Motor therapy for children with cerebral palsy (Neurodevelopmental Research Paper

Motor therapy for children with cerebral palsy (Neurodevelopmental Therapy, Hippotheray , Aquatic Therapy) - Research Paper Example There is enormous evidence about the benefits of motor therapy in the management of children with cerebral palsy (Batshaw, 2007). In this research article, the role of motor therapy in cerebral palsy will be discussed through review of suitable literature. Physical therapy plays a main role in managing cerebral palsy and the focus of physical therapy is movement, function and optimal use of the potential of the child. Physical therapies which have found to be effective in cerebral palsy are neurodevelopmental therapy, conductive education, strength training, postural control, constrained-induced movement therapy, hydrotherapy, passive stretching, orthotic devices and hippotherapy. Through these treatments, promotion, maintenance and restoration of the psychological, physical and social-well being of the child is achieved. Which form of motor treatment is effective is difficult to ascertain owing to lack of high-quality research. The goal of management in individuals with cerebral pal sy is not to achieve normalcy or not to cure but to increase the functionality of the patient, improve the capabilities of the patient and sustain health of the child in terms of cognitive development, locomotion, social interaction and independence. Early intensive management yields best results. The most common treatment strategy is neurodevelopmental treatment or NBT like the Bobath method (Batshaw, 2007). In this treatment, specific handling techniques are employed to control muscle tone, abnormal patterns of movement, control of posture, perception, sensation and memory. However, there is not much evidence to ascertain the role of NBT in changing abnormal motoric responses, prevention of contractures and facilitation of functional motor activities. In the Bobath method, after precise determination of the motor tasks of the child and after establishing the goals of NDT by the therapist, a structured program will be set for the child. The program consists of stretching of the leg s, followed by techniques to decrease spasticity inorder to facilitate normal patterns of movements. Functional motor activities involved in the program are sitting, walking and standing up from sitting. The motor functions are practiced in a random order in several environments through augmented feedback that matches various stages of the learner (Bar-Haim et al, 2010). The goals of NDT are to normalize the tone and improve the control of movement during various functional activities. Recently, another method of therapy, known as the constraint-induced therapy has been introduced which involves the more functional arm or hand to force use of the less functional upper extremity. (Batshaw et al, 2007). In the study by Antilla et al (2008), the researchers assessed the effectiveness of various forms of physical therapy interventions on various aspects of functioning in children with cerebral palsy. The study was a systematic review which reviewed 22 trials of which four were high meth odological quality studies. Based on these studies, the authors opined that there was moderate evidence to ascertain effectiveness in upper extremity training. Retarekar et al (2009) evaluated the benefits of aquatic aerobic exercise for cerebral palsy. the intervention was administered 3 times a week

International operation and competition study of GlaxoSmithKline plc Essay

International operation and competition study of GlaxoSmithKline plc - Essay Example It is critical to increase the accessibility of the different pharmaceuticals and medicinal drugs manufactured by various countries across the world. Therefore, the international marketing processes followed by the companies in the global pharmaceutical industry and the analysis of the pharmaceutical industry are important aspects of the pharmaceutical industry landscape across the globe. The commercial success of the pharmaceutical company depends on reaching more number of customers and ensuring innovation of new medicines and other pharmaceuticals. Therefore the international marketing process of this giant company in the pharmaceutical industry is an interesting and challenging topic for studying. The aim of the study is to evaluate and assess the competitive and operating situations of GlaxoSmithKline plc. This study includes identifying and analysing the various challenges faced by the pharmaceutical company in its international marketing and operational processes. The different types of barriers and opportunities in the external environment of the company and the potentials and capabilities of the company are studied. Also, the various strategies followed by GlaxoSmithKline plc. to increase a diversified business across the world and to maintain sustainable competitive advantage in the changing global scenario are identified and analysed. The report is prepared with the aim to understand the international competitiveness and the global challenges and opportunities in the marketing processes of GlaxoSmithKline plc. Therefore the analysis of the macro environmental factors and the competition levels is done by the use of various popular tools like Michael Porter’s five forces, PESTEL analysis and Porter’s Generic Strategy. These tools have been implemented to understand the global competitive levels in the pharmaceutical industry and the impacts of these factors