Effect of Core Stability Exercises on Hand Functions in Children With Hemiplegic Cerebral Palsy

Abstract

Objective To investigate the effectiveness of core stability exercises on hand functions in children with hemiplegic cerebral palsy.Methods Fifty-two children with hemiplegic cerebral palsy ranging in age from 6 years to 8 years were enrolled in this study. They were randomly assigned to two (control and study) groups. The control group received the selected physiotherapy exercises, and the study group received the same selected physiotherapy exercise program and core stability exercises. Time motor performance, gross manual dexterity, and upper extremity skills assessed using the Jebsen Taylor Hand Function Test, Box and Block Test, and Quality Upper Extremity Skill Test, respectively, were measured before and after 12 weeks of the treatment program.Results There were significant improvements in both groups by comparing the mean values of all measured variables before and after treatment (p<0.05). There were significant differences between the control and study groups with respect to all measured variables when comparing the post-treatment outcomes (p<0.05).Conclusion This study suggests that core stability exercises can be an effective intervention that may improve hand functions in children with hemiplegic cerebral palsy.

Influence of rehacom system programme on hand function in spastic hemiplegic children

“…This sensory information is critical for adapting and acclimatisation of movements and is used to correct errors during the execution of movements, ensuring accuracy during the final portions of the movements. 14 The age range of the children in the present study was 6-8 years, which was similar to earlier reports 15,16 . A child may assume a hand grasp with a regular effort by the time they are 5-7 years of age to lift or grab an object without letting it slip through their fingers 17 .…”

What Is the Relationship between Trunk Control Function and Arm Coordination in Adults with Severe-to-Moderate Quadriplegic Cerebral Palsy?

“…From the first perspective, our results show that individuals who performed better in MD tasks presented more stable trunk control during activities that required fine hand and finger movements. A recent study showed similar results in children with less impairment (i.e., hemiplegia), suggesting that hand function might be improved by training in core stability exercises [3].…”

“…Quadriplegic cerebral palsy (CP) is the most severe form of this health condition in which people with such involvement are usually classified as Level III or IV on the Gross Motor Function Classification Scale (GMFCS), presenting a severe involvement of motor function that generally necessitates the use of power wheelchairs for daily activities [1]. Motor issues in CP tend to affect trunk control and upper limb function, but their relationship has been studied principally in children and young people with CP [2,3]. Kusumoto et al [4] reported that better trunk control and, therefore, greater proximal stabilisation could improve upper limb function, suggesting a positive impact on self-care tasks in children and adolescents with spastic CP.…”

Pemberian Trampolin Based SSC Dan Core Stability Dalam Peningkatan Kemampuan Fungsional Anak Down Syndrome

“…Istilah "Core" dan "Core exercise" adalah istilah yang paling umum digunakan dalam beberapa tahun terakhir. 8 Tujuan dari Studi kasus ini adalah mengkombinasi Trampolin based SSC dan core stability exercise untuk meningkatkan kemampuan fungsional pada anak down syndrome .…”