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http://dx.doi.org/10.13066/kspm.2017.12.3.79

The Effect of Task-oriented Training on Mobility Function, Postural Stability in Children with Cerebral Palsy  

Kim, Ji-Hye (Dept. of Physical Therapy, Kangdong College)
Choi, Young-Eun (Dept. of Physical Therapy, Kaya University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.12, no.3, 2017 , pp. 79-84 More about this Journal
Abstract
PURPOSE: The purpose of this study is to examine how task-oriented training focused on lower extremity strengthening can affect mobility function and postural stability. METHODS: The study's subjects included 10 children with cerebral palsy: 7 girls and 3 boys between the ages of 4 and 9 whose Gross Motor Functional Classification System (GMFCS) level was I or II. Their functional mobility was gauged using the Gross Motor Function Measurement (GMFM), and their postural stability was evaluated using a force platform. Participants received task-oriented training focused on lower extremity strengthening for 5 weeks. The study used a paired t-test to investigate the difference in mobility function and postural stability of children with cerebral palsy before and after the lower extremity strengthening exercise. RESULTS: The GMFM dimensions D (standing) (p<.02) and E (walking) (p<.001) improved significantly between the pre-test and post-test. A significant increase in the posturographic center of pressure (CoP) shift and surface area of the CoP were found overall between the pre-test and post-test (p<.001). CONCLUSION: The present study provides evidence that an 8-week task-oriented training focused on strengthening the lower extremities is an effective and feasible strategy for improving the mobility function and postural stability of children with cerebral palsy.
Keywords
Cerebral palsy; Functional mobility; Postural stability; Task-oriented training;
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1 Ahl LE, Johansson E, Granat T, et al. Functional therapy for children with cerebral palsy: an ecological approach. Dev Med Child Neurol. 2005;47(9):613-9.   DOI
2 Barbeau H. Locomotor training in neurorehabilitation: emerging rehabilitation concepts. Neurorehabil Neural Repair. 2003;17(1):3-11.   DOI
3 Bax M, Goldstein M, Rosenbaum P, et al. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol. 2005;47(8):571-6.   DOI
4 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
5 Chen J, Woollacott MH. Lower extremity kinetics for balance control in children with cerebral palsy. J Mot Behav. 2007;39(4):306-16.   DOI
6 Cho C, Hwang W, Hwang S et al. Treadmill training with virtual reality improves gait, balance, and muscle strength in children with cerebral palsy. Tohoku J Exp Med. 2016;238(3):213-8.   DOI
7 Salem Y, Godwin EM. Effects of task-oriented training on mobility function in children with cerebral palsy. NeuroRehabilitation. 2009;24(4):307-13.
8 Schneiberg S, McKinley PA, Sveistrup H et al. The effectiveness of task-oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy. Dev Med Child Neurol. 2010;52(11):e245-53.   DOI
9 Stackhouse C, Shewokis PA, Pierce SR et al. Gait initiation in children with cerebral palsy. Gait Posture. 2007;26(2):301-8.   DOI
10 Bunton EE, Pitney WA, Cappaert TA et al. The role of limb torque, muscle action and proprioception during closed kinetic chain rehabilitation of the lower extremity. J Athl Train. 1993;28(1):10-20.
11 Domagalska-Szopa M, Szopa A, Czamara A. Dependence of Gait Deviation on Weight-Bearing Asymmetry and Postural Instability in Children with Unilateral Cerebral Palsy. PLoS One. 2016;11(10):e0165583.   DOI
12 Ko JY, Kim MY. Inter-rater reliability of the K-GMFM_88 and the GMPM for children with cerebral palsy. Ann Rehabil Med. 2012;36(2):233-39.   DOI
13 Thorpe D. The role of fitness in health and disease: status of adults with cerebral palsy. Dev Med Child Neurol. 2009;51(s4):52-8.   DOI
14 Vincer MJ, Allen AC, Joseph KS et al. Increasing prevalence of cerebral palsy among very preterm infants: a population-based study. Pediatrics. 2006;118(6): e1621-6.   DOI
15 Wallard L, Dietrich G, Kerlirzin Y et al. Balnace control in gait children with cerebral palsy. Gait Posture. 2014; 40(1):43-7.   DOI
16 Johnson P. The Acquisition of Skill. London. Academic Press. 1984.
17 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.   DOI
18 Ko MS, Chung JH, Jeon HS. Correlation between pediatric balance scale and gross motor function measurement scores in children with cerebral palsy. J Korean Soc Phys Med. 2010;5(2):637-45.
19 Lee MS, Choi JD. The effects of task oriented training with suspension device on trunk stability and gross motor function of children with spastic diplegia cerebral palsy. J Korean Soc Phys Med. 2013;8(4):637-45.   DOI
20 Magill RA. Motor Learning: Concepts and Applications (7th ed). Boston. McGraw-Hill. 2004.
21 Peungsuwan P, Parasin P, Siritaratiwat W et al. Effects of Combined Exercise Training on Functional Performance in Children With Cerebral Palsy: A Randomized-Controlled Study. Pediatr Phys Ther. 2017;29(1):39-46.   DOI
22 Mulligan H, Abbott S, Clayton S, et al. The outcome of a functional exercise programme in an adolescent with cerebral palsy: a single case study. NZ J Physiother. 2004; 32(1):30-8.
23 Papavasiliou AS. Management of motor problems in cerebral palsy: a critical update for the clinician. Eur J Paediatr Neurol. 2009;13(5):387-96.   DOI
24 Pavao SL, Nunes GS, Santos AN et al. Relationship between static postural control and the level of functional abilities in children with cerebral palsy. Braz J Phys Ther. 2014;18(4):300-7.   DOI