMFCS] to assess gross motor function with the Gross Motor Function Measure [GMFM]. Muscle tonicity was graded, based on the Modified Ashworth Scale [MAS]. A 24 session functional physical therapy program which lasted 12 weeks, twice per week, and 90min per session was carried out. Fifteen children with CP [12 boys and 3 girls] aged 21.87 +/- 13.37 months were enrolled in this study; six of them were diplegic, 7 hemiplegic, and 2 quadriplegic. After treatment, muscle tonicity decreased from 1.93 +/- 0.59 to 0.87 +/- 0.64 [P<0.0001]. The subjects' GMFM scores increased significantly from 30.52 +/- 28.99 to 49.27 +/- 26.9 [P<0.0001]. The results showed that a functional therapy program may be effective in increasing gross motor function and improving daily activities in children with cerebral palsy, thereby decreasing parent and nursing dependency following this program

Comparison of efficacy of honey versus silver sulfadiazine and acetate mafenid in the treatment of contaminated burn wounds in piggies

Introduction: Heat injury, with creation of conclusive necrosis in skin layers, prepares an environment suitable for bacterial infection as a result of low tissue perfusion and high protein content. Gram negative bacteries especially Pseudomonas Auroginosa have been recognized as the main creative organisms of wound infection mortality. Mankind has been interested in remedial role of honey since long.Materials and Sixty Indian piggies were categorized in three equal groups. A part of their body, approximately 8.5cm2, was burned with water steam [3 degree of burn]. Then, a number of 108 microorganisms of Pseudomonas Auroginosa were inoculated in the wound area. Each group was treated with group-specialized drug for a period of one month. [Honey- silver sulfadiazine 1%-acetat mafenid 8.5%]. In special days, according to determined schedule, animals' weight, as well as burn condition and extent were recorded and quantitative and qualitative cultural specimens were prepared periodically. The results were analyzed by statistical software of Spss10. Out of three groups, the group of honey had the mortality at least equal with two other groups[30% with comparison of 40% and 45%], the most formation of granulation tissue in a time of 10 days [90% with comparison of 35% and 44%], the smallest remaining wound at the end of study[percent of dwindle in size 62% in honey group with comparison of 29% and 22%] and the least of contamination in prepared specimens[20% in 10th day of burn with comparison of 95% and 100%]. Utilization of topical honey in treatment of deep and infectious burn in piggies not only accelerates the healing procedure but has antimicrobial effect at least equal to valuable acetate mafenid drug