Cooperation of occupational therapy, physiotherapy and speech therapy in the therapy of children with cerebral palsy

Lucie Dončevová1, Eva Buchtelová2, Petra Pecharová2
1University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, České Budějovice, Czech Republic 2Jan Evangelista Purkyně University in Ústí nad Labem, Faculty of Health Studies, Department of Physiotherapy and Occupational Therapy, Ústí nad Labem, Czech Republic

Korespondenční autor: Lucie Dončevová (lucie.doncevova@ujep.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:9. 2. 2016
Accepted: 24. 6. 2016
Published online: 30. 7. 2016

Summary

Aim: The project is focused on the problem of the cooperation of physiotherapy, occupational therapy, and speech therapy during the therapy of children with cerebral palsy.

Materials and methods: In the study, 20 children with cerebral palsy were chosen. According to the physiotherapy, occupational therapy and speech therapy entrance examination, an eight-day rehabilitation intervention was assigned. Individual physiotherapy and occupational therapy treatment took place three times per week for 45 minutes. Speech therapy intervention was once a week under the direct charge of a speech therapist, and the practice was three times per week as part of an occupational therapy treatment, where the occupational therapist worked according to the instructions of the speech therapist.

Result: Individual therapy was connected in the following order. First there was physiotherapy, with a focus on the stabilization of the truncal muscles and the improvement of breathing habits that leads to better posture. This was followed by logopedics oriented on motorics of the orofacial area. Finally there was occupational therapy, which connected elements of physiotherapy and logopedics during the activity of daily life training with a focus on basal activity of ADL. It was confirmed that the motivation of clients and their parents plays a big role in accomplishing positive results.

Conclusion: Coordination of care is essential if a patient is to benefit from multiple health care services provided by various health care professionals. The therapy in children with cerebral palsy is a long-term and lifelong process. The results of our project confirmed the necessity of close cooperation between the physiotherapist, the occupational therapist and the speech therapist with a possible continuity and unification of the therapy.

Keywords: activities of daily living; cerebral palsy; diparetic form; hemiparetic form; movements; occupational therapy; physiotherapy; quadruparetic form; speech therapy

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