Browse > Article
http://dx.doi.org/10.13066/kspm.2013.8.1.117

The Effects of Trunk Muscle Strengthening Exercises on Balance Performance of Sitting Posture and Upper Extremity Function of Children with Spastic Diplegic Cerebral Palsy  

Choi, Young-Chul (Department of Rehabilitation Science, Graduate School of Daegu University)
Park, Soo-Jin (Department of Physical Therapy, Sunlin College)
Lee, Myoung-Hyo (Department of Rehabilitation Science, Graduate School of Daegu University)
Kim, Jin-Sang (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.1, 2013 , pp. 117-125 More about this Journal
Abstract
PURPOSE: The purpose of this study was to investigate the effect of trunk muscle strengthening exercises on balance performance of sitting posture and upper extremity function, targeting the children with spastic diplegic cerebral palsy. METHODS: 20 children with spastic diplegic cerebral palsy were sampled at random and the tests were conducted for 6 weeks, 3 times per week. For experimental groups, basic physical therapy and trunk muscle strengthening exercises were conducted and for control groups, only basic physical therapy was conducted. BPM(Balance Performance Monitor) was used to measure balance performance and QUEST(quality of upper extremity skills test) was used to measure the upper extremity function. RESULTS: The comparison of changes in sitting balance performance in between experimental groups and control groups show significant difference (p<.05), the changes of the upper extremity function in experimental groups and control groups show significant difference (p<.05). CONCLUSION: Trunk muscle strengthening exercises are effective in improving balance performance and the upper extremity function for the children with spastic diplegic cerebral palsy.
Keywords
cerebral palsy; strengthening exercise; balance performance; upper extremity function;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Brogren E, Forssberg H, Hadders-Algra M. Influence of two different sitting positions on postural adjustments in children with spastic diplegia. Dev Med Child Neurol. 2001;43(8):534-46.   DOI   ScienceOn
2 Case-Smith J. Occupational therapy for children. C.V. Mosby. 2004.
3 Damiano DL, Abel MF. Functional outcomes of strength training in spastic cerebral palsy. Arch Phys Med Rehabil. 1998;79(2):119-25.   DOI   ScienceOn
4 DeMatteo C, Law M, Russell D et al. The Reliability and validity of the quality of upper extremity skills test. Phys Occup Ther Pediatr. 1993;13(2):1-18.
5 Eek MN, Tranberg R, Zügner R et al. Muscle strength training to improve gait function in children with cerebral palsy. Dev Med Child Neurol. 2008;50(10):759-64.   DOI   ScienceOn
6 Gilfoyle EM, Grady AP, Moore JC. Children adapt. 2nd ed. Slack. 1990.
7 Givon U. Muscle weakness in cerebral palsy. Acta Orthop Traumatol Turc. 2004;43(2):87-93.
8 Granata KP, Lee PE, Franklin TC. Co-contraction recruitment and spinal load during isometric trunk flexion and extension. Clin Biomech. 2005;20(10):1029-37.   DOI   ScienceOn
9 Haga N, van der Heijden-Maessen HC, van Hoorn JF et al. Test-retest and inter and intrareliability of the quality of the upper-extremity skills test in preschool-age children with cerebral palsy. Arch Phys Med Rehabil. 2007;88(12):1686-9.   DOI   ScienceOn
10 Han TR, Bang MS. Rehabilitation Medicine. 3rd ed. Koonja. 2008.
11 Jo SJ. The effects of the appropriateness of the postural control exercise program on trunk muscle control ability and gross motor function movement for the children with cerebral palsy. Dankook University. Doctor's thesis. 2006.
12 Kim MY. A study of manual functional test for C.V.A. J Kor Soc Occu Ther. 1994;2(1):19-26.
13 Kim SH. Effects of correcting sitting posture on the functional movements of upper-extremities for the children with cerebral palsy. Dankook University. Master's thesis. 2004.
14 Kim CS, Lee JS. The Comparison Between Blind and Normal Children in Standing Position. J Kor Soc Phys Ther. 2003;15(1):119-54.
15 Kwon HC, Lee CH. Advanced physical therapy I. Hyunmoon. 1995.
16 Kerr HM, Eng JJ. Multidirectional measures of seated postural stability. Clinical Biomechanics. 2002;17(7):555-7.   DOI   ScienceOn
17 Taylor NF, Dodd KJ, Larkin H. Adults with cerebral palsy benefit from participating in a strength training programme at a community gymnasium. Disabil Rehabil.2004;26(19):1128-34.   DOI   ScienceOn
18 Unger M, Faure M, Frieg A. Strength training in adolescent learners with cerebral palsy: a randomized controlled trial. Clin Rehabil. 2006;20(6):469-477.   DOI
19 van der Heide JC, Otten B, van Eykern LA et al. Development of postural adjustments during reaching in sitting children. Exp Brain Res. 2003;151(1):32-45.   DOI   ScienceOn
20 Vera-Garcia FJ, Grenier SG, McGill SM. Abdominal muscle response during curl-ups on both stable and labile surfaces. Phys Ther. 2000;80(6):564-9.
21 Lee YS. The effects of a strengthening exercise of trunk muscles on upper extremity performance and postural control in hemiplegic patients. Daegu University. Master's thesis. 2010.
22 Lee EJ, Park RJ, Ro HL. The effects of thera-band for gross motor function and balance of children with cerebral palsy. Journal of Adapted Physical Activity. 2009;17(4):249-67.
23 Lee JH. The effects of strengthening trunk muscles using water exercises on sitting postures and muscle tone in lower extremities for the children with cerebral palsy. Dankook University. Master's thesis. 2006.
24 Liao SF, Yang TF, Hsu TC, Chan RC, Wei TS. Differences in seated postural control in children with spastic cerebral palsy and children who are typically developing. American Journal of Physical Medicine & Rehabilitation. 2003;82(8):622-626.
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.
26 McCormack DJ. The Effects of keyguard use and pelvic positioning on typing speed and accuracy in a boy with cerebral palsy. Am J Occup Ther. 1990; 44(4):312-5.   DOI   ScienceOn
27 McGill SM, Grenier S, Kavcic N et al. Coordination of muscle activity to assure stability of the lumbar spine. J Electromyogr Kinesiol. 2003;13(4):353-9.   DOI   ScienceOn
28 Ostensjo S, Carberg EB, Vollestad NK. Motor impairments in young children with cerebral palsy: Relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004;46(9):580-9.
29 Morton JF, Brownlee M, McFadyen AK. The effects of progressive resistance training for children with cerebral palsy. Clinical Rehabilitation. 2005;19(3):283-9.   DOI
30 Oh JL. The effects of trunk muscle strength training on sitting balance of children with spastic cerebral palsy. J Kor Soc Phys Ther. 2004;16(1):87-102.
31 Palisano RJ, Rosenbaum PL, Russell DJ et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med child Neurl. 1997;39(4):214-23.
32 Park SW. The effect of eilateral coordination training on the upper extremity function and activities of daily living in children with cerebral palsy: with emphasis on spastic diplegia. Daegu University Dissertation of Master Degree. 2009.
33 Sackley CM, Baguley BI. Visual feedback after stroke with the balance performance monitor: two single-case studies. Clin Rehabil. 1993;7(3):189-95.   DOI   ScienceOn
34 Song BH, Yoon JY. The effects of trunk strengthening exercise using therapeutic ball on the gross functional movements for the cerebral palsy children with spastic type. Special Education Research. 2003;2(2):125-46.
35 Stevens VK, Coorevits PL, Bouche KG et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther. 2007;12(3):271-9.   DOI   ScienceOn
36 Blundell SW, Shepherd RB, Dean CM et al. Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4-8 years. Clin Rehabil. 2003;17(1):48-57.   DOI
37 Bobath B. Adult hemiplegia: evaluation and treatment. 2nd ed. Oxford. England. William Heinemann Medical Books Ltd. 1991.
38 Bobath K. A neurophysiological basis for the treatment of cerebral palsy. 2nd ed. London. England. William Heinemann Medical Books Ltd. 1980.