Effects of Aquatic Exercise Therapy Program on Motor Function, Balance and Activity of Daily Living in Children with Spastic Cerebral Palsy

2019 ◽  
Vol 28 (6) ◽  
pp. 995-1004
Author(s):  
Yong-Seok So ◽  
Sung-Soo Lee
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Exercise Therapy ◽  
Daily Living ◽  
Aquatic Exercise ◽  
Spastic Cerebral Palsy ◽  
Activity Of Daily Living ◽  
Therapy Program

scholarly journals The Effect of Rebound Therapy on Gross Motor Functions in a Child with Spastic Cerebral Palsy: A Case Study

2020 ◽  
Vol 2 (3) ◽  
pp. 1-7
Author(s):  
Alaa Noureldeen Kora ◽  
Faten Hassan Abdelaziem
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Spastic Cerebral Palsy ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Motor Abilities ◽  
Therapy Program ◽  
Modified Ashworth Scale ◽  
Level I

Delayed development of the gross motor function abilities is the main manifestation of cerebral palsy (CP) in all children affected by it. Rebound therapy was introduced to help children with different disabilities such as CP. The aim of this case study was to assess the effect of the rebound therapy on the gross motor function abilities in a child with spastic CP. An eight year old girl with spastic CP of Level I on the gross motor function classification system (GMFSC) and graded 1 on the Modified Ashworth Scale (MAS) was selected to undergo the rebound therapy program using mini trampoline. Gross motor abilities were assessed pre- and post- rebound therapy program. The program was conducted for three successive months - three times / week for half an hour / session. The comparison of pre- and post- treatment results showed that rebound therapy improved the total gross motor function abilities by 3.8%, the sitting function by 5%, the kneeling and crawling functions by 3%, the standing function by 2.7% and the walking, running and jumping functions by 8% in a child with spastic CP. Rebound therapy was effective in improving gross motor function abilities in a child with spastic CP. However, further randomized control trials are recommended.

scholarly journals Effect of a 10-Week Aquatic Exercise Training Program on Gross Motor Function in Children With Spastic Cerebral Palsy

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985737 ◽  
Author(s):  
Bolarinwa Isaac Akinola ◽  
Caleb Ademola Gbiri ◽  
Daniel Oluwafemi Odebiyi
Keyword(s):  
Cerebral Palsy ◽  
Exercise Training ◽  
Training Program ◽  
Motor Function ◽  
Aquatic Exercise ◽  
Spastic Cerebral Palsy ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Exercise Training Program ◽  
Significant Difference

Introduction. Cerebral palsy (CP) is caused by an injury to the developing brain, and abnormal gross motor function is a hallmark of CP. Properly structured exercises on land have been reported to be effective in improving functional performance in children with CP while only few have been documented on aquatic therapy. Objective. To investigate the effect of a 10-week aquatic exercise training program on gross motor function in children with spastic CP. Methods. Thirty participants aged 1 to 12 years were randomized into the experimental and control groups. Both groups received manual passive stretching and functional training exercises, depending on their level of motor impairment, either in water (temperature 28°C to 32°C) or on land. Each exercise training session lasted for about 1 hour 40 minutes, twice per week for 10 weeks in both groups. Measurement of gross motor function was done using Gross Motor Function Measure (GMFM-88) at baseline and after 4 weeks, 8 weeks, and 10 weeks of intervention. Both groups were compared for differences in change in gross motor function using Mann-Whitney U test. The level of significance was set at P < .05. Results. Only the experimental group showed significant improvement ( P < .05) in all dimensions of gross motor function except for walking, running, and jumping ( P = .112). Statistically significant difference ( P < .05) was found between both groups for all dimensions of gross motor function after 10 weeks of intervention. Conclusion. Aquatic exercise training program is effective in the functional rehabilitation of children with spastic CP.

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

2018 ◽  
Vol 32 (9) ◽  
pp. 1175-1188 ◽  
Author(s):  
Mael Lintanf ◽  
Jean-Sébastien Bourseul ◽  
Laetitia Houx ◽  
Mathieu Lempereur ◽  
Sylvain Brochard ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Activities Of Daily Living ◽  
Motor Function ◽  
Daily Living ◽  
Spastic Cerebral Palsy ◽  
Foot Orthoses ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Ankle Foot Orthoses ◽  
Children With Cerebral Palsy

Objective: To determine the effects of ankle-foot orthoses (AFOs) on gait, balance, gross motor function and activities of daily living in children with cerebral palsy. Data sources: Five databases were searched (Pubmed, Psycinfo, Web of Science, Academic Search Premier and Cochrane Library) before January 2018. Review methods: Studies of the effect of AFOs on gait, balance, gross motor function and activities of daily living in children with cerebral palsy were included. Articles with a modified PEDRO score ≥ 5/9 were selected. Data regarding population, AFO, interventions and outcomes were extracted. When possible, standardized mean differences (SMDs) were calculated from the outcomes. Results: Thirty-two articles, corresponding to 56 studies (884 children) were included. Fifty-one studies included children with spastic cerebral palsy. AFOs increased stride length (SMD = 0.88, P < 0.001) and gait speed (SMD = 0.28, P < 0.001), and decreased cadence (SMD = –0.72, P < 0.001). Gross motor function scores improved (Gross Motor Function Measure (GMFM) D (SMD = 0.30, P = 0.004), E (SMD = 0.28, P = 0.02), Pediatric Evaluation of Disability Inventory (PEDI) (SMD = 0.57, P < 0.001)). Data relating to balance and activities of daily living were insufficient to conclude. Posterior AFOs (solid, hinged, supra-malleolar, dynamic) increased ankle dorsiflexion at initial contact (SMD = 1.65, P < 0.001) and during swing (SMD = 1.34, P < 0.001), and decreased ankle power generation in stance (SMD = –0.72, P < 0.001) in children with equinus gait. Conclusion: In children with spastic cerebral palsy, there is strong evidence that AFOs induce small improvements in gait speed and moderate evidence that AFOs have a small to moderate effect on gross motor function. In children with equinus gait, there is strong evidence that posterior AFOs induce large changes in distal kinematics.

scholarly journals The Effect of Rebound Therapy on Gross Motor Functions in a Child with Spastic Cerebral Palsy: A Case Study

2020 ◽  
Vol 2 (3) ◽  
pp. 1-7
Author(s):  
Alaa Noureldeen Kora ◽  
Faten Hassan Abdelaziem
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Spastic Cerebral Palsy ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Motor Abilities ◽  
Therapy Program ◽  
Modified Ashworth Scale ◽  
Level I

Delayed development of the gross motor function abilities is the main manifestation of cerebral palsy (CP) in all children affected by it. Rebound therapy was introduced to help children with different disabilities such as CP. The aim of this case study was to assess the effect of the rebound therapy on the gross motor function abilities in a child with spastic CP. An eight year old girl with spastic CP of Level I on the gross motor function classification system (GMFSC) and graded 1 on the Modified Ashworth Scale (MAS) was selected to undergo the rebound therapy program using mini trampoline. Gross motor abilities were assessed pre- and post- rebound therapy program. The program was conducted for three successive months - three times / week for half an hour / session. The comparison of pre- and post- treatment results showed that rebound therapy improved the total gross motor function abilities by 3.8%, the sitting function by 5%, the kneeling and crawling functions by 3%, the standing function by 2.7% and the walking, running and jumping functions by 8% in a child with spastic CP. Rebound therapy was effective in improving gross motor function abilities in a child with spastic CP. However, further randomized control trials are recommended.

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