Suit Therapy Adeli Suit Alyssa Connifey Doug Eck Josh Egloff - - PowerPoint PPT Presentation
Suit Therapy Adeli Suit Alyssa Connifey Doug Eck Josh Egloff Sarah Kibiloski Maria King Sean McBride Background Developed in late 1960s/early 1970s by Russian space program for astronauts to maintain muscle tone in an anti- gravity
Alyssa Connifey Doug Eck Josh Egloff Sarah Kibiloski Maria King Sean McBride
program for astronauts to maintain muscle tone in an anti- gravity environment
patients with cerebral palsy and other neuromuscular disorders
prototype called the penguin suit, based
series of adjustable, elastic bands
movement and ROM
○ “retrain” the brain using correct muscle movements ○ improve body awareness ○ support weak muscles ○ improve gross motor skills and balance ○ provide normal proprioceptive input to the brain
showed that AST stimulates the restarting of the vestibular system’s development
proprioceptors
○ The suit provides normal tactile and proprioceptive stimulation to normalize afferent vestibular-proprioceptive inputs to the vestibular system ○ Allows CNS to send out normal efferent signals ○ Muscle tone, balance, coordination, body awareness, and proprioception are influenced
○ 30 min-2 hours/day, 5 days/week for 4 weeks ○ Massage before fitting the suit ○ Passive stretching of all limb muscles ○ Application of the suit by placing the body into proper alignment ○ Rigorous exercises in the suit
■ Individualized program ■ Walking activities, sit-to-stands, playing with a ball while standing, walking on different surfaces, jumping on a trampoline, and climbing stairs and ladders
○ PT, OT, & other healthcare professionals ○ 5 day, 40 hours - $1,900 ○ Advanced levels - $850
○ PT ○ 5 days, 40 hours, 48 CEUs
○ Hip subluxation greater than 50% ○ Severe scoliosis
○ Heart conditions ○ Uncontrolled seizure activities ○ Hip subluxation ○ Hydrocephalus (VP shunt) ○ Diabetes ○ Kidney problems ○ Hypertension
The Effect of Suit Wear During an Intensive Therapy Program in Children With CP
Bailes et al - Pediatric Physical Therapy - 2011
Purpose:
To examine the effects of suit wear during an intensive therapy program on motor function among children with cerebral palsy.
Method:
20 children aged 3-8 years old were randomized to an experimental (TheraSuit) or a control (control suit) group and participated in an intensive therapy program (4 hours, 5 days/week for 3 weeks). PEDI and GMFM–66 were administered at baseline, 1 week after intervention and 1 month after intervention.
Conclusions:
Children wearing the TheraSuit during an intensive therapy program did not demonstrate improved motor function when compared with those wearing a control suit during the same program.
Limitations:
This study has several limitations related to the small sample size and lack of blinding of families and treating therapists.
Comparison of efficacy of Adeli suit and Neurodevelopment treatments in children with cerebral palsy
Bar-Haim et al - Developmental Medicine and Child Neurology - 2006
Purpose:
To evaluate the efficacy of AST by comparing it with NDT in children with CP. Gross motor function and energy cost quantified by mechanical efficiency were investigated.
Method:
24 children, GMFCS Levels II - IV, were randomly assigned to the AST or NDT. Both groups were treated 2 hours, 5 days/week, for 4
the mechanical efficiency index (EIHB) during stair-climbing were measured at baseline, after 1 month, and at 10 months.
Conclusion:
Both intensive treatments accelerated the acquisition of motor abilities compared to normal development. Improvements in motor skills and retention after 9 months were not significantly different between the two
EIHB in AST when compared to NDT. Conclude that AST might improve mechanical efficiency without a corresponding gain in gross motor skills.
Changes in Two Children with Cerebral Palsy After Intensive Suit Therapy: A Case Report
Bailes, Greve, Schmitt - Pediatric Physical Therapy - 2010
Purpose:
The purpose of this case report was to investigate effects of intensive suit therapy on gait, functional skills, caregiver assistance, and gross motor ability in children with cerebral palsy
Method:
Two children with spastic diplegia classified at level III on the GMFCS participated. Outcomes were assessed using standing, walking, running and jumping dimensions of the GMFM, the PEDI, and instrumented gait analysis.
Results:
Very small improvements in function were noted in the standing dimension of the GMFM and PEDI (Self-care Domain) with decreased function in other areas. Improved walking speed, cadence, symmetry, joint motion, and posture were found with gait analysis.
Conclusion:
Further investigation with larger sample sizes is needed before conclusions can be drawn as to the effectiveness of the program. Finally, this program is available at a substantial cost, and the benefits obtained may not be worth the investment.
Body Structure & Function: Mixed results. Some studies state AST has been shown to improve mechanical efficiency and could possibly translate to decreased energy expended during stair climbing. Activity: Mixed results. Limited evidence to suggest small improvements in gait and posture. Other studies suggested no improvement in gross motor function. Participation: No studies have been published specifically addressing the level of participation after suit therapy intervention. Personal & Environmental Factors: Time constraint, dependant on family support
positive impact on gait mechanics in an extremely small population
effect on body mechanics at the body structure and function level
the activity and participation levels.
additional training for anyone interested
■ Less cost for the patient!
Bailes, A. F., Greve, K., Burch, C. K., Reder, R., & Lin, L. (2011). The effect of suit wear during an intensive therapy program in children with cerebral palsy. Pediatric Physical Therapy, 23(2), 136-142. Bailes, A. F., Greve, K., & Schmitt, L. C. (2010). Changes in two children with cerebral palsy after intensive suit therapy: a case report. Pediatric Physical Therapy, 21(1), 76-85. Bar-Haim S, Harries N, Belokopytov M, Frank A, Copeliovitch L, Kaplanski J, Lahat E. (2006). Comparison of efficacy of Adeli suit and NDT treatments in children with CP. Developmental Medicine and Child
Clinical policy bulletin: Suit therapy (2014, November 7). From Aetna Health Insurance. Retrieved from www.aetna.com/cpb/medical/data/600_699/0696.html Koscielny, I. (n.d.). Training for Therapists. Retrieved April 13, 2015, from http://www.suittherapy.com/training_for_therapists.htm Mehl-Madrona, L. (2001, January 1). Treatments for Cerebral Palsy: The Adeli Suit. Retrieved April 10, 2015, from http://www.healing-arts.org/children/cp/cpadeli.htm
http://cerebralpalsy.org/about-cerebral-palsy/treatment/therapy/intensive-suit-therapy