Journal of The Korean Society of Integrative Medicine (대한통합의학회지)

Korean Society of Integrative Medicine (대한통합의학회)
권호 표지
DOI QR코드

DOI QR Code

Changes in the Balance and Activities of Daily Living on Children with Ataxic Cerebral Palsy from Dual Task Training : Case Study

운동실조형 뇌성마비 아동의 이중과제훈련에 의한 균형 및 일상생활활동의 변화 : 사례보고

  • Kwon, Haeyeon (Dept. of Physical Therapy, College of Nursing and Healthcare Sciences, Dong-Eui University)
  • 권해연 (동의대학교 물리치료학과)
  • Received : 2016.11.08
  • Accepted : 2016.12.12
  • Published : 2016.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose : The purpose of this study has been performed to find the changes in the balance and activities of daily living on children with ataxic cerebral palsy from dual task training. Methods : This study selects 3 subjects for 7.6 years old who were diagnosed with children with ataxic cerebral palsy. The dual task training applied three times a week for six weeks to ataxic cerebral palsy. To assess changes in balance, we performed the length and surface area ellipse of central of pressure, Pediatric Balance Scale, We also assessed activities of daily living using Pediatric Evaluation of Disability Inventory. Result : There were statistically significant differences in the changes during training period for the static(length and surface area ellipse of central of pressure) and functional balance(PBS). There were statistically significant differences in the changes during training period for the Pediatric Evaluation of Disability Inventory including self-care and mobility domains, except for social function domain. Conclusion : The results from this case study suggest that dual task training may have a beneficial changes on balance and activities of daily living for children with ataxic cerebral palsy.

Keywords

References

  1. 김경미, 김진미(2007). 감각통합치료가 주의력결핍 및 과잉 행동장애 아동의 균형 및 중력에 미치는 효과: 개별 실험 연구. 특수교육재활과학연구, 46(4), 103-130.
  2. 김장곤, 김형렬, 신영일(2011). 뇌성마비 아동의 사물조작능력과 기능적 수행능력과의 관련성. 대한작업치료학회지, 19(1), 83-91.
  3. 김지은(2016). 안구운동을 포함한 이중과제훈련이 안 이상을 동반한 경직형 뇌성마비아의 시각-운동기능과 대동작기능에 미치는 영향. 용인대학교 대학원, 석사학위 논문.
  4. 김혜선, 송병호(2007). 발달장애 유아의 자세조절과 원시반사조정 그리고 양측운동조절을 위한 전정자극 훈련의 효과. 특수교육요구아동연구, 18, 23-45.
  5. 박명옥(2009). 전정자극훈련이 뇌성마비아동의 균형에 미치는 영향. 단국대학교 대학원, 석사학위 논문.
  6. 박해균, 조기훈, 이완희(2011). 이중과제 훈련이 만성뇌졸중 환자의 자세안정성과 균형에 미치는 효과. 한국산학기술학회논문지, 12(8), 3555-3562. https://doi.org/10.5762/KAIS.2011.12.8.3555
  7. 방대혁, 이영찬, 봉순녕(2012). 만성 뇌졸중 환자의 트레드밀 훈련에서 인지적 이중과제훈련이 보행 능력에 미치는 영향. 대한고유수용성신경근촉진법학회지, 10(1), 25-33.
  8. 양현주, 조바회, 장종식(2013). 시각되먹임 훈련이 소뇌 실조증 환자의 균형과 일상생활 수행에 미치는 영향: 사례보고. 대한지역사회작업치료학회지, 3(1), 43-53.
  9. 오덕원, 심선미(2015). 인지운동 이중과제 훈련이 뇌졸중 환자의 보행과 균형 기능에 미치는 영향: 무작위 대조군 예비연구. 한국전문물리치료학회지, 22(2), 11-20. https://doi.org/10.12674/ptk.2015.22.2.011
  10. 오태영(1997). 시각 및 청각 되먹임 균형장치가 뇌성마비아동의 하지 체중지지 향상에 미치는 영향. 대구대학교 대학원, 석사학위 논문.
  11. 이샛별, 차예니, 이상호(2015), 이중과제 훈련이 노인의 균형에 미치는 영향. 신경치료학회지, 19(2), 41-47.
  12. 이승원, 이재한, 이용우(2012). 앉은 자세에서의 이중운동과 제훈련이 만성 뇌졸중 환자의 균형에 미치는 영향. 특수교육재활과학연구, 51(2), 301-318.
  13. 이은정, 송주민(2012). 다양한 지지면에서 균형운동이 경직성 뇌성마비 양하지마비 아동의 대동작기능 및 균형능력에 미치는 효과. 대한물리의학회지, 7(3), 357-365. https://doi.org/10.13066/kspm.2012.7.3.357
  14. 임선규(2000). 체중부하이동훈련과 관절운동범위증진훈련이 뇌성마비환아의 보행특성과 족저압중심의 변화에 미치는 영향에 관한 연구. 연세대학교 대학원, 석사학위 논문.
  15. 임승진, 박진훈(2013). 장애물 보행 훈련 프로그램이 소뇌성 운동실조증 환자의 기능적 보행 능력에 미치는 효과. 한국체육과학회지, 22(5), 607-626.
  16. 정병록, 유은영, 정민예 등(2009). Pediatric Evaluation of Disability Inventory(PEDI) 평가도구의 국내 적용을 위한 번역 및 문화간 비교 연구: 예비연구. 대한작업치료학회지, 17(3), 121-132.
  17. 정세라, 원종임(2014). 이중과제 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향. 한국전문물리치료학회지, 21(2), 18-27. https://doi.org/10.12674/ptk.2014.21.2.018
  18. 지상구, 김명권, 차현규(2013). 이중 운동 과제 훈련이 아급성기 뇌졸중 환자의 균형에 미치는 효과. 대한물리의학회지, 8(1), 1-9. https://doi.org/10.13066/kspm.2013.8.1.001
  19. Bartlett D, Birmingham T(2003). Validity and reliability of a pediatric reach test. Pediatr Phys Ther, 15(2), 84-92. https://doi.org/10.1097/01.PEP.0000067885.63909.5C
  20. Blundell SW, Shepherd RB, Dean CM, et al(2003). Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4-8years. Clin Rehabil, 17(1), 48-57. https://doi.org/10.1191/0269215503cr584oa
  21. Brauer SG, Woollacott M, Shumway-Cook A(2001). The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci, 56(8), M489-496. https://doi.org/10.1093/gerona/56.8.M489
  22. Brauer SG, Woollacott M, Shumway-Cook A(2002). The influence of a concurrent cognitive task on the compensatory stepping response to a pertubation in balance-impaired and healthy elders. Gait Posture, 15(1), 83-93. https://doi.org/10.1016/S0966-6362(01)00163-1
  23. Cameron MH, Monroe LG(2007). Physical rehabilitation; Evidence-based examination, evaluation, and intervention. Saunders, Elsvier Inc.
  24. Canning CG(2005). The effect of directing attention during walking under dual-task conditions in parkinson's disease. Parkinsonism Relat Disord, 11(2), 95-99. https://doi.org/10.1016/j.parkreldis.2004.09.006
  25. Canning CG, Ada L, Woodhouse E(2008). Multiple-task walking training in people with mild to moderate parkinson's disease: a pilot study. Clin Rehabil, 22(3), 226-233. https://doi.org/10.1177/0269215507082341
  26. Eser F, Yavuzer G, Karakus D, et al(2008). The effect of balance training on motor recovery and ambulation after stroke: A randomized controlled trial. Eur J Phys Rehabil Med, 44(1), 19-25.
  27. Ferdjallah M, Harris GF, Smith P, et al(2002). Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech (Bristol, Avon), 17(3), 203-210. https://doi.org/10.1016/S0268-0033(01)00121-8
  28. Franjoine MR, Darr N, Held SL, et al(2010). The performance of children developing typically on the pediatric balance scale. Pediatr Phys Ther, 22(4), 350-359. https://doi.org/10.1097/PEP.0b013e3181f9d5eb
  29. Franjoine MR, Gunther JS, Taylor MJ(2003). Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther, 15(2), 114-128. https://doi.org/10.1097/01.PEP.0000068117.48023.18
  30. Gan SM, Tung LC, Tang YH, et al(2008). Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabil Neural Repair, 22(6), 745-753. https://doi.org/10.1177/1545968308316474
  31. Geiger RA, Allen JB, O'Keefe J, et al(2001). Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/ forceplate training. Phys Ther, 81(4), 995-1005.
  32. Haley SM, Andrellos PJ, Coster W, et al(1992). Pediatric evaluation of disability inventory. New England Medical Center Hospitals.
  33. Horak FB(1997). Clinical assessment of balance disorders, Gait Posture, 6(1), 76-84. https://doi.org/10.1016/S0966-6362(97)00018-0
  34. Howle JM(2002). Neuro-developmental treatment approach theoretical foundations and principles of clinical practice. Laguna Beach, CA: The north american neuro-developmental treatment association.
  35. Katz RT(2003). Life expectancy for children with cerebral palsy and mental retardation: implications for life care planning. NeuroRehabil, 18(3), 261-270.
  36. Ketelaar M, Vermeer A, Hart H, et al(2001). Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther, 81(9), 1534-1545. https://doi.org/10.1093/ptj/81.9.1534
  37. Kim YM, Lee BH(2013). Clinical usefulness of child-centered task-oriented training on balance ability in cerebral palsy. J Phys Ther Sci, 25(8), 947-951. https://doi.org/10.1589/jpts.25.947
  38. McCulloch KL, Buxton E, Hackney J, et al(2010). Balance, attention, and dual-task performance during walking after brain injury associations with falls history. J Head Trauma Rehabil, 25(3), 155-163. https://doi.org/10.1097/HTR.0b013e3181dc82e7
  39. Nichols DS, Miller L, Colby LA, et al(1996). Sitting balance: its relation to function in individuals with hemiparesis. Arch Phys Med Rehabil, 77(9), 865-869. https://doi.org/10.1016/S0003-9993(96)90271-3
  40. Pellecchia GL(2005). Dual-task training reduces impact of cognitive task on postural sway. J Mot Behav, 37(3), 239-246. https://doi.org/10.3200/JMBR.37.3.239-246
  41. Petruseviciene D, Krisciunas A(2008). Evaluation of activity and effectiveness of occupational therapy in stroke patients at the early stage of rehabilitation. Med, 44(3), 216-224.
  42. Plummer-D'Amato P, Altmann LJ, Saracino D, et al(2008). Interactions between cognitive tasks and gait after stroke: A dual task study. Gait Posture, 27(4), 683-688. https://doi.org/10.1016/j.gaitpost.2007.09.001
  43. Ragnarsdottir M(1996). The concept of balance. Physiother, 82(6), 368-375. https://doi.org/10.1016/S0031-9406(05)66484-X
  44. Salem Y, Godwin EM(2009). Effects of task-oriented training on mobility function in children with cerebral palsy. Neurorehabil, 24(4), 307-313.
  45. Sekendiz B, Cug M, Korkusuz F(2010). Effects of swiss ball core strength training on strength, endurance, flexibility, and balance in sedentary women. J Strength Cond Res, 24(11), 3032-3040. https://doi.org/10.1519/JSC.0b013e3181d82e70
  46. Shumway-Cook A, Woollacott MH(2001). Motor control: Theory and practical applications. 2nd ed, Philadelphia, Lippincott Williams & Wilkins.
  47. Silsupadol P, Shumway-Cook A, Lugade V, et al(2009). Effects of single-task versus dual task training on balance performance in older adults: a double-blind randomized controlled trial. Arch Phys Med Rehabil, 90(3), 381-387. https://doi.org/10.1016/j.apmr.2008.09.559
  48. Walker C, Brouwer BJ, Culham EG(2000). Use of visual feedback in retraining balance following acute stroke. Phys Ther, 80(9), 886-895.
  49. Yang YR, Chen YC, Lee CS, et al(2007). Dual-task-related gait changes in individuals with stroke. Gait Posture. 25(2), 185-190. https://doi.org/10.1016/j.gaitpost.2006.03.007

Cited by

  1. Effects of Backward Walking Training with Task Orientation on the Functional Gait of Children with Spastic Hemiplegia vol.31, pp.5, 2019, https://doi.org/10.18857/jkpt.2019.31.5.292
  2. One‐year follow‐up of problem‐based task training for a child presenting cerebellar ataxia after brainstem glioma surgery: A single‐subject experimental study vol.26, pp.3, 2016, https://doi.org/10.1002/pri.1908