Effects of creative dance-based exercise on gait performance in adolescents with cerebral palsy

Hee Joung Joung, Jaebum Park, Jooeun Ahn, Moon Seok Park, Yongho Lee, Hee Joung Joung, Jaebum Park, Jooeun Ahn, Moon Seok Park, Yongho Lee

Abstract

The purpose of this study is to explore the feasibility and therapeutic potential of creative dance (CD) based exercise as a rehabilitation intervention for adolescents with cerebral palsy (CP). Participants were 10 adolescents with spastic CP (mean age, 17.5±2.12 years; Gross Motor Function Classification System levels I [n=3] and II [n=7]). Outcome measures included the Gross Motor Function Measure-88 (GMFM-88; dimensions D and E), spatiotemporal gait parameters, lower limb range of motion during walking, and body image, assessed using the Body Cathexis Scale (BCS). CD was provided in 2-hr classes, twice weekly, for 12 weeks, during which participants learned movement concepts and developed their own movement. All participants completed the intervention, with an attendance rate of 98% and high satisfaction rating. GMFM-88 dimensions D (P=0.01) and E (P=0.005); walking speed (P= 0.005), cadence (P=0.009), step (P=0.005), and stride length (P=0.005); and sagittal ranges of motions of hip (P=0.009) and ankle (P=0.03) during walking were significantly improved. The time of opposite foot off (P=0.028) and first double-limb support (P=0.028) significantly decreased, whereas the percentage of single-limb support time (P=0.02) increased. Additionally, BCS scores were significantly improved. In conclusions, CD-based exercise can improve gross motor function, gait performance, and body image in adolescents with CP.

Keywords: Cerebral palsy; Creative activity; Dance-based activity; Mobility.

Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

Copyright © 2020 Korean Society of Exercise Rehabilitation.

Figures

Fig. 1
Fig. 1
The conceptual framework of the Lets be Creative Dance program to increase the repertoire of movement. (A) The movement variation principle. (B) Visual material for direction elements: P=standing positions; ①–④ straight paths, ⑤–⑧ addition of diagonal paths, and ⑨–⑫ reaching with the arms toward different spatial squares. The red line is a virtual line for reaching movements of the arms and legs away from the center of mass. (C) Paths used: (i) Fig. 8-shaped path, (ii) U-shaped paths, (iii) a zigzag path, (iv) a half-circle path, and (v) a perpendicular line.
Fig. 2
Fig. 2
Changes in the sagittal plan range of motion of the right hip, right knee, right ankle (A) and left hip, left knee, left ankle (B) over the gait cycle; (C) the Gross Motor Function Measurement (GMFM)-88 score; (D) the Body Cathexis Scale score. Values are reported as the mean±standard error. Comparison of pre- to postintervention changes were evaluated using paired t-tests.

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