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The Effects of Task Oriented Training with Suspension Device on Trunk Stability and Gross Motor Function of Children with Spastic Diplegia Cerebral Palsy

현수보조장치를 이용한 과제 지향적 훈련이 경직형 양하지 뇌성마비아동의 체간 안정성과 대동작기능에 미치는 영향

  • Lee, Mi-Seon (Department of Physical Therapy, The Health and Sports Graduate School, Daejeon University) ;
  • Choi, Jong-Duk (Department of Physical Therapy, College of Natural Science, Daejeon University)
  • 이미선 (대전대학교 보건스포츠대학원 물리치료학과) ;
  • 최종덕 (대전대학교 자연과학대학 물리치료학과)
  • Received : 2013.10.07
  • Accepted : 2013.11.15
  • Published : 2013.11.30

Abstract

PURPOSE: The purpose of this study was to examine the effect of using a suspension device for arm reaching activity on trunk stability and gross motor function of children with spastic diplegia cerebral palsy. METHODS: The subject in this study consisted of 11, GMFCS(Gross Motor Function Classification System) III~IV children with spastic diplegia cerebral palsy, all of whom agreed to participate in the study. All subjects were divided into two groups: the experimental group using a suspension device, and the control group using no suspension device. For each group, a thirty-minute intervention was done twice per week during 8 weeks. Before and after intervention, each test was measured using TIS(Trunk Impairment Scale), GMFM (Gross Motor Function Measure) and PRT(Pediatric Reaching Test) to change trunk stability, gross motor function and arm reaching activity. The data were analyzed with the Wilcoxon signed rank test. RESULT: All two groups had a meaningful increase in GMFM-Sit data measured before and after intervention. The experimental group had a significant increase from an average of 78.83 to an average of 84.83 in GMFM-Crawling. For both groups, there was a substantial increase in the change in sitting position and arm reaching. CONCLUSION: According to the results of this study, the arm reaching activity using suspension device had an effect on trunk stability and gross motor function and it changed arm reaching activity.

Keywords

References

  1. Aicardi J, Bax M, Gillberg C, et al. Diseases of the nervous system in childhood. London, Mac Keith Press. 1998.
  2. Bartlett D, Birmingham T. Validity and reliability of a pediatric reach test. Pediatr Phys Ther. 2003;15(2):84-92. https://doi.org/10.1097/01.PEP.0000067885.63909.5C
  3. Bax MC, Flodmark O, Tydeman C. Definition and classification of cerebral palsy. From syndrome toward disease. Dev Med Child Neurol Suppl. 2007;109:39-41.
  4. Bahk GO. The effects of distal upper limb exercise on trunk balance for the children with spastic diplegia. Department of special education Graduate School. Dankook University. thesis. 2012.
  5. Bobath B, Bobath K. Motor development in the different types of cerebral palsy. USA. Butterworth-Heinemann Ltd. 1975.
  6. Bobath K, Scrutton D, Bax M. A neurophysiological basis for the treatment of cerebral palsy. London, Mac Keith Press. 1991.
  7. Brauer SG, Woollacott M, Shumway-Cook A. The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci. 2001;56(8):M489-96. https://doi.org/10.1093/gerona/56.8.M489
  8. Brogren E, Forssberg H, Hadders-Algra M. Influence of two different sitting positions on postural adjustments in children with spastic diplegia. Dev Med Child Neurol. 2001;43(8):534-46. https://doi.org/10.1017/S0012162201000974
  9. Bunton EE, Pitney WA, Cappaert TA, et al. The role of limb torque, muscle action and proprioception during closed kinetic chain rehabilitation of the lower extremity. J Athl Train. 1993;28(1):10-20.
  10. Chang JJ, Wu TI, Wu WL, et al. Kinematical measure for spastic reaching in children with cerebral palsy. Clin Biomech (Bristol, Avon). 2005;20(4):381-8. https://doi.org/10.1016/j.clinbiomech.2004.11.015
  11. Choi YC, Park SJ, Lee MH, et al. The Effects of Trunk Muscle Strengthening Exercises on Balance Performance of Sitting Posture and Upper Extremity Function of Children with Spastic Diplegic Cerebral Palsy. J Korean phys med. 2013;8(1):117-25. https://doi.org/10.13066/kspm.2013.8.1.117
  12. Fetters L, Tucker CA, Tsao CC, et al. Perception/action coupling of limb, head and rattle movements of infants exposed to cocaine. Infant Behav Dev. 2000;23(3-4):375-89. https://doi.org/10.1016/S0163-6383(01)00050-9
  13. Goldie PA, Bach TM, Evans OM. Force platform measures for evaluating postural control:reliability and validity. Arch Phys Med Rehabil. 1989;70(7):510-7.
  14. Granata KP, Lee PE, Franklin TC. Co-contraction recruitment and spinal load during isometric trunk flexion and extension. Clin Biomech (Bristol, Avon). 2005;20(10):1029-37. https://doi.org/10.1016/j.clinbiomech.2005.07.006
  15. Hong JS. A study on health care utilization of children with cerebral palsy. Dept. of Sociology of Health. The Graduate School of Public Health. Seoul National University. Master's thesis. 2004.
  16. Hong JS. Normal development for cerebral palsy treatment. Seoul, Koonja publishing. 2009.
  17. Jeong GS. Effects of trunk stability on the hand's dexterity improvement for the children with cerebral palsy. Dept. of Occupational Therapy. The Graduate School of Rehabilitation Science. Daegu University. Master's thesis. 2005.
  18. Jo SJ. The effects of the appropriateness of the postural control exercise program on trunk muscle control ability and gross motor function movement for the children with cerebral palsy. Dept. of Special Education. The Graduate School. Dankook University. Doctor's thesis. 2006.
  19. Ju YH, Hwang IS, Cherng RJ. Postural adjustment of children with spastic diplegic cerebral palsy during seated hand reaching in different directions. Arch Phys Med Rehabil. 2012;93(3):471-9. https://doi.org/10.1016/j.apmr.2011.10.004
  20. Ju YH, You JY, Cherng RJ. Effect of task constraint on reaching performance in children with spastic diplegic cerebral palsy. Res Dev Disabil. 2010;31(5):1076-82. https://doi.org/10.1016/j.ridd.2010.04.001
  21. Kim SJ. The effects of optimal seated positioning on the upper limb functional in 7 to 9years old children with cerebral palsy. Dept. of Physical & Occupational Therapy. The Graduate School. Dankook University. Master's thesis. 2005.
  22. Kim SJ, Lee SJ. The effect of multi-axis sling suspension exercise on trunk-muscle activition. Exercise science. 2008;7(3):317-30.
  23. Kim SY, Kim TY. Theoretical basis and application of the Neurac technique which uses the sling exercise therapy. The Journal of Korean Academy of Orthopedic Manual Therapy. 2006;12(2):52-65.
  24. Kim SY. Lumbo-pelvic stabilization approach for lower back dysfunction. The Journal of Korean academy of Orthopedic Manual Physical Therapy. 1998;4(1):7-20.
  25. Kim SY, Kim TY, Park SJ. A clinical application with the principle of hanging point in the sling. The Journal of Korean Academy of Orthopedic Manual Therapy. 2003;9(2) :25-45.
  26. Kim YH, Kim NK, Cha EJ, et al. Accumulative study on clinical balance score and quantitative assessment of postural sway using force platform. The Journal of Korean Academy of Rehabilitation Medicine. 1995:18(3):782-92.
  27. Kim YH, Shin JE, Kim DH, et al. Effect of dynamic balance training using visual biofeedback of center of pressure in patients with stroke. The Journal of Korean Academy of Rehabilitation Medicine. 2004;28(6):515-22.
  28. Lee HS. The Effect of task-orientated training on upper extremity, visual perception and standing balance for stork patients. Dept. Public Healthy. The Graduate school of public health & biotechnology. Chungnam national University. Master's thesis. 2008.
  29. Mayston MJ. People with cerebral palsy: effects of and perspectives for therapy. Neural Plast. 2001;8(1-2):51-69. https://doi.org/10.1155/NP.2001.51
  30. Nordmark E, Hagglund G, Jarnlo GB. Reliability of the gross motor function measure in cerebral palsy. Scand J Rehabil Med. 1997;29(1):25-8.
  31. Oh JL. The effects of trunk muscle strength training on sitting balance of children with spastic cerebral palsy. J Korean phys ther. 2004;16(1):87-102.
  32. Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. 2000;80(10):974-85.
  33. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
  34. Russell D, Palisano R, Walter S, et al. Evaluating motor function in children with Down syndrome: validity of the GMFM. Dev Med Child Neurol. 1998;40(10):693-701.
  35. Sæther R, Jorgensen L. Intra-and inter-observer reliability of the Trunk Impairment Scale for children with cerebral palsy. Res Dev Disabil. 2011;32(2):727-39. https://doi.org/10.1016/j.ridd.2010.11.007
  36. Shon BH. The effect of an exercise using elastic there-band strengthening trunk muscles on the static sitting posture for children with cp. Journal of Special Education. 2003;301-17.
  37. Umphred DA, Roller ML, Burton GU, et al. Umphred's Neurological Rehabilitation. Maryland Heights, Mosby Incorporated., 2012.
  38. Van Der Heide JC, Begeer C, Fock JM, et al. Postural control during reaching in preterm children with cerebral palsy. Dev Med Child Neurol. 2004;46(4):253-66.
  39. Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 2000;80(6):564-9.
  40. Yeom JN. Effects of longitude trunk sling stabilization exercises and neuro development treatment on foot plantar pressure for the diplegic children with cerebral palsy during ambulation. Dept. of Physical & Occupational Therapy. The Graduate School. Dankook University. Master's thesis. 2008.

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