대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제12권2호
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  • Pages.103-111
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  • 2017
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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경직성 뇌성마비아의 골반 움직임 기반 훈련이 앉은 자세에서 몸통 안정성과 균형에 미치는 영향

The Effects of Pelvic Movements-based Training on Trunk Stability and Balance during Sitting in Children with Spastic Cerebral Palsy

  • 서혜정 (보바스어린이의원 재활치료실)
  • Seo, Hye-Jung (Dept. of Physical Therapy, Bobath Children's Hospital)
  • 투고 : 2017.03.27
  • 심사 : 2017.04.14
  • 발행 : 2017.05.31
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초록

PURPOSE: This study was aimed to investigate the effects of pelvic movements-based training on trunk stability and balance during sitting in children with spastic cerebral palsy. METHODS: Ten children with spastic cerebral palsy were matched to an intervention (n=5) or control group (n=5). The intervention consisted of two weeks of pelvic movements-based training, five times a week. All participants were evaluated before, during, and after pelvic movements-based training using a trunk impairment scale (TIS) for trunk stability and a modified functional reaching test for balance during sitting. The collected data were analyzed using Repeated Measures ANOVA and the Mann-Whitney U test. RESULTS: The results of this study were as follows: 1) Significant increases in the TIS score (only dynamic balance) and forward reaching were observed in the experimental group, compared with the control group, after training (P<.05). 2) There were statistically significant time-factor increases within and between the subject' effects, in the TIS score (dynamic balance and total), dominant side, non-dominant side, and forward reaching (P<.05). CONCLUSION: In conclusion, this study showed that for children with spastic cerebral palsy, pelvic movements-based training improves trunk stability and balance during sitting. Further studies will be required to determine the long-term effects of pelvic movements-based training.

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참고문헌

  1. Bae SS, Kim TY, Bae JH. A comprehensive kinematic approach to pelvis. J Kor Soc Phys Ther. 1999;11(2):93-102.
  2. Baik K, Byeun JK, Baek JK. The effects of horseback riding participation on the muscle tone and range of motion for children with spastic cerebral palsy. J Exe Rehab. 2014;10(5):265-70. https://doi.org/10.12965/jer.140124
  3. Barton GJ, Hawken MB, Foster RJ, et al. The effects of virtual reality game training on trunk to pelvis coupling in a child with cerebral palsy. J Neuroeng Rehabil. 2013;10(15):1-6.
  4. Bobath B. Adult hemiplegia evaluation & treatment (3rd ed). London. Heinemann Medical Books. 1990.
  5. Carol Q, Margaret T. Powered saddle and pelvic mobility: An investigation into the effects on pelvic mobility of children with cerebral palsy of a powered saddle which imitates the movements of a walking horse. Physiotherapy. 1998;84(8):376-84. https://doi.org/10.1016/S0031-9406(05)61458-7
  6. Choi YC, Park SJ, Lee MH, et al. The effects of trunk muscle strengthening exercise on balance performance of sitting posture and upper extremity function of children with spastic diplegia cerebral palsy. J Korean soc phys med. 2013;8(1):117-25. https://doi.org/10.13066/kspm.2013.8.1.117
  7. Davies PM. Right in the middle: selective trunk activity in the treatment of adult hemiplegia. Berlin. Spinger-Verlag. 1990.
  8. Debuse D, Gibb C, Chandler C. Effects of hippotherapy on people with cerebral palsy from the users' perspective. Physiother Theory Pract. 2009;25(3):174-92. https://doi.org/10.1080/09593980902776662
  9. Han SC, Chu HG, Lee SH. The effects of horseback riding on the balance improvement of the children with cerebral palsy. Korean J Phys Edu. 2004;43(2):601-10.
  10. Jang SH, Gong WT, Kim JS. The effect of using trunk control pelvic movement exercise in the sitting and standing positions on the relative impulse of hemiplegia patients. J Phys Thera Sci. 2011;23(1):123-6. https://doi.org/10.1589/jpts.23.123
  11. Jang SH, Park SJ, Kim MH, et al. The effect of pelvic tilt exercise with changing the body position on foot contact pattern in hemiplegic patients. J Korean soc phys med. 2010;5(3):445-53.
  12. Jung JH, Yu JH. The effect of hippotherapy over 8 weeks on trunk proprioception, stability and posture in cerebral palsy patients. J Kor Phys Ther. 2010;22(5): 63-70.
  13. Katz-Leurer M, Fisher I, Neeb M, et al. Reliability and validity of the modified functional reach test and sub-acute stage post-stroke. Disabil Rehab. 2009;31(3):243-8. https://doi.org/10.1080/09638280801927830
  14. Kim BJ. The study on difference of gait asymmetry ratio according to static pelvic inclination level in hemiplegic patient. J Kor Phys Ther. 2006;18(3):1-7. https://doi.org/10.1589/jpts.18.1
  15. Kim BN, Lee WH. The influence of pelvic tilt exercise using visual feedback upon the gait characteristics of patients with hemiplegia. J Kor Phys Ther. 2002;14(1):75-88.
  16. Kim DH, Kim SJ, Bae SS, et al. The effect of indoor horsebackriding machine on the balance of the elderly with dementia. J Korean soc phys med. 2008;3(4):235-46.
  17. Kim GS, Seo HD, Lee BH, et al. The effect of core program exercise on dynamic balance of patient with poststroke hemiplegia. Journal of oriental rehabilitation medicine. 2010;20(2):17-22.
  18. Kim JH, Chang SK. The effects of robo-horseback riding with changes of pelvic tilting and speeds on muscle activities of trunk and lower limb. J Kor Phys Ther. 2014;26(5):290-5.
  19. Lee EJ, Kim JS. The changes of gross motor function and balance ability in children with spastic diplegia cerebral palsy by trunk muscle strengthening exercise: single group repeated measure study. J Korean soc phys med. 2011;6(2):189-97.
  20. Lee JW. A study on the effect of pelvic tilting exercise in hemiplegia patients. Phys Thera Korea. 1998;5(2): 23-38.
  21. Lynch M, Grisogono V. Stroke and head injury. London. John Murray. 1991.
  22. MaClenaghan BA, Thombs L, Milner M. Effects of seat-surface inclination on postural stability and function of the upper extremities of children with cerebral palsy. Dev Med Child Neurol. 1992;34(1):40-8. https://doi.org/10.1111/j.1469-8749.1992.tb08561.x
  23. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol. 2007;49(6):8-14.
  24. Seather R, Jorgensen L. Intra-and inter-observer reliability of the trunk impairment scale for children with cerebral palsy. Res Dev Disabil. 2011;34(7):2075-84.
  25. Seo HJ, Kim JH, Choi MJ, et al. The effects of gluteal taping on pelvic alignment, trunk stability, and balance during sitting in children with unilateral cerebral palsy. J Kor Phys Ther. 2014;26(5):308-14.
  26. Styer-Acevedo J. Physical therapy for the child with cerebral palsy. In Tecklin JS, Pediatric physical therapy (2nd ed). Philadelpia. PA:J.B. Lippincott Co. 1994;89-134.
  27. Trueblood PR, Walker JM, Perry J, et al. Pelvic exercise and gait in hemiplegia. Phys Ther. 1989;69(1):18-26. https://doi.org/10.1093/ptj/69.1.18