Abstract des Autors

Introduction. Vestibularis has a very important role for the correct motor development and coordination of children. The ones with cerebral palsy except abnormal muscle tonus, limited motor capabilities, problems with proprioreception have a breach of the vestibrular perceptions. Purpose of the study. The purpose to be studied the effect of the applying of physiotherapeutical method, including vestibular stimulation to children with Cerebral palsy as regards equilibrium abilities. Material and method of the research. Observed contingent was of 8 children (4 boys and 4 girls) at age 2-7 years old with Cerebral Palsy (CP) (spastic diplegia), divided into 2 groups. In one of the groups was applied standard physiotherapy in specialized clinic, in the second group was applied standard physiotherapy and in addition vestibular stimulation (with the usage of facilities – seesaws, boards, hammocks; vestibular system type Vestibular 2. Physiotherapy was applied 5 times a week for 4 months. Indicator for observing was the test for developing the balance and coordination Ghent Developmental Balance Test (GDBT)-“Gent test”. The dynamic was traced out at the end of the month. Results. In group 1 from 35 test movements of «Gent–test» at the end of the period 8 motions for balance and coordination were improved (walking on mild beam, staying with a leg in front of the other, walking on marked line, back walking, passing over hinders). In group 2 from 35 test motions, 11 were improved (except improved motions in group 1 – staying with a led moved in front of the other with closed eyes, walking on a marked line in different variants). Improving of balance and coordination was connected with the implementation of more complicated motor tasks from the children and appearing of new motions. There was visible Improvement in the development of the global motor functions. Conclusion. Vestibular stimulation in the physiotherapy’s programme contributes for the motor development of the children with cerebral palsy, manifested in improving the postular muscle tonus, the balance and motor reactions in different positions. The earlier applying of the vestibular stimulation gives better opportunities for correct motor development of children with CP regarding the neuroplasticity.