Verticalization - best practices in pediatric neurology

Uprighting a child from the perspective of neurology

In treating a Patient with a neurological disorder such as cerebral palsy, a comprehensive approach and the cooperation of multiple specialists in neurology, orthopedics and physiotherapy, among others, is important. Therefore, before invasive surgeries are performed, the patient is offered more conservative methods of treatment. One of them is precisely verticalization as part of physiotherapy. What does it consist of? Uprighting a child is a process that should be individually tailored to the needs and capabilities of a particular Patient. It begins with movement and posture diagnostics, which includes gait analysis, video analysis and a full analysis with assessment of kinetic and kinematic parameters. Based on the information gathered, the physiotherapist can determine the child's functional capabilities, movement quality, ranges and muscle strength, which allow the development of stages of uprighting tailored to the child's capabilities and needs.

When uprighting a neurological Patient, it is also important to prevent secondary changes, i.e. symptoms that may appear after some time as a result of the primary problems. These include hip dislocation, the development of scoliosis or the development of muscle contractures, which can significantly impair the patient's movement.

Verticalization in physiotherapy - how to effectively support child development?

Verticalization in the rehabilitation of children with neurological disorders supports their development and improves their quality of life. The process requires a number of specialized methods and techniques that are closely tailored to the individual needs and capabilities of the young patient.

In uprighting therapy, it is extremely important to use lower limb orthoses to secure the child's gait pattern. These orthoses stabilize movements, minimizing the risk of postural defects and abnormal joint development. In complementary therapy, a special uprighting support suit can also be used to stabilize the trunk and hip joint, ensuring correct posture and distribution of loads to the relevant parts of the body.

Equally important is the daily use of a verticalizer, which helps maintain range of motion in the joints and promotes proper loading of the hip joint. The upright also allows for a variety of activities that significantly contribute to better muscle function.

Also important are regular physiotherapy sessions, which not only build strength, but also teach how to move efficiently and safely, giving the child greater independence. During these, serial plastering is often used. This is a method that gradually corrects deformities and increases range of motion by getting tissues used to new positions.

In addition, in cases of spasticity, drug therapy, Botox or, in severe cases, surgical interventions are used to help reduce muscle tension and improve the child's functioning.

All these elements make up a comprehensive therapy, the main goal of which is to strengthen muscle strength, improve range of motion and teach the child correct movement patterns. During the therapy, it is extremely important to monitor the quality of movement, which allows for ongoing adjustment of the therapeutic plan, which is essential for introducing new solutions or continuing those with good results.

Finally, it is worth emphasizing that in the process of uprightness the understanding of the parents is invaluable. Their involvement in therapy, their ability to understand their child's problems and their daily support are crucial to the effectiveness of treatment. Parents not only play the role of caregivers, but are also indispensable co-participants in monitoring the child's progress and implementing changes recommended by specialists.

Summary: Why is verticalization so important?

Uprighting a neurological patient requires a special approach. Each therapeutic plan must be tailored to the patient's individual limitations and capabilities. The use of specialized equipment, such as uprights, enables therapy to be carried out safely, minimizing the risk of injury.

The regular use of uprighting in rehabilitation allows for more effective management of the condition of children with neurological disorders, offering them the chance to live a more independent and full life. At Paley European Institute, we have already helped many young patients with cerebral palsy, using advanced uprighting methods that dramatically improve their daily functioning.