scholarly journals Effects of task-oriented activities based on neurodevelopmental therapy principles on trunk control, balance, and gross motor function in children with spastic diplegic cerebral palsy: A single-blinded randomized clinical trial

2019 ◽  
Vol 14 (3) ◽  
pp. 120
Author(s):  
GandhiKarunanithi Balaji ◽  
AjayaK Sah ◽  
Sahana Agrahara
Keyword(s):  
Clinical Trial ◽  
Cerebral Palsy ◽  
Randomized Clinical Trial ◽  
Motor Function ◽  
Trunk Control ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Task Oriented ◽  
Control Balance

scholarly journals Changes in children with cerebral palsy after six months of hippotherapy: A clinical trial applying rehabilitation treatment taxonomy

2019 ◽  
Author(s):  
Juliana MP Starling ◽  
Ana Paula B Gontijo ◽  
Rosana F Sampaio ◽  
Juliana V Mambrini ◽  
Sergio T Fonseca ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Outcome Measures ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy

Abstract Background Hippotherapy is a complementary therapeutic modality that seeks to promote functional changes in children with cerebral palsy (CP). Knowledge of the direct and indirect changes resulting from this therapy will help identify which groups of children with cerebral palsy can benefit from this type of therapy. The present study aimed to analyze the effects of hippotherapy for children with cerebral palsy with regard to age, topography, and severity using the rehabilitation treatment taxonomy. Methods We conducted a before-after clinical trial. Thirty-one children with CP, stratified by age (4-7 years; 8-12 years), severity (mild, moderate, severe), topography (hemiplegia, diplegia, quadriplegia) and previous time in hippotherapy (3-6 months, over 6 months) underwent individual weekly 30-minute hippotherapy sessions for 6 months in addition to regular rehabilitation. Postural control and balance were evaluated by the Early Clinical Assessment of Balance (ECAB). Secondary outcome measures included the Gross Motor Function Measure (GMFM) and the Cerebral Palsy Quality of Life for Children self-report of the primary caregiver questionnaire. Blinding was used for scoring the outcome measures. Results Postural control and balance and gross motor function showed small improvements after 6 months of intervention, with larger effects in dimensions D and E of the children’s gross motor function. These changes were influenced by the severity and topography of the CP. The taxonomy of rehabilitation treatments structured the interpretation of the hippotherapy effects, identifying the possible mechanism of action (horse’s step and movement demands), active ingredients (activation of muscles involved in postural correction, vestibular and visual stimuli), target outcomes (postural control and balance) and indirect outcomes (gross motor function and quality of life). Conclusion Hippotherapy sessions, in addition to rehabilitation, produced small, but positive changes in motor and psychosocial outcomes in children with CP. The benefits varied from 3 to 7 points in postural control and balance (ECAB) and in all dimensions of the GMFM. The changes in gross motor function were influenced by the type and severity of CP.

Trunk Control in Children With Ataxic Cerebral Palsy

2019 ◽  
Vol 126 (5) ◽  
pp. 815-827
Author(s):  
Gulce Kallem Seyyar ◽  
Bahar Aras ◽  
Ozgen Aras
Keyword(s):  
Cerebral Palsy ◽  
Correlation Analysis ◽  
Motor Function ◽  
Small Sample ◽  
Healthy Children ◽  
Spearman Correlation ◽  
Trunk Control ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Sitting Balance

This study aimed to investigate the clinical characteristics of trunk control in children with ataxic cerebral palsy (CP). We included 15 children with ataxic CP with a mean age of 9.46 years ( SD = 1.08 years, 5–17 years) and 15 healthy children with a mean age of 9.06 years ( SD = 0.84 years, 5–13 years). While the small sample size and large age range used here were not ideal for generalizability, they were made necessary by the rarity of this clinical sample. We used the Gross Motor Function Classification System Expanded and Revised (GMFCS-E&R) to classify the children’s functional levels, and we tested trunk control with the Trunk Control Measurement Scale (TCMS). We then used the Gross Motor Function Measurement-88 (GMFM-88) to assess their gross motor functions. We compared the total and subscale scores of the TCMS in healthy children and children with ataxic CP by using the Mann–Whitney U Test. We also analyzed differences between TCMS scores according to the children’s GMFCS levels with the Mann–Whitney U Test and also compared TCMS scores with the GMFM-88 by means of Spearman correlation analysis. Spearman correlation analysis was used to compare the scores of the TCMS with the GMFM-88. Our results showed that healthy children showed significantly higher scores than children with ataxic CP in total and subscale scores of TCMS ( p < .05).There was no significant difference between the TCMS scores in children of different GMFCS levels, but the GMFM-88B subscale was significantly correlated with the static sitting balance ( rho = .568, p < .05) and dynamic sitting balance ( rho = .547, p < .05) TCMS subscales and with the TCMS total score ( rho = .590, p < .05). We concluded that trunk control, especially its dynamic aspects, was impaired in children with ataxic CP.

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