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http://dx.doi.org/10.18064/JKASI.2019.17.1.009

The Effect of Intensive Weight Shift Training on Seated Postural Balance in Children With Spastic Cerebral Palsy: A Case Study  

Ryu, Hyun-Nam (Children's Dreams Rehabilitation Clinic)
Han, Jin-Tae (Dept. of Physical Therapy, Kyungsung University)
Publication Information
The Journal of Korean Academy of Sensory Integration / v.17, no.1, 2019 , pp. 9-18 More about this Journal
Abstract
Objective : This study investigated the effect of intensive weight shift training (IWST) on the ability to balance in a sitting posture of children with spastic cerebral palsy (SCP). Methods : One child with spastic diplegia participated in this study for a total of 8 weeks using the ABA experimental design. For the pre-intervention period (A1), general physical therapy (GPT) for children with SCP was performed. The intervention period (B1 and B2), GPT and IWST were conducted for children with SCP, and GPT was conducted again for the post-intervention period (A'1 and A'2). Trunk control capacity was measured using the Korean Trunk Control Measurement Scale (TCMS-K) and Biorescue (RM Ingenierie, France). Results : All TCMS-K variables increased from A1 to B2, and decreased from B2 to A'2. The total area with limit of stability (LOS) increased from A1 to B2, and decreased from B2 to A'2. The ratio of the left/right (Lt/Rt) and anterior/posterior (Ant/Post) LOS area was closer to 1, meaning symmetry, in B2 than in A1. The ratio of the Lt/Rt LOS area decreased further from 1 in A'2 than in B2. The ratio of the Ant/Post LOS area was closer to 1 in A'2 than in B2. Conclusion : IWST had a positive effect on the improvement of balance in the sitting posture of a child with SCP. The results suggest that IWST might help to improve the balance abilities of children with SCP for independent sitting, postural control, and activities of daily living.
Keywords
balance; cerebral palsy; LOS; TCMS-K; weight shift training;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Blundell, S. W., Shepherd, R. B., Dean, C. M., Adam, R. D., & Cahil, B. M. (2003). Functional strength training in cerebral palsy: A pilot study of a group circuit training class for children aged 4-8 years. Clinical Rehabilitation, 17(1), 48-57.   DOI
2 Brogren, E., Hadders-Algraa, M., & Forssberg, H. (1998). Postural control in sitting children with cerebral palsy. Neuroscience & Biobehavioral Reviews, 22 (4), 591-596.   DOI
3 Chen, Y. P., Kang, L. J., Chuang, T. Y., Doong, J. L., Lee, S. J., Tai, M. W., et al. (2007). Use of virtual reality to improve upper-extremity control in children with cerebral palsy: A single-subject design. Physical Therapy, 87(11), 1441-1457.   DOI
4 Choi, J. H., Kim, B. R., Han, E. Y.,& Kim S. M. (2015). The effect of dual-task training on balance and cognition in patients with subacute post-stroke. Annals of rehabilitation medicine, 39(1), 81-90.   DOI
5 Eun, N. R., Chang, W. N., & Song B. K. (2015). Effects of trunk control on sitting posture and standing balance by adults Bobath concept. Neurotherapy, 19(3), 47-58.
6 Gan, S. M., Tung, L. C., Tang, Y. H., & Wang C. H. (2008). Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabilitation and Neural Repair, 22(6), 745-753.   DOI
7 Han, Y. G., & Yun, C. K. (2017). The effect of a task-oriented upper arm exercise on stable and unstable surfaces on dynamic balance and hand function in patient with cerebral palsy. Journal of Korean Physical Therapy, 29(2), 55-61.   DOI
8 Heyrman, L., Molenaers, G., Desloovere, K., Verheyden, G., De Cat, J., Monbaliu, E., et al. (2011). A clinical tool to measure trunk control in children with cerebral palsy: The trunk control measurement scale. Research in Developmental Disabilities, 32(6), 2624-2635.   DOI
9 Howe, T. E., Taylor, I., Finn, P., & Jones, H. (2005). Lateral weight transference exercises following acute stroke: A preliminary study of clinical effectiveness. Clinical Rehabilitation, 19(1), 45-53.   DOI
10 Jeon, J. Y., & Shin, W. S. (2014). Reliability and validity of the Korean version of the trunk control measurement scale (TCMS-K) for children with cerebral palsy. Research in developmental disabilities, 35(3), 581-590.   DOI
11 Jo, S. J. (2006). 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. Doctoral dissertation, Dankook University, Yongin-si, Gyeonggi-do.
12 Jung, K. S. (2009). Effects of the weight shifting training on an unstable surface on anticipatory postural adjustment, balance, and proprioception in the persons with stroke. Master's Degree, Sahmyook University, Seoul.
13 Kim, G. C. (2009). The effects of weight transfer training using visual feedback program on balance and gait in patient with stroke. Master's Degree, Yong-In University, Yongin-si, Gyeonggi-do.
14 Kim, M. G., & Park J. K. (2006). The effect of balance and visual attention concentration behaviors in child with cerebral palsy who receive sensory integration program. Korean Society of Occupational Therapy, 14(1), 81-90.
15 Kim, S. J., & Lee K. J. (2012). The effect of TOGU exercise on the postural balance and foot pressure distribution. Journal of Korean Physical Therapy Science, 19 (1), 9-15.
16 Liao, H. F., Jeny, S. F., Lai, J. S., Cheng, C. H., & Hu M. H. (1997). The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Developmental Medicine and Child Neurology, 39(2), 106-112.   DOI
17 Sim, Y. J., Kim, J. S., Yi, C. H., & Cynn, H. S. (2015). Trunk stabilization exercise using a both sides utilized ball in children with spastic diplegia: Case study. Physical Therapy Korea, 22(4), 79-86.   DOI
18 Merritt, L. G., & Merritt C. M. (2007). The gym ball as a chair for the back pain patient: A two case report. Journal of the Canadian Chiropractic Association, 51(1), 50-55.
19 Shin, J. W. (2016). The effect of neck and trunk stabilization exercise on motor skills and balance and visual perception of children with cerebral palsy. Doctoral dissertation, Daegu University, Daegu.
20 Shumway-Cook, A., & Woollacott, M. H. (2007). Motor control: Translating research into clinical practice (3rd ed.), USA: Lippincott Willians & Wilkins.
21 Song, B. H. (2003). The effect of an exercise using elastic thera-band strengthening trunk muscle on the static sitting posture for children with CP. Journal of Special Education, 10(1), 301-317.
22 Song, B. H., & Kim, S. H. (2004). Effects of correcting sitting posture on the functional movements of upper-extremities for the children with cerebral palsy. Journal of the Korean Association on Developmental Disabilities, 8(1), 1-21.
23 Thielman, G. .T, Dean, C. M., & Gentile, A. M. (2004). Rehabilitation of reaching after stroke: Task-related training versus progressive resistive exercise. Archives of physical medicine and rehabilitation, 85(10), 1613-1618.   DOI
24 Yang, D. J., Park, S. K., Kang, J. I., Kim, J. H., Jeong, D. K., & Chio J. U. (2015). Effects of game based weight-bearing training on lower extremity muscle activation and balance in stroke patients. Journal of Korean Physical Therapy, 27 (4), 264-269.   DOI