Helena Mäenpää

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An interdisciplinary European group of clinical experts in the field of movement disorders and experienced Botulinum toxin users has updated the consensus for the use of Botulinum toxin in the treatment of children with cerebral palsy (CP). A problem-orientated approach was used focussing on both published and practice-based evidence. In part I of the(More)
AIM In individuals with cerebral palsy (CP), cerebral insults during early development may induce profound reorganization of the motor representation. This study determined the extent of alterations in cortical somatosensory functions in adolescents with hemiplegic CP with subcortical brain lesions. METHOD We recorded somatosensory evoked magnetic fields(More)
Cerebral palsy (CP) is characterized by difficulty in control of movement and posture due to brain damage during early development. In addition, tactile discrimination deficits are prevalent in CP. To study the function of somatosensory and motor systems in CP, we compared the reactivity of sensorimotor cortical oscillations to median nerve stimulation in(More)
In all 21 children with spastic cerebral palsy (CP) underwent surgery involving selective posterior rhizotomy (SPR), followed by six months intensive physiotherapy (PT). Neurological and physiotherapeutic assessments were made one, three and five years after the operation. The children undergoing surgery were compared to 21 comparison children who took part(More)
PURPOSE The aim of the study was to determine whether add-on electrical stimulation (ES) at the sensory level improves ankle dorsiflexion in children with cerebral palsy. METHOD Seventeen children (three to nine years of age) with spastic hemiplegia or diplegia with weak or absent active ankle dorsiflexion received ES therapy applied to the tibialis(More)
AIM To determine whether microcurrent stimulation (MENS) increases the range of motion (ROM) of the ankle joint in children with cerebral palsy. DESIGN Twelve children with spastic hemiplegia (age range 4.5 to 16 years) with moderate myocontracture of the triceps surae, received MENS for 1 h five times a week for 4 weeks. An equally long baseline period(More)
The aim of this study was to evaluate the effect of electrical stimulation (ES) on the function of the upper extremities in children with cerebral palsy (CP). The participants were 12 children (seven females and five males) with spastic hemiplegia (mean age 5 years 7 months, SD 3 years 9 months). Indications were weak wrist dorsiflexion and elbow extension.(More)
Quantitative analysis of gait yields precise numerical data about gait. It includes three-dimensional modeling of joint movements (kinematics), analysis of reaction forces directed to the body (kinetics) as well as measurements of activation of major groups of muscles (EMG), energy consumption and pressure load on the foot. Quantitative analysis of gait and(More)
AIM To develop a national consensus on outcome measures that define functional ability in children with cerebral palsy (CP) according to the International Classification of Functioning, Disability and Health (ICF) framework. METHOD The project started in 2008 in neuropaediatric units of two university hospitals and one outpatient clinic. Each professional(More)