Clinical Usefulness of Child-centered Task-oriented Training on Balance Ability in Cerebral Palsy

[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training...

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Published inJournal of Physical Therapy Science Vol. 25; no. 8; pp. 947 - 951
Main Authors Lee, Byoung-Hee, Kim, Yumi
Format Journal Article
LanguageEnglish
Published Japan The Society of Physical Therapy Science 01.08.2013
Subjects
Online AccessGet full text
ISSN0915-5287
2187-5626
2187-5626
DOI10.1589/jpts.25.947

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Abstract [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
AbstractList [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
[Abstract.] [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
Purpose: This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy.
Author Lee, Byoung-Hee
Kim, Yumi
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  organization: Department of Physical Therapy, College of Health Science, Sahmyook University: 815 Hwarang-ro, Seoul 139-742, Korea
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Cites_doi 10.1055/s-0038-1634378
10.1016/S0003-9993(96)90271-3
10.1017/S001216220500112X
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10.1097/00001577-200214020-00005
10.1097/NPT.0b013e31815d00d5
10.1191/0269215504cr763oa
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10.1310/BQM5-6YGB-MVJ5-WVCR
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10.1097/00019052-200112000-00009
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Issue 8
Keywords Cerebral palsy
Balance
Task-oriented training
Language English
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References 15) Liao HF, Jeng SF, Lai JS, et al.: The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Dev Med Child Neurol, 1997, 39: 106–112.
11) Flynn S, Palma P, Bender A: Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther, 2007, 31: 180–189.
13) Franjoine MR, Gunther JS, Taylor MJ: Pediatric balance scale: a modified version of the berg balance scale for the child with mild to moderate motor impairment. Pediatr Phys Ther, 2003, 15: 114–128.
1) Levine MS: Cerebral palsy diagnosis in children over age 1 year: standard criteria. Arch Phys Med Rehabil, 1980, 61: 385–389.
3) McClenaghan BA, Thombs L, Milner M: Effects of Seat-surface inclination in postural stability and function of the upper extremities of children with cerebral palsy. Dev Med Child Neurol, 1992, 34: 40–48.
16) Barbeau H, Fung J: The role of rehabilitation in the recovery of walking in the neurological population. Curr Opin Neurol, 2001, 14: 735–740.
17) Nichols DS, Miller L, Colby LA, et al.: Sitting balance: its relation to function in individuals with hemiparesis. Arch Phys Med Rehabil, 1996, 77: 865–869.
4) Leroux A, Pinet H, Nadeau S: Task-oriented intervention in chronic stroke: changes in clinical and laboratory measures of balance and mobility. Am J Phys Med Rehabil, 2006, 85: 820–830.
12) Kembhavi G, Darrah J, Magill-Evans J, et al.: Using the berg balance scale to distinguish balance abilities in children with cerebral palsy. Pediatr Phys Ther, 2002, 14: 92–99.
9) Forkan R, Pumper B, Smyth N, et al.: Exercise adherence following physical therapy intervention in older adults with impaired balance. Phys Ther, 2006, 86: 401–410.
10) Burdea GC: Virtual rehabilitation-benefits and challenges. Methods Inf Med, 2003, 42: 519–523.
14) Chen CL, Shen IH, Chen CY, et al.: Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Res Dev Disabil, 2013, 34: 916–922.
5) Salbach NM, Mayo NE, Wood-Dauphinee S, et al.: A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil, 2004, 18: 509–519.
7) 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 4–8 years. Clin Rehabil, 2003, 17: 48–57.
8) DeGangi GA, Shirley W, Mary G, et al.: A comparison of structured sensorimotor therapy and child-centered activity in the treatment of preschool children with sensorimotor problems. Am J Occup Ther, 1993, 47: 777–786.
18) Carlberg EB, Hadders-Algra M: Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance. Neural Plast, 2005, 12: 221–228, 263–272.
2) Bax M, Goldstein M, Rosenbaum P, et al.: Proposed definition and classification of cerebral palsy. Dev Med Child Neurol, 2005, 47: 571–576.
19) Guskiewicz KM, Perrin DH: Research and clinical applications of assessing balance. J Sport Rehabil, 1996, 5: 45–63.
6) Bayona NA, Bitensky J, Salter K, et al.: The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil, 2005, 12: 58–65.
11
12
13
14
15
16
17
18
19
1
2
3
4
5
6
7
8
9
10
16108461 - Dev Med Child Neurol. 2005 Aug;47(8):571-6
8822675 - Arch Phys Med Rehabil. 1996 Sep;77(9):865-9
18172415 - J Neurol Phys Ther. 2007 Dec;31(4):180-9
14654886 - Methods Inf Med. 2003;42(5):519-23
12617379 - Clin Rehabil. 2003 Feb;17(1):48-57
1544513 - Dev Med Child Neurol. 1992 Jan;34(1):40-8
17053689 - Pediatr Phys Ther. 2002 Summer;14(2):92-9
7509573 - Am J Occup Ther. 1993 Sep;47(9):777-86
16097490 - Neural Plast. 2005;12(2-3):221-8; discussion 263-72
16506876 - Phys Ther. 2006 Mar;86(3):401-10
11723381 - Curr Opin Neurol. 2001 Dec;14 (6):735-40
16998429 - Am J Phys Med Rehabil. 2006 Oct;85(10 ):820-30
15293485 - Clin Rehabil. 2004 Aug;18(5):509-19
7416928 - Arch Phys Med Rehabil. 1980 Sep;61(9):385-9
17057441 - Pediatr Phys Ther. 2003 Summer;15(2):114-28
16110428 - Top Stroke Rehabil. 2005 Summer;12 (3):58-65
9062425 - Dev Med Child Neurol. 1997 Feb;39(2):106-12
23291508 - Res Dev Disabil. 2013 Mar;34(3):916-22
References_xml – reference: 2) Bax M, Goldstein M, Rosenbaum P, et al.: Proposed definition and classification of cerebral palsy. Dev Med Child Neurol, 2005, 47: 571–576.
– reference: 6) Bayona NA, Bitensky J, Salter K, et al.: The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil, 2005, 12: 58–65.
– reference: 8) DeGangi GA, Shirley W, Mary G, et al.: A comparison of structured sensorimotor therapy and child-centered activity in the treatment of preschool children with sensorimotor problems. Am J Occup Ther, 1993, 47: 777–786.
– reference: 9) Forkan R, Pumper B, Smyth N, et al.: Exercise adherence following physical therapy intervention in older adults with impaired balance. Phys Ther, 2006, 86: 401–410.
– reference: 15) Liao HF, Jeng SF, Lai JS, et al.: The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Dev Med Child Neurol, 1997, 39: 106–112.
– reference: 16) Barbeau H, Fung J: The role of rehabilitation in the recovery of walking in the neurological population. Curr Opin Neurol, 2001, 14: 735–740.
– reference: 14) Chen CL, Shen IH, Chen CY, et al.: Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Res Dev Disabil, 2013, 34: 916–922.
– reference: 13) Franjoine MR, Gunther JS, Taylor MJ: Pediatric balance scale: a modified version of the berg balance scale for the child with mild to moderate motor impairment. Pediatr Phys Ther, 2003, 15: 114–128.
– reference: 7) 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 4–8 years. Clin Rehabil, 2003, 17: 48–57.
– reference: 10) Burdea GC: Virtual rehabilitation-benefits and challenges. Methods Inf Med, 2003, 42: 519–523.
– reference: 19) Guskiewicz KM, Perrin DH: Research and clinical applications of assessing balance. J Sport Rehabil, 1996, 5: 45–63.
– reference: 12) Kembhavi G, Darrah J, Magill-Evans J, et al.: Using the berg balance scale to distinguish balance abilities in children with cerebral palsy. Pediatr Phys Ther, 2002, 14: 92–99.
– reference: 3) McClenaghan BA, Thombs L, Milner M: Effects of Seat-surface inclination in postural stability and function of the upper extremities of children with cerebral palsy. Dev Med Child Neurol, 1992, 34: 40–48.
– reference: 4) Leroux A, Pinet H, Nadeau S: Task-oriented intervention in chronic stroke: changes in clinical and laboratory measures of balance and mobility. Am J Phys Med Rehabil, 2006, 85: 820–830.
– reference: 11) Flynn S, Palma P, Bender A: Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther, 2007, 31: 180–189.
– reference: 17) Nichols DS, Miller L, Colby LA, et al.: Sitting balance: its relation to function in individuals with hemiparesis. Arch Phys Med Rehabil, 1996, 77: 865–869.
– reference: 1) Levine MS: Cerebral palsy diagnosis in children over age 1 year: standard criteria. Arch Phys Med Rehabil, 1980, 61: 385–389.
– reference: 5) Salbach NM, Mayo NE, Wood-Dauphinee S, et al.: A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil, 2004, 18: 509–519.
– reference: 18) Carlberg EB, Hadders-Algra M: Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance. Neural Plast, 2005, 12: 221–228, 263–272.
– ident: 10
  doi: 10.1055/s-0038-1634378
– ident: 17
  doi: 10.1016/S0003-9993(96)90271-3
– ident: 2
  doi: 10.1017/S001216220500112X
– ident: 9
  doi: 10.1093/ptj/86.3.401
– ident: 12
  doi: 10.1097/00001577-200214020-00005
– ident: 11
  doi: 10.1097/NPT.0b013e31815d00d5
– ident: 1
– ident: 5
  doi: 10.1191/0269215504cr763oa
– ident: 4
  doi: 10.1097/01.phm.0000233179.64769.8c
– ident: 3
  doi: 10.1111/j.1469-8749.1992.tb08561.x
– ident: 13
  doi: 10.1097/01.PEP.0000068117.48023.18
– ident: 15
  doi: 10.1111/j.1469-8749.1997.tb07392.x
– ident: 7
  doi: 10.1191/0269215503cr584oa
– ident: 18
  doi: 10.1155/NP.2005.221
– ident: 8
  doi: 10.5014/ajot.47.9.777
– ident: 19
  doi: 10.1123/jsr.5.1.45
– ident: 6
  doi: 10.1310/BQM5-6YGB-MVJ5-WVCR
– ident: 14
  doi: 10.1016/j.ridd.2012.11.006
– ident: 16
  doi: 10.1097/00019052-200112000-00009
– reference: 16108461 - Dev Med Child Neurol. 2005 Aug;47(8):571-6
– reference: 16998429 - Am J Phys Med Rehabil. 2006 Oct;85(10 ):820-30
– reference: 1544513 - Dev Med Child Neurol. 1992 Jan;34(1):40-8
– reference: 23291508 - Res Dev Disabil. 2013 Mar;34(3):916-22
– reference: 16110428 - Top Stroke Rehabil. 2005 Summer;12 (3):58-65
– reference: 11723381 - Curr Opin Neurol. 2001 Dec;14 (6):735-40
– reference: 17057441 - Pediatr Phys Ther. 2003 Summer;15(2):114-28
– reference: 16097490 - Neural Plast. 2005;12(2-3):221-8; discussion 263-72
– reference: 7416928 - Arch Phys Med Rehabil. 1980 Sep;61(9):385-9
– reference: 14654886 - Methods Inf Med. 2003;42(5):519-23
– reference: 8822675 - Arch Phys Med Rehabil. 1996 Sep;77(9):865-9
– reference: 7509573 - Am J Occup Ther. 1993 Sep;47(9):777-86
– reference: 9062425 - Dev Med Child Neurol. 1997 Feb;39(2):106-12
– reference: 18172415 - J Neurol Phys Ther. 2007 Dec;31(4):180-9
– reference: 17053689 - Pediatr Phys Ther. 2002 Summer;14(2):92-9
– reference: 16506876 - Phys Ther. 2006 Mar;86(3):401-10
– reference: 12617379 - Clin Rehabil. 2003 Feb;17(1):48-57
– reference: 15293485 - Clin Rehabil. 2004 Aug;18(5):509-19
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Snippet [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral...
[Abstract.] [Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with...
Purpose: This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral...
[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral...
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StartPage 947
SubjectTerms Balance
Cerebral palsy
Original
Task-oriented training
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Title Clinical Usefulness of Child-centered Task-oriented Training on Balance Ability in Cerebral Palsy
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