대한물리치료과학회지 (Journal of Korean Physical Therapy Science)

  • 제29권4호
  • /
  • Pages.27-42
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  • 2022
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  • 2733-6441(pISSN)
  • /
  • 2733-645X(eISSN)
대한물리치료과학회 (Korean Physical Therapy Science)
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뇌성마비 아동의 대동작 기능에 대한 가정중심치료 효과 : 체계적 고찰

Effectiveness of home-based therapy on gross motor function in children with cerebral palsy: A systematic review

  • 김정현 (신한대학교 통합대체의학과)
  • Jung-Hyun, Kim (Department of Integrated Alternative Medicine, Shinhan University)
  • 투고 : 2022.09.06
  • 심사 : 2022.10.25
  • 발행 : 2022.12.31
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초록

Background: Although children with cerebral palsy (CP) are able to walk independently, gait imbalance occurs due to abnormal muscle tone, musculoskeletal deformity, loss of balance, and selective motor control impairment. Gait restriction in the community and school is a major problem of rehabilitation in CP. Home-based therapy (HBT) provides a variety of interventions in which the therapist and the parent work together to resolve the activities and problems caused by the child's body structure. Therefore, we investigate the effectiveness of home-centered therapy on gross motor function in CP and try to present the possibility of clinical application. Design: A Systematic Review Methods: Research papers were published from Jan, 2012 to Jan, 2022 and were searched using Medline and PubMed. The search terms are 'family-centered' OR 'home-based' AND 'cerebral palsy'. A total of nine papers were analyzed in this study. The paper presented the quality level based on Physiotherapy Evidence Database (PEDro) scores to assess the quality of randomized clinical trials studies. Results: The results showed that HBT for strengthening exercise in lower extremity has a positive effect on the isokinetic torque and gross motor function. home-based treadmill therapy in CP is effective to perform at least 12 sessions of treadmill HBP in which the therapist determines the treadmill speed every week and the child's own gait pattern is modified. Conclusion: These results suggest that it will be important data for founding evidence on the effectiveness of home-centered therapy on gross motor function in children with cerebral palsy to advance clinical protocols.

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참고문헌

  1. Arbesman M, Scheer J, Lieberman D. Using AOTA's critically appraised topic (CAT) and critically appraised paper (CAP) series to link evidence to practice. OT practice 2008;13(12):18-22.
  2. Armand S, Decoulon G, Bonnefoy-Mazure A. Gait analysis in children with cerebral palsy. EFORT Open Rev. 2016;1(12):448-60. https://doi.org/10.1302/2058-5241.1.000052
  3. Bailes AF, Reder R, Burch C. Development of guidelines for determining frequency of therapy services in a pediatric medical setting. Pediatr Phys Ther. 2008;20(2):194-8. https://doi.org/10.1097/pep.0b013e3181728a7b
  4. Begnoche D, Pitetti K. Effects of traditional treatment and partial body weight treadmill training on the motor skills of children with spastic cerebral palsy: a pilot study. Pediatr Phys Ther. 2007;19(1):11-9. https://doi.org/10.1097/01.pep.0000250023.06672.b6
  5. Bell KJ, Ounpuu S, DeLuca PA, et al. Natural pro- gression of gait in children with cerebral palsy. J Pediatr Orthop. 2002;22(5):677-82. https://doi.org/10.1097/01241398-200209000-00020
  6. Bhogal SK, Teasell RW, Foley NC, et al. The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad scale in stroke rehabilitation literature. J Clin Epidemiol. 2005;58(7):668-73. https://doi.org/10.1016/j.jclinepi.2005.01.002
  7. Chen CL, Hong WH, Cheng HK, et al. Muscle strength enhancement following home-based virtual cycling training in ambulatory children with cerebral palsy. Res Dev Disabil. 2012;33(4):1087-94. https://doi.org/10.1016/j.ridd.2012.01.017
  8. Chen K, Wu YN, Ren Y, et al. Home-based versus laboratory-based robotic ankle training for children with cerebral palsy: A pilot randomized comparative trial. Arch Phys Med Rehabil. 2016;97(8):1237-43. https://doi.org/10.1016/j.apmr.2016.01.029
  9. Chun H, Jeong YA, Lee B. The effect of action observation training on brain activity in children with cerebral palsy. J of Kor Phys Ther Sci. 2020;27(1):18-25.
  10. Davids JR, Cung NQ, Chen S, et al. Control of walking speed in children with cerebral palsy. J Pediatr Orthop. 2019;39(8):429-35. https://doi.org/10.1097/BPO.0000000000000978
  11. Dodd KJ, Foley S. Partial body-weight-supported treadmill training can improve walking in children with cerebral palsy: a clinical controlled trial. Dev Med Child Neurol. 2007;49(2):101-5. https://doi.org/10.1111/j.1469-8749.2007.00101.x
  12. Eek M.N, Tranberg R, Zugner R, et al. Muscle strength training to improve gait function in children with cerebral palsy. Dev Med Child Neurol. 2008;50(10):759-64. https://doi.org/10.1111/j.1469-8749.2008.03045.x
  13. Etnyre B, Thomas DQ. Event standardization of sit-to-stand movements. Phys Ther. 2007;87(12):1651-66. https://doi.org/10.2522/ptj.20060378
  14. Faigenbaum AD, Kraemer WJ, Blimkie CJ, et al. Youth resistance training: updated position statement paper from the national strength and conditioning association. J Strength Cond Res. 2009;23(5):S60-S79. https://doi.org/10.1519/jsc.0b013e31819df407
  15. Farr WJ, Green D, Bremner S, et al. Feasibility of a randomised controlled trial to evaluate home-based virtual reality therapy in children with cerebral palsy. Disabil Rehabil. 2021;43(1):85-97. https://doi.org/10.1080/09638288.2019.1618400
  16. Fowler EG, Knutson LM, Demuth SK, et al. Pediatric endurance and limb strengthening (PEDALS) for children with cerebral palsy using stationary cycling: A randomized controlled trial. Phys Ther. 2010;90(3):367-81. https://doi.org/10.2522/ptj.20080364
  17. Hinojosa J, Anderson J. How Mothers of Preschool Children with Cerebral Palsy Perceive Occupational and Physical Therapists and Their Influence on Family Life. Occup Ther J Res. 1990;10(3):144-62. https://doi.org/10.1177/153944929001000302
  18. Kamp FA, Lennon N, Holmes L, et al. Energy cost of walking in children with spastic cerebral palsy: relationship with age, body composition and mobility capacity. Gait & posture. 2014;40(1):209-14. https://doi.org/10.1016/j.gaitpost.2014.03.187
  19. Katz-Leurer M, Rotem H, Keren O, et al. The effects of a 'home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury. Clin Rehabil. 2009;23(8):714-24. https://doi.org/10.1177/0269215509335293
  20. Kim JH. The effect of motor learning in children with cerebral palsy: A systemic review. J of Kor Phys Ther Sci. 2021;28(1):33-45.
  21. Kimoto M, Yonetsu R, Okada K, et al. Effect of home-based training focused on increasing maximum step length in walking function of children with cerebral palsy. Phys Ther Rev. 2019.;24(6):358-65. https://doi.org/10.1080/10833196.2019.1664083
  22. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Jear Res. 2008;51(1):S225-239.
  23. Lauer RT, Johnston TE, Smith BT, et al. Lower extremity muscle activity during cycling in adolescents with and without cerebral palsy. Clin Biomech. 2008;23(4):442-9. https://doi.org/10.1016/j.clinbiomech.2007.11.004
  24. Liao HF, Liu YC, Liu WY, et al. Effectiveness of loaded sit-to-stand resistance exercise for children with mild spastic diplegia: a randomized clinical trial. Arch Phys Med Rehabil. 2007;88(1):25-31. https://doi.org/10.1016/j.apmr.2006.10.006
  25. McBurney H, Taylor NF, Dodd KJ, et al. A qualitative analysis of the benefits of strength training for young people with cerebral palsy. Dev Med Child Neurol. 2003;45(10):658-63. https://doi.org/10.1111/j.1469-8749.2003.tb00867.x
  26. Mattern-Baxter K, Bellamy S, Mansoor J. Effects of intensive locomotor treadmill training on young children with cerebral palsy. Pediatr Phys Ther. 2009;21(4):308-18. https://doi.org/10.1097/PEP.0b013e3181bf53d9
  27. Mattern-Baxter K, Looper J, Zhou C, et al. Low-intensity versus high-intensity home-based treadmill training and walking attainment in young children with spastic diplegic cerebral palsy. Arch Phys Med Rehabil. 2020;101(2):204-12. https://doi.org/10.1016/j.apmr.2019.09.015
  28. Mattern-Baxter K, McNeil S, Mansoor JK. Effects of Home-Based Locomotor Treadmill Training on Gross Motor Function in Young Children With Cerebral Palsy: A Quasi-Randomized Controlled Trial. Arch Phys Med Rehabil. 2013;94(11):2016-67.
  29. Morton JF, Brownlee M, McFadyen AK. The effects of progressive resistance training for children with cerebral palsy. Clin Rehabil. 2005;19(3):283-9. https://doi.org/10.1191/0269215505cr804oa
  30. Moseley AM, Herbert RD, Sherrington C, et al. Evidence for physiotherapy practice: A survey of the Physiotherapy Evidence Database (PEDro). Aust J Physiother. 2002;48(1):43-9. https://doi.org/10.1016/S0004-9514(14)60281-6
  31. Novak I, Berry J. Home program intervention effectiveness evidence. Phys Occup Ther Pediatr. 2014;34(4):384-9. https://doi.org/10.3109/01942638.2014.964020
  32. Novak I, Cusick A, Lowe KA. Pilot Study on The Impack of Occupational Therapy Home Programming for Young Children with Cerebral Palsy. Am J Ocuup Ther. 2007;61(4):463-8. https://doi.org/10.5014/ajot.61.4.463
  33. Oskoui M, Coutinho F, Dykeman J, et al. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(6):509-19. https://doi.org/10.1111/dmcn.12080
  34. Palisano RJ, Rosenbaum P, Bartlett D, et al. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50(10):744-50. https://doi.org/10.1111/j.1469-8749.2008.03089.x
  35. Parette HP, Hourcade JJ. Parental Participation in Early Therapeutic Intervention Programs for Young Children with Cerebral Palsy. Rehabil Lit. 1985;46(1-2):2-7.
  36. Park ES, Park CI, Lee HJ, et al. The characteristics of sit-to-stand transfer in young children with spastic cerebral palsy based on kinematic and kinetic data. Gait Posture. 2003;17(1):43-9. https://doi.org/10.1016/S0966-6362(02)00055-3
  37. Peng YC, Lu TW, Wang TH, et al. Immediate effects of ther- apeutic music on loaded sit-to-stand movement in children with spastic diplegia. Gait Posture. 2011;33(2):274-8. https://doi.org/10.1016/j.gaitpost.2010.11.020
  38. Reid D. The influence of virtual reality on playfulness in children with cerebral palsy: A pilot study. Occup Ther Int. 2004;11(3):131-44. https://doi.org/10.1002/oti.202
  39. 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.
  40. Ryan JM, Hensey O, McLoughlin B, et al. Reduced moderate-to-vigorous physical activity and increased sedentary behavior are associated with elevated blood pressure values in children with cerebral palsy. Phys Ther. 2014;94(8):1144-53. Schranz
  41. Scholtes VA, Becher JG, Janssen-Potten YJ, et al. Effectiveness of functional progressive resistance exercise training on walking ability in children with cerebral palsy: A randomized controlled trial. Res Dev Disabil. 2012;33(1):181-8. https://doi.org/10.1016/j.ridd.2011.08.026
  42. Schranz C, Kruse A, Belohlavek T, et al. Does Home-Based Progressive Resistance or High-Intensity Circuit Training Improve Strength, Function, Activity or Participation in Children With Cerebral Palsy?. Arch Phys Med Rehabil. 2018;99(12):25457-2464.
  43. Sharan D, Ajeesh PS, Rameshkumar R, et al. Virtual reality based therapy for post operative rehabilitation of children with cerebral palsy. Work, 41(Supplement 1). 2012:3612-5. https://doi.org/10.3233/WOR-2012-0667-3612
  44. Snider L, Majnemer A, Darsaklis V. Virtual reality as a therapeutic modality for children with cerebral palsy. Dev Neurorehabil. 2010;13(2):120-8. https://doi.org/10.3109/17518420903357753
  45. Tsorlakis N, Evaggelinou C, Grouios G, et al. Effect of intensive neurodevelopmental treatment in gross motor function of children with cerebral palsy. Dev Med Child Neurol. 2004;46(11):740-5.  https://doi.org/10.1111/j.1469-8749.2004.tb00993.x
  46. Verschuren O, Ada L, Maltais DB, et al. Muscle strengthening in children and adolescents with spastic cerebral palsy: considerations for future resistance training protocols. Phys Ther. 2011;91(7):1130-9. https://doi.org/10.2522/ptj.20100356
  47. Wang TH., Peng YC, Chen YL, et al. A Home-Based Program Using Patterned Sensory Enhancement Improves Resistance Exercise Effects for Children With Cerebral Palsy: A Randomized Controlled Trial. Neurorehabil Neural Repair. 2013;27(8):684-94. https://doi.org/10.1177/1545968313491001
  48. Wilmshurst S, Ward K, Adams JE, et al. Mobility status and bone density in cerebral palsy. Arch Dis Child. 1996;75(2):164-5.  https://doi.org/10.1136/adc.75.2.164