Effects of Trunk Training on Trunk, Upper and Lower Limb Motor Functions in Children with Spastic Cerebral Palsy: A Stratified Randomized Controlled Trial

Abstract

Objective: The aim of this study was to investigate the effects of trunk training on the trunk, upper and lower limb motor functions of children with bilateral spastic Cerebral Palsy.

Methods: 36 children were recruited for this study; 19 children were included in the trunk training group and 17 children were included in the control group. Motor functions of the children were assessed by the Trunk Control Measurement Scale, Gross Motor Function Measurement, Quality of Upper Extremity Skills Test, Pediatric Balance Scale, Gillette Functional Assessment Scale, Functional Independence Measure for Children and Impact on Family Scale at baseline and after an 8 week of intervention period. Wilcoxon Signed-Rank Test and Mann–Whitney U Test were used to assess the differences.

Results: The Trunk Control Measurement Scale (p=0.008), Gross Motor Function Measurement (p=0.047), Quality of Upper Extremity Skills Test (p=0.032), Pediatric Balance Scale (p=0.006), Gillette Functional Assessment Scale (p=0.011) and Functional Independence Measure for Children (p=0.03) scores improved in favor of the trunk training group (p<0.05).

Conclusion: Individually structured trunk training is a promising method to improve trunk, upper and lower extremity motor functions and activity levels of children with bilateral spastic Cerebral Palsy.

Keywords

• Cerebral Palsy,Physiotherapy,Strength Training,Trunk

Spastik Serebral Palsili Çocuklarda Gövde Eğitiminin Gövde, Üst ve Alt Ekstremite Motor Fonksiyonları Üzerine Etkisi: Tabakalı Randomize Kontrollü Çalışma

Abstract

Amaç: Bu çalışmanın amacı, bilateral spastik Serebral Palsili çocuklarda gövde eğitiminin gövde, üst ve alt ekstremite motor fonksiyonları üzerindeki etkilerini araştırmaktır.

Gereç ve Yöntem: Bu çalışmaya 36 çocuk alındı; çocuklardan 19’u Gövde eğitimi grubuna, 17’si ise kontrol grubuna dâhil edildi. Çocukların motor fonksiyonları; Gövde Kontrol Ölçüm Ölçeği, Kaba Motor Fonksiyon Ölçümü, Üst Ekstremite Becerileri Kalitesi Testi, Pediatrik Denge Ölçeği, Gillette Fonksiyonel Değerlendirme Ölçeği, Çocuklar İçin Fonksiyonel Bağımsızlık Ölçümü, Aile Etkilenimi Ölçeği ile başlangıçta ve sekiz hafta süren müdahale sonrasında değerlendirildi. Farklılıkları değerlendirmek için Wilcoxon Sıralı İşaret Testi ve Mann-Whitney U Testi kullanıldı.

Bulgular: Gövde eğitim grubunda;  Gövde Kontrol Ölçüm Ölçeği (p = 0.008), Kaba Motor Fonksiyon Ölçümü (p = 0.047), Üst Ekstremite Becerileri Kalitesi Testi (p = 0.032), Pediatrik Denge Ölçeği (p = 0.006), Gillette Fonksiyonel Değerlendirme Ölçeği (p. = 0.011) ve Çocuklar için Fonksiyonel Bağımsızlık Ölçümü (p = 0.03) puanları gelişme gösterdi (p <0,05).

Sonuç: Bireysel olarak yapılandırılmış gövde eğitimi, bilateral spastik Serebral Palsili çocukların gövde, üst ve alt ekstremite motor fonksiyonlarını ve aktivite düzeylerini geliştirmek için ümit vaat eden bir yöntemdir.

Keywords

• Serebral Palsi,Fizyoterapi,Kuvvetlendirme,Gövde

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