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Treatment with a position feedback-controlled head stabilizer.

F A Harris

    American Journal of Physical Medicine
    |August 1, 1979
    PubMed
    Summary
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    This study shows that a head stabilizer can improve voluntary head control and neck muscle strength in individuals with cerebral palsy. The device uses feedback control to assist with resistive exercises, enhancing balance and confidence.

    Area of Science:

    • Rehabilitation Engineering
    • Neuroscience
    • Physical Therapy

    Background:

    • Cerebral palsy often impairs voluntary head control and neck muscle function.
    • Strengthening neck musculature is crucial for improving balance and overall motor control in individuals with cerebral palsy.

    Purpose of the Study:

    • To evaluate the effectiveness of a position feedback-controlled head stabilizer for improving voluntary head control in cerebral palsy.
    • To assess the potential of systematic exercise with the head stabilizer to strengthen neck muscles and enhance their balance of action.

    Main Methods:

    • Development of a head stabilizer with a helmet, shoulder pads, and a manipulator arm with a gimbal assembly for movement in two planes.
    • Utilizing feedback control circuitry and pneumatic cylinders to apply opposing forces against involuntary head motion and resist voluntary movements.

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  • Systematic exercise protocol designed to strengthen neck muscles and improve head control in individuals with cerebral palsy.
  • Main Results:

    • Findings support the hypothesis that voluntary head control can be improved through systematic exercise using the head stabilizer.
    • The apparatus was well-tolerated by participants, including a five-year-old, with no reported apprehension or resistance.
    • Subjects gained confidence in the apparatus, with some no longer needing to use the safety release valve after initial training.

    Conclusions:

    • The position feedback-controlled head stabilizer is a viable tool for therapeutic intervention in cerebral palsy.
    • The apparatus effectively strengthens neck muscles and improves voluntary head control, contributing to better balance and confidence.
    • The design, incorporating elements like shoulder pads and a helmet, enhances patient comfort and acceptance, facilitating therapeutic engagement.