Effect of Task-oriented Training and Neurodevelopmental Treatment on the Sitting Posture in Children with Cerebral Palsy

[Purpose] The purpose of this study was to investigate the effect of task-oriented training and neurodevelopmental treatment (NDT) on the sitting posture of children with cerebral palsy. [Subjects] The subjects were 10 children with spastic diplegia and cerebral palsy due to premature birth. [Method...

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Published inJournal of Physical Therapy Science Vol. 23; no. 2; pp. 323 - 325
Main Authors Ro, Hyolyun, Lee, Daehee, Choi, Munhee
Format Journal Article
LanguageEnglish
Published The Society of Physical Therapy Science 2011
Subjects
Sitting posture
Spastic diplegia
Task-oriented training
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.23.323

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Abstract [Purpose] The purpose of this study was to investigate the effect of task-oriented training and neurodevelopmental treatment (NDT) on the sitting posture of children with cerebral palsy. [Subjects] The subjects were 10 children with spastic diplegia and cerebral palsy due to premature birth. [Methods] The control group (n=5) received NDT and the experimental group (n=5) received the task oriented approach to improve sitting balance control, 5 times per week for 6 weeks. Sitting posture was assessed the gross motor functional measure (GMFM), and electromyography (EMG) pre and post intervention. [Results] GMFM and right rectus abdominis activities showed no significant differences in either treatment. The activity strength of the left rectus abdominis, right and left erector muscles significantly increased in both groups. With regard to the difference in the GMFM and EMG between the experiment and control groups, there was no difference. [Conclusion] The results of this study suggest that the method of task-oriented training and neurodevelopmental treatment for muscle vitalization both improved the sitting posture of children with cerebral palsy.
AbstractList [Purpose] The purpose of this study was to investigate the effect of task-oriented training and neurodevelopmental treatment (NDT) on the sitting posture of children with cerebral palsy. [Subjects] The subjects were 10 children with spastic diplegia and cerebral palsy due to premature birth. [Methods] The control group (n=5) received NDT and the experimental group (n=5) received the task oriented approach to improve sitting balance control, 5 times per week for 6 weeks. Sitting posture was assessed the gross motor functional measure (GMFM), and electromyography (EMG) pre and post intervention. [Results] GMFM and right rectus abdominis activities showed no significant differences in either treatment. The activity strength of the left rectus abdominis, right and left erector muscles significantly increased in both groups. With regard to the difference in the GMFM and EMG between the experiment and control groups, there was no difference. [Conclusion] The results of this study suggest that the method of task-oriented training and neurodevelopmental treatment for muscle vitalization both improved the sitting posture of children with cerebral palsy.
Author Choi, Munhee
Lee, Daehee
Ro, Hyolyun
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References_xml – reference: 3) Van der Weel FRR, Van der Meer ALH, Lee DN: Measuring dysfunction of basic movement control in cerebral palsy. Hum Mov Sci. 1996, 15: 253-283.
– reference: 7) Tecklin JS: Pediatric Physical Therapy. (3rd ed). Philadelphia, Lippincott Williams & Wilkins, 1999, pp 11-20.
– reference: 2) Van der Heide JC, Otten B, van Eykern LA, et al.: Development of postural adjustments during reaching in sitting children. Exp Brain Res. 2003, 151: 32-45.
– reference: 14) Blundell SW, Shepherd RB, Dean CM, et al.: Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4-8year. Clin Rehabil, 2003. 17: 48-57.
– reference: 4) Langhammer B, Stanghelle JK: Bobath or motor relearning programme?: a follow-up one and four year post stroke. Clin Rehabil. 2003, 17: 731-734.
– reference: 11) Park SY, Ko MS, Yi CH: Correlations Among GMFM, GMPM, and the Spatiotemporal Gait Parameters. Journal of the Korean Academy of University Trained Physical Therapists, 2004, 11: 63-70.
– reference: 9) Dean CM, Richards CL, Malouin F: Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled pilot trial. Arch Phys Med Rehabil. 2000, 81: 409-417.
– reference: 10) Michaelsen SM, Dannenbaum R, Levin MF: Task-specific training with trunk restraint on arm recovery in sroke: randomized control trial. Stroke. 2006, 37: 186-192.
– reference: 15) Dean CM, Shephered RB: Task-related training improves performance of seating reaching tasks after stroke: a randomised controlled trial. Stroke, 1997, 28: 722-728.
– reference: 16) Kim SS, Song JC: Trunk muscle activites of standing and sitting posture in children with cerebral palsy. The Journal of Korean Society of Physlicl Therapy, 2004, 16: 367-372.
– reference: 13) Cram JR, Kasman JS, Holtz J: Introduction to Surface Electromyography (2nd ed). Maryalnd, Aspen Publishers, 1998, pp 336-345.
– reference: 1) Coluccini M, Maini ES, Martelloni C, et al.: Kinematic characterization of functional reach to grasp in normal and in motor disabled children. Gait Posture. 2007, 25: 493-501.
– reference: 8) Wu CY, Wong MK, Lin KC, et al.: Effects of task goal and personal preference on seated reaching kinematics after stroke. Stroke. 2001, 32: 70-76.
– reference: 6) Carr JH, Shepherd RB: Neurological Rehabilitation: Optimizing Motor Performance (1st ed). Oxford: Butterworth-Heinemann, 1998, p159.
– reference: 12) Chung YJ, Cho SH, Lee JH et al.: Reliability of the onset time determinations during maximal isometric contraction in surface EMG . Journal of Korea Academy of University Trained Physical Therapists, 2003, 10: 51-62.
– reference: 5) Day JA, Fox EJ, Lowe J, et al.: Locomotor training with partial body weight support on a treadmill in a nonambulatory child with spastic tetraplegic cerebral palsy: a case report. Pediatr Phys Ther. 2004, 16: 106-113.
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SubjectTerms Sitting posture
Spastic diplegia
Task-oriented training
Title Effect of Task-oriented Training and Neurodevelopmental Treatment on the Sitting Posture in Children with Cerebral Palsy
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