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http://dx.doi.org/10.13066/kspm.2013.8.4.583

Comparative Analysis of Muscles Activation relate to Core Stability during 5 Therapeutic Exercise in Children with Spastic Diplegia  

Seo, Hye-Jung (Department of Physical Therapy, Graduate School, Catholic University of Daegu)
Kim, Joong-Hwi (Department of Physical Therapy, Catholic University of Daegu)
Shin, Hyun-Hee (Department of Physical Therapy, Bobath Children's Hospital)
Yoo, Sung-Hwan (Department of Physical Therapy, Bobath Children's Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.8, no.4, 2013 , pp. 583-592 More about this Journal
Abstract
PURPOSE: This study aimed to investigate muscles activation relate to core stability during 5 therapeutic exercise in children with spastic diplegia. METHODS: The subjects of this study were 8 children with typical development and 12 children with spastic diplegia who have been treated in Bobath children's hospital, all of whom agreed to participate in the study. All subjects were measured to see their muscles activation of rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, and semitendinosus with surface EMG. RESULTS: The results of this study were as follows : 1) There were statistically significant difference in the root mean square(RMS) of all muscles according to 5 therapeutic exercise in children with spastic diplegia. 2) There were statistically significant difference in the RMS of all muscles according to 5 therapeutic exercise in children with typical development. 3) Significant differences of the RMS between diplegic children and normal children were found in elector spinae and rectus femoris only curl-up exercise. CONCLUSION: As the above results, we suggest that 5 therapeutic exercises could be used for a core stability or core strengthening program. Depending on the individual needs of children with cerebral palsy, some of exercises may be more beneficial than others for achieving strength.
Keywords
Spastic diplegia; Core stability; Therapeutic exercise; Muscles activation;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Akuthota V, Nadler SF. Core strengthening. Arch Phys Med Rehabil. 2004;85(3):86-92.
2 Arokoski JP, Valta T, Kankaanpaa M, et al. Activation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patients. Arch Phys Med Rehabil. 2004;85(5):823-32.   DOI   ScienceOn
3 Brown JK, Rodda J, Walsh EG, et al. Neurophysiology of lower limb function in hemiplegic children. Dev Med Child Neurol. 1991;33:1037-47.
4 Burtner PA, Qualls C, Woollacott MH. Muscle activation characteristics of stance balance control in children with spastic cerebral palsy. Gait Posture. 1998;8(3):163-74.   DOI   ScienceOn
5 Chong KC, Vojnic CD, Quanbury AO, et al. The assessment of the internal rotation gait in cerebral palsy: an electromyograpic gait analysis. Clin Orthop Relat Res. 1978;132:145-50.
6 Damiano DL, Vaughan CL, Abel MF. Muscle response to heavy resistance exercise in children with spastic cerebral palsy. Dev Med Child Neurol. 1995;37(8):731-9.
7 Damiano DL, Abel MF. Functional outcomes ofstrength training in spastic cerebral palsy. Arch Phys Med Rehabil. 1998;79(2):119-25.   DOI   ScienceOn
8 Dodd K, Taylor N, Damiano DL. Systemic review of strengthening for individuals with cerebral palsy. Arch Phys Med Rehabil. 2002;83:1157-64.   DOI   ScienceOn
9 Dodd KJ, Taylor NF, Graham HK. A randomized clinical trial of strength training in young people with cerebral palsy. Dev Med Child Neurol. 2003;45(10):652-7.
10 Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. Journal of orthopaedic & sports physical therapy. 2007;37(12):754-62.   DOI   ScienceOn
11 Gage JR. Gait Analysis in Cerebral Palsy, Mac Keith Press, NY. 1991.
12 Hubley-Kozey CL, Vezina MJ. Muscle activation during exercises to improve trunk stability in men with low back pain. Arch Phys Med Rehabil. 2002;83(8):1100-8.   DOI   ScienceOn
13 Ingram TTS. A Historical Review of the Definition of Cerebral Palsy. The Epidemiology of the Cerebral Palsies(ed. by F.A.E. Stanley). Lippincott Co, Philadelphis, PA. 1984;1-11.
14 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 Korea Phys Med. 2010;5(3);445-53.   과학기술학회마을
15 Kavcic N, Grenier S, McGill SM. Quantifying tissue loads and spine stability while performing commonly prescribed low back stabilization exercises. Spine. 2004;29(20):2319-29.   DOI   ScienceOn
16 Kim CY, Cho SH. Review on the role of core stability and core exercise program in postural control. J Kor Soc Heal Sci. 2013:10(1):53-68.
17 Kim EJ, Hwang BY, Kim JH. The Effect of Core Strength Exercises on Balance and Walking in Patients with Stroke. J Korean Phys Ther. 2009;21(4):17-22.   과학기술학회마을
18 Kim KH, Park RJ, Jang JH, et al. The effect of trunk muscle activity on bridging exercise according to the knee joint angle. J Korea Phys Med. 2010;5(3);405-12.   과학기술학회마을
19 Lee HO. Activation of trunk muscles during stabilization exercises in four-.point kneeling. J Korea Phys Ther. 2010;22(5):33-8.   과학기술학회마을
20 Lee EJ, Kim JS. The Changes of Gross Motor Function and Balance Ability in Children with Spastic Diplegic Cerebral Palsy by Trunk Muscle Strengthening Exercise : Single Group Repeated Measure Study. J Korea Phys Med. 2011;6(2):189-97.   과학기술학회마을
21 Lee SY. The Correlation of Hip Abductor, Adductor and Abdominis, Low Limb Muscle Activation during Bridging Exercise with Hip Abductor and Adductor Contraction. J Korea Phys Med. 2012;7(2);199-203.   과학기술학회마을   DOI   ScienceOn
22 MacPhail HEA, Kramer JF. Effect of isokinetic strength training on functional ability and walking efficiency in adolescents with cerebral palsy. Dev Med Child Neurol. 1995;37(9):763-75.
23 Neumann DA. Kinesiology of the Musculoskeletal System:Foundations for physical rehabilitation 2nd ed. Singapore. Mosby Elsecier. 2010.
24 Page P. Sensorimotor training: A “global” approach for balance training. J Body Mov Ther. 2006;10(1):77-84.   DOI   ScienceOn
25 Prosser LA, Lee SCK, VanSant AF, et al. Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy. Phys Ther. 2010;90(7):986-97.   DOI   ScienceOn
26 Richardson CA, Jull GA. Muscle control-pain: What exercise would you prescribe? Man Ther. 1995;1(1):2-10.   DOI   ScienceOn
27 Semans S. The Bobath concept in treatment of neurological disorders; a neuro-developmental treatment. Am J Phys Med. 1967;46(1):732-85.
28 Wiley ME, Damiano DL. Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol. 1998;40(2):100-7.