The effects of neck and trunk stabilization exercises on cerebral palsy children's static and dynamic trunk balance: case series
Ji-Won Shin, Gui-Bin Song, Jooyeon Ko, Ji-Won Shin, Gui-Bin Song, Jooyeon Ko
Abstract
[Purpose] The purpose of this case series was to examination the effects of trunk and neck stabilization exercise on the static, dynamic trunk balance abilities of children with cerebral palsy. [Subjects and Methods] The study included 11 school aged children diagnosed with paraplegia due to a premature birth. Each child engaged in exercise treatments twice per week for eight weeks; each treatment lasted for 45 minutes. After conducting a preliminary assessment, exercise treatments were designed based on each child's level of functioning. Another assessment was conducted after the eight weeks of treatment. [Results] The Trunk Control Measurement Scale evaluation showed that the exercise treatments had a significant effect on static sitting balance, selective movement control, dynamic reaching, and total Trunk Control Measurement Scale scores. [Conclusion] The results indicate that neck and trunk stabilization exercises that require children's active participation are helpful for improving static and dynamic balance ability among children diagnosed with cerebral palsy.
Keywords: Cerebral palsy; Neck and trunk stabilization; Tunk balance.
References
- Bax M, Goldstein M, Rosenbaum P, et al. Executive Committee for the Definition of Cerebral Palsy: Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol, 2005, 47: 571–576.
- Bobath K: A neurophysiological basis for the treatment of cerebral palsy. Cambridge University Press, 1991, pp 28–32.
- Page P, Frank C, Ladner R: Assessment and treatment of muscle imbalance: the Janda approach. Champaign: Human Kinetics, 2010, pp 34–39.
- Hadders-Algra M: Development of postural control during the first 18 months of life. Neural Plast, 2005, 12: 99–108, discussion 263–272.
- Bly L: Motor skills acquisition in the first year. U.S.A: Psychological Corporation, 1994, pp 113–120.
- Hong JS: From the normal development Cerebral Palsy Treatment Ideas, 3rd ed. Korea: Koonja, 2014, pp 97–100.
- Tecklin JS: Pediatric physical therapy. Lippincott Williams & Wilkins, 2008, pp 210–216.
- Ikai T, Kamikubo T, Takehara I, et al. : Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil, 2003, 82: 463–469, quiz 470–472, 484.
- Choi YC, Park SJ, Lee MY, et al. : The effects of trunk muscle strengthening exercises on balance performance of sitting posture and upper extremity function of children with spastic diplegic cerebral palsy. J Korean Soc Phys Med, 2013, 8: 117–125.
- 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: 658–663.
- Han JH, Ko JY: Evaluation of balance and activities of daily living in children with spastic cerebral palsy using virtual reality program with electronic games. The Korea Contents Society, 2010, 10: 480–488.
- Seo HJ, Kin JH, Shin HH, et al. : Comparative analysis of muscles activation relate to core stability during 5 therapeutic exercise in children with spastic diplegia. J Korean Soc Phys Med, 2013, 8: 583–592.
- Ryu HJ: Effects of core exercise and neck stabilizing exercise on proprioception and balance in children with cerebral palsy due to premature birth. Daegu University doctorate thesis, 2015.
- Heyrman L, Molenaers G, Desloovere K, et al. : A clinical tool to measure trunk control in children with cerebral palsy: the Trunk Control Measurement Scale. Res Dev Disabil, 2011, 32: 2624–2635.
- Kim SE: Effect of the deep neck flexor strength training and bridge exercise on sitting balance of children with spastic cerebral palsy. Daegu university master’s thesis, 2013.
- 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: 87–102.
- Choi YC: The effects of trunk muscle strengthening exercise on balance performance of sitting posture and hand function of children with spastic diplegic cerebral palsy, Daegu university master’s thesis, 2010.
- Keshner EA, Woollacott MH: Debu: neck, trunk and limb muscle responses during postural pertubations in human. Exp Brain Res, 1998, 1: 455–466.
- Donald AN: Kinegiology of the musculoskeletal system. Republic of Korea: Jungdam, 2004, pp 391–436.
- Oh JL, Kim CS: The effects of trunk muscle strength training on sitting balance of children with spastic cerebral palsy. J Kor Phy The, 2003, 15: 255–298.
- Papavasiliou AS: Management of motor problems in cerebral palsy: a critical update for the clinician. Eur J Paediatr Neurol, 2009, 13: 387–396.
- Ross SA, Engsberg JR: Relation between spasticity and strength in individuals with spastic diplegic cerebral palsy. Dev Med Child Neurol, 2002, 44: 148–157.
- Ryu HJ, Song GB: Differences in proprioceptive senses between children with diplegic and children with hemiplegic cerebral palsy. J Phys Ther Sci, 2016, 28: 658–660.
- Levean B, Bernhardt D: Development biomechanic: effects of force on the growth development and maintenance of the human body. Phys Ther, 1984, 64: 1874–1882.
- Lee MY, Lee HY, Yong MS: Characteristics of cervical position sense in subjects with forward head posture. J Phys Ther Sci, 2014, 26: 1741–1743.
Source: PubMed