Immediate effects of quick trunk movement exercise on sit-to-stand movement in children with spastic cerebral palsy: a pilot study

Abstract

[Purpose] This pilot study examined the immediate effects of quick-seated trunk exercise on sit-to-stand movement in children with cerebral palsy. [Subjects and Methods] Five children with spastic cerebral palsy (hemiplegia, 3; diplegia, 2; age 6–17 years) performed five sessions of natural-seated trunk exercise at a self-selected speed (control). Following a 50-min rest period, five sessions of the quick-seated trunk exercise were conducted (experimental intervention) for each child. Each seated trunk exercise included 10 repetitions in the anterior-posterior and lateral directions. Sit-to-stand was assessed before and after each intervention using a motion analysis system. The total sit-to-stand task duration and sagittal, angular movements of the trunk, hip, knee, and ankle were calculated. [Results] There was a significant difference in the total duration of the sit-to-stand movement before and after natural-seated trunk exercise (2.40 ± 0.67 s vs. 2.24 ± 0.44 s) as well as quick seated trunk exercise (2.41 ± 0.54 s vs. 2.06 ± 0.45 s). However, the sit-to-stand duration increased after natural-seated trunk exercise in one participant while that after quick-seated trunk exercise decreased in all participants. [Conclusion] Performing a trunk exercise in a seated position resulted in immediate improvement of the temporal sit-to-stand parameters in children with spastic cerebral palsy.

Efektifitas Massage Deep Friction dan Latihan Stabilisasi Trunk Pada Cerebral Palsy

“…Latihan stabilisasi leher dan trunk yang terstruktur memiliki efek positif terhadap kemampuan keseimbangan statis dan dinamis (Shin, Song, and Ko 2017) , (Shemy 2018), meningkatkan postur dan fungsi motorik ekstremitas atas dan bawah pada cerebral palsy spastik bilateral(Numanoğlu Akbaş and Kerem Günel 2019) dan Trunk exercises pada posisi duduk menghasilkan perbaikan langsung terhadap duduk ke berdiri cerebral palsy pastik. (Numanoğlu Akbaş and Kerem Günel 2019) , (Abdolrahmani et al 2017) Anak-anak cerebral palsy memiliki tingkat kemampuan yang jauh lebih rendah untuk mengoptimalkan informasi yang diterima oleh visual, vestibular, dan proprioseptif untuk mengintegrasikan informasi dalam sistem saraf pusat, dan menerapkannya untuk menjaga keseimbangan dan kinerja aktivitas sehari-hari. (Shin and Song 2016) Pada anak cerebral palsy yang tidak memiliki kontrol trunk pada tingkat torakolumbalis, membutuhkan dukungan eksternal pada segmen toraks untuk mencapai kontrol keseimbangan statis dengan menggunakan ekstremitas atas.…”