Comparison of the Upper and Lower Extremity and Trunk Muscle Masses between Children with Down Syndrome and Children with Typical Development

Masaki, Mitsuhiro; Maruyama, Seina; Inagaki, Yukika; Ogawa, Yukine; Sato, Yoshino; Yokota, Minori; Takeuchi, Moeka; Kasahara, Michihiro; Minakawa, Kota; Kato, Kana; Sakaino, Kenji

doi:10.1080/17518423.2021.2018518

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…This posture extends the RA and TrA, which is necessary to keep the pelvis in a neutral position and reduce the reactivity of these muscles by inhibiting the stretch reflex [ 26 , 36 ]. In the study by Masaki et al they found that the abdominal muscle thickness was lower in children with hypotonia than in typically developing children [ 37 ]; therefore, strengthening the abdominal muscle of children with central hypotonia could be an important treatment point. In the study by Ha and Sung, when the breast zone of reflex turning 1 phase was applied to healthy individuals, the thickness of TrA increased while the thickness of EO decreased; they reported that Vojta therapy induced selective abdominal muscle contractions such as abdominal hollowing [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled Trial

Sung

2022

Children

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(1) Background: Decreased trunk stability is accompanied by delay in motor development in children with central hypotonia. We investigated the effect of Vojta therapy on trunk control in the sitting position in children with central hypotonia. (2) Methods: In 20 children with central hypotonia, Vojta therapy was applied to the experimental group (n = 10) and general physical therapy to the control group (n = 10). The intervention was applied for 30 min per session, three times a week, for a total of six weeks. We assessed abdominal muscle thickness, trunk control (segmental assessment of trunk control), trunk angle and trunk sway in a sitting position, and gross motor function measure-88. (3) Results: In the experimental group, the thicknesses of internal oblique and transversus abdominis were significantly increased (p < 0.05). The segmental assessment of trunk control score was significantly increased (p < 0.05), and the trunk sway significantly decreased (p < 0.05). Gross motor function measure-88 was significantly increased (p < 0.05). (4) Conclusions: Vojta therapy can be suggested as an effective intervention method for improving trunk control and gross motor function in children with central hypotonia.

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