Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지

Strength Training-Induced Changes in Muscle Size and Motor Improvement in Bilateral Schizencephaly: An Experimenter-Blind Case Report With 3-Month Follow-Up

  • Lee, Dong-Ryul (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) ;
  • You, Sung-Hyun (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Lee, Nam-Gi (Dept. of Rehabilitation Therapy, The Graduate School, Yonsei University) ;
  • Yoo, In-Gyu (Dept. of Occupational Therapy, Dobong-Gu Health Center) ;
  • Jung, Min-Ye (Dept. of Occupational Therapy, College of Health Science, Yonsei University) ;
  • Han, Bong-Soo (Dept. of Radiological Science, College of Health Science, Yonsei University)
  • Received : 2010.10.05
  • Accepted : 2010.11.06
  • Published : 2010.11.19
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Abstract

The present case study highlights the effects of a novel Comprehensive Hand Repetitive Intensive Strengthening Training (CHRIST) on morphological changes and associated upper extremity (UE) muscle strength and motor performance in a child with spastic quadriplegic cerebral palsy (CP). The Child, a 10-year-old girl with spastic quadriplegic CP, was treated with CHRIST for 60 minutes a day, five times a week, for 5 weeks. The CHRIST was designed to improve motor function and strength. Clinical tests including the modified Wolf Test, Jebsen-Taylor Hand Function Test, and Pediatric Motor Activity Log questionnaire were used to determine motor function. Ultrasound imaging was performed to determine the changes in the cross-section area (CSA) of the extensor carpi radialis (ECR) and triceps brachii (TRI). Muscle strength was measured with a dynamometer at pretest, and post-test, and 3-month follow-up. Ultrasound imaging data showed that the CSAs of both ECR and TRI muscles were enhanced as a function of the intervention. These changes were associated with muscle strength and motor performance and their effects remained even at a 3-month follow-up test. Our results suggest that the CHRIST was effective at treating muscle atrophy, weakness and motor dysfunction in a child with spastic quadriplegic CP.

Keywords

References

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