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http://dx.doi.org/10.13066/kspm.2012.7.2.213

The Effect of Vojta therapy on Gross Motor Function Measure and Selective Voluntary Motor Control in Children with Spastic diplegia  

Lim, Hyung-Won (Department of physical therapy, Gangdong College)
Publication Information
Journal of the Korean Society of Physical Medicine / v.7, no.2, 2012 , pp. 213-221 More about this Journal
Abstract
Purpose : The purpose of this study was to investigate the effect of Vojta therapy on Gross Motor Function Measurement(GMFM) and Selective Voluntary Motor Control (SVMC) in children with Spastic diplegia. Methods : During this experiment, the subject of four children diagnosed with spastic diplegia was tested using ABA design for Single-subject Experimental Research Design. The procedure consisted of baseline, intervention and follow-up phase which was held thirty minutes each for three times a week for a total of 24 times. Gross motor function was measured using GMFM and selective voluntary motor control was measured using SCALE. Results : According to this study, the gross motor function and selective voluntary motor control of all subjects were improved from their intervention phase to their baseline phase. During the follow phase which the intervention was removed, the ability that was enhanced during the prior phases was still either maintained or only reduced slightly. Conclusion : The Vojta therapy used on children diagnosed with spastic diplegia was effective on both GMFM and SVMC. In other words, the therapy was effective on coordination. However, this study is difficult to be generalized due to the insufficient number of subject. In further studies, it will be necessary to increase the number of trials with a control group in order to generalize the effectiveness of Vojta therapy.
Keywords
Vojta therapy; GMFM; SCALE; Spastic Diplegia;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Fowler EG, Staudt LA, Greenberg MB et al. Selective control assessment of the lower extremity (SCALE): development, validation, and interrater reliability of a clinical tool for patients with cerebral palsy. Dev Med Child Neurol. 2009;51(8):607-14.   DOI   ScienceOn
2 Fowler EG, Goldberg EJ. The effect of lower extremity selective voluntary motor control on interjoint coordination during gait in children with spastic diplegic cerebral palsy. Gait & Posture. 2009;29(1):102-7.   DOI   ScienceOn
3 Giannantonio C, Papacci P, Ciarniello R et al. Chest physiotherapy in preterm infants with lung diseases. Ital J Pediatr. 2010;36(65):1-5.   DOI   ScienceOn
4 Houglum, Peggy A. Therapeutic exercise for musculoskeletal injuries. 2nd ed. Human Kinetics Inc. 2005.
5 Juehring DD, Barber MR. A case study utilizing vojta/dynamic neuromuscular stabilization therapy to control symptoms of a chronic migraine sufferer. J Bodyw Mov Ther. 2011;15(4):538-41.   DOI   ScienceOn
6 Kelso JA, Jeka JJ. Symmetry breaking dynamics of human multilimb coordination. J Exp Psychol Hum Percept Perform. 1992;18(3):645-68.   DOI   ScienceOn
7 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.
8 Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of model of gross motor function for children with cerebral palsy. Phys Ther. 2000;80(10):974-85.
9 Ross SA, Engsberg JR. Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy. Arch Phys Med Rehabil. 2007;88(9):1114-20.   DOI   ScienceOn
10 Russell DJ. Rosenbaum PL, Govoland C et al. Gross motor function measure manual. 2nd ed. Hamilton: Gross Motor Measures Group; McMaster University. 1993.
11 강선미. 보이타의 반사적 이동운동이 경직성 뇌성마비 아동의 체간조절에 미치는 영향. 동신대학교대학원. 석사학위논문. 2011.
12 권용현, 김중선, 장성호. 경두개 직류전류 자극이 대뇌피질의 뇌활성도에 미치는 영향. 대한물리치료학회지. 2009;21(4):73-9.
13 류지선. 보행 시 하이힐 굽 높이 증가에 따른 하지의 시간 협응성. 한국운동역학회지. 2009;19(3):593-601.
14 박경희, 안용팔. 뇌손상환자 치료에 있어서 Vojta법의 가능한 효과 기전. 대한재활의학회지. 1989;13(1):1-10.
15 Russell D, Rosenbaum P, Lane M et al. Training users in the gross motor function measure: methodological and practical issues. Phys Ther. 1994;74(7):630-36.
16 Vojta V. Die zerebralen Bewegungasstorungen im sauglingsalter. Ferdinand Enke Verlag Stuttgart. 1984.
17 Vojta V, Peters A. Das vojta-prinzip: muskelspiele in reflexfortbewegung und motorischer ontogenese. 3rd ed. Heidelberg. Springer Verlag. 2007.
18 곽소영, 손수민, 장성호 등. 편마비 뇌성마비 환자에서 재활치료 이후 손상된 뇌피질 척수로의 회복. 대한재활의학회지. 2010;34(1):79-84.
19 박태준, 박형기, 김종만. 열린사슬과 닫힌사슬에 따른 PNF 상지패턴이 하지 근활성도에 미치는 영향. 대한물리의학회지. 2011;6(2):215-23.
20 박혜정, 이충휘, 조상현 등. 발달지연 아동 및 뇌성마비 아동의 평가실태와 물리치료사들의 평가에 대한 인식도 조사. 한국전문물리치료학회지. 2000;7(1):1-21.
21 송창호, 김헌정. 보이타의 반사적 전진이동운동이 경직형 뇌성마비 아동의 개체발생적 병적자발이동, 폐활량, 손기능, 균형 및 보행에 미치는 영향. 대구대학교특수교육재활과학연구소. 2010;49(1):89-111.
22 이정림, 조상현, 권오윤 등. 뇌성마비 아동에서 대동작 기능 평가와 보행의 시공간적 변수와의 관계. 한국전문물리치료학회지. 2001;8(1):20-34.
23 허정식. 지속적인 운동학적 피드백이 뇌성마비 아동의 동작 협응의 안정성에 미치는 영향. 한국스포츠리서치. 2000;62:187-99.
24 Bauer H, Appaji G, Mundt D. Vojta neurophysiologic therapy. Indian Journal of Pediatrics. 1992;59(1):37-51.   DOI
25 Bax M, Tydeman C, Flodmark O. Clinical and MRI correlates of cerebral palsy: the European cerebral palsy study. JAMA 2006;296(13):1602-8.   DOI   ScienceOn
26 Damiano DL, Arnold AS, Steele KM et al. Can strength training predictably improve gait kinematics? A pilot study on the effects of hip and knee extensor strengthening on lower-extremity alignment in cerebral palsy. Phys Ther. 2010;90(2):269-79.   DOI   ScienceOn
27 Eek MN, Beckung E. Walking ability is related to muscle strength in children with cerebral palsy. Gait & Posture. 2008;28(3):366-71.   DOI   ScienceOn
28 Ellenbecker TS, Davies GJ. Closed kinematic chain exercise: A comprehensive guide to multiple joint exercise, Champaign, IL. Human Kinetics Publishers. 2001.