The Journal of Korean Physical Therapy

  • 제26권5호
  • /
  • Pages.308-314
  • /
  • 2014
  • /
  • 1229-0475(pISSN)
  • /
  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

편측 뇌성마비아의 볼기 테이핑이 앉은 자세에서 골반경사 및 몸통 안정성과 균형에 미치는 영향

The Effects of Gluteal Taping on Pelvic Alignment, Trunk Stability, and Balance during Sitting in Children with Unilateral Cerebral Palsy

  • 서혜정 (대구가톨릭대학교 일반대학원 물리치료학과) ;
  • 김중휘 (대구가톨릭대학교 의료과학대학 물리치료학과) ;
  • 최명진 (보바스어린이병원 물리치료실) ;
  • 정혜수 (보바스어린이병원 물리치료실)
  • Seo, Hye-Jung (Department of Physical Therapy, General Graduate School, Catholic University of Daegu) ;
  • Kim, Joong-Hwi (Department of Physical Therapy, College of Medicine Science, Catholic University of Daegu) ;
  • Choi, Myung-Jin (Department of Physical Therapy, Bobath Children's Hospital) ;
  • Jeong, Hye-Su (Department of Physical Therapy, Bobath Children's Hospital)
  • 투고 : 2014.09.11
  • 심사 : 2014.10.14
  • 발행 : 2014.10.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of this study was to investigate the effects of gluteal taping on pelvic alignment, trunk stability, and balance during sitting posture in children with unilateral cerebral palsy (CP). Methods: Thirteen children with unilateral cerebral palsy (six females. seven males; mean age 8.5) participated in this study. All participants were evaluated before and after gluteal taping using an Inclinometer for pelvic lateral inclination, trunk impairment scale (TIS) for trunk stability, and modified functional reaching test for balance during sitting. The collected data were analyzed using a paired t-test. Results: The results of this study were as follows: 1) Statistically significant decreases in the angle of pelvic lateral inclination were observed after gluteal taping in children with unilateral CP (p<.05). 2) Statistically significant increases in TIS score were observed after gluteal taping (p<.05). 3) Statistically significant increases in the range of reaching during sitting were observed after gluteal taping (p<.05). Conclusion: : In conclusion, this study showed that gluteal taping improves pelvic alignment, trunk stability, and balance during sitting in children with unilateral cerebral palsy. Further studies will be required to determine the short- and long-term effects of gluteal taping on improving postural symmetry, trunk stability, and balance.

키워드

참고문헌

  1. Jung JH, Kim SK. The effects of interactive metronome on bilateral coordination, balance, and upper extremity function for children with hemiplegic cerebral palsy : Single-subject research. Journal of Korean Society of Occupational Therapy. 2013;21(2):37-48. https://doi.org/10.14519/jksot.2013.21.4.04
  2. Colver A, Sethumadhavan T. The term diplegia should be abandoned. Arch Dis Child. 2003;88(4):286-90. https://doi.org/10.1136/adc.88.4.286
  3. Kim GS, Seo HD, Lee BH et al. The effect of core program exercise on dynamic balance of the patient with post-stroke hemiplegia. Journal of oriental rehabilitation medicine. 2010;20(2):79-87.
  4. Kim EJ, Hwang BY, Kim JH. The effect of core exercises on balance and walking in patients with stroke. J Korean Soc Phys Ther. 2009;21(4):17-22.
  5. Kim SH, Lee DK, Kim EK. Effect of aquatic exercise on balance and depression of stroke patients. J Korean Soc Phys Ther. 2014;26(2):104-9.
  6. Domagalska ME, Szopa AJ, Lembert DT. A descriptive analysis of abnormal postural patterns in children with hemiplegic cerebral palsy. Med Sci Monit. 2011;17(2):110-6.
  7. Rodby-Bousquet E, Czuba T, Hagglund G et al. Postural asymmetries in young adults with cerebral palsy. Dev Med Child Neurol. 2013;55(11):1009-15. https://doi.org/10.1111/dmcn.12199
  8. Heyrman L, Desloovere K, Molenaers G et al. Clinical characteristics of impaired trunk control in children with spastic cerebral palsy. Res Dev Disabil. 2013;34(1):327-34. https://doi.org/10.1016/j.ridd.2012.08.015
  9. Macias ML. Abnormal sitting postures in children with neuromotor disabilities and use of the pelvic corset or molded seat for adaptative sitting. Pediatric Physical Therapy. 1998;10(2):74-7.
  10. Choi HJ, Nam KW. The effect of weight-support treadmill training on the balance and activity of daily living of children with spastic diplegia. J Korean Soc Phys Ther. 2012;24(6):398-404.
  11. Shin HK, Chung BI. The effect of functional strengthening exercise on standing balance in a child with cerebral palsy. Physical Therapy Korea. 2001;8(3):97-105.
  12. Kilbreath SL, Perkins S, Crosbie J et al. Gluteal taping improves hip extension during stance phase of walking following stroke. Aust J Physiother. 2006;52(1):53-6. https://doi.org/10.1016/S0004-9514(06)70062-9
  13. Mostert-Wentzel K, Swart JJ, Masenyetse LJ et al. Effect of kinesio taping on explosive muscle power of gluteus maximus of male athletes: Original research. South African Journal of Sports Medicine. 2012;24(3):75-80.
  14. Jaraczewska E, Long C. Kinesio taping in stroke: Improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil. 2006;13(3):31-42. https://doi.org/10.1310/33KA-XYE3-QWJB-WGT6
  15. McConnell J. Recalcitrant chronic low back and leg pain-a new theory and different approach to management. Man Ther. 2002;7(4):183-92. https://doi.org/10.1054/math.2002.0478
  16. Yasukawa A, Patel P, Sisung C. Pilot study: Investigating the effects of kinesio taping in an acute pediatric rehabilitation setting. Am J Occup Ther. 2006;60(1):104-10. https://doi.org/10.5014/ajot.60.1.104
  17. Saether R, Jorgensen L. Intra-and inter-observer reliability of the trunk impairment scale for children with cerebral palsy. Res Dev Disabil. 2011;32(2):727-39. https://doi.org/10.1016/j.ridd.2010.11.007
  18. Saether R, Helbostad JL, Adde L et al. Reliability and validity of the trunk impairment scale in children and adolescents with cerebral palsy. Res Dev Disabil. 2013;34(7):2075-84. https://doi.org/10.1016/j.ridd.2013.03.029
  19. Katz-Leurer M, Fisher I, Neeb M et al. Reliability and validity of the modified functional reach test at the sub-acute stage poststroke. Disabil Rehabil. 2009;31(3):243-8. https://doi.org/10.1080/09638280801927830
  20. Graham HK, Selber P. Musculoskeletal aspects of cerebral palsy. J Bone Joint Surg Br. 2003;85(2):157-66. https://doi.org/10.1302/0301-620X.85B2.14066
  21. Oh TY, Kim JH, Lee EJ. The effects of skeletomuscular operation of lower limbs for functional reaching and lower limbs movement in children with spastic dipleagia. The Education Journal for Physical and Multiple Disabilities. 2009;52(2):243-59.
  22. Domagalska-Szopa M, Szopa A. Body posture asymmetry differences between children with mild scoliosis and children with unilateral cerebral palsy. Biomed Res int. 2013;2013:462094.
  23. Morrissey D. Proprioceptive shoulder taping. J Bodywork Movement Ther. 2000;4(3):189-94. https://doi.org/10.1054/jbmt.2000.0156
  24. Crenna P, Inverno M. Objective detection of pathophysiological factors contributing to gait disturbance in supraspinal lesions. Motor development in children. London: John Libbey & Company Ltd. 1994:103-18.
  25. Jang SH, Gong WT, Kim JS. The effect of using trunk control pelvic movement exercise in the sitting and standing positions on the relative impulse of hemiplegic patients. Journal of Physical Therapy Science. 2011;23(1):123-6. https://doi.org/10.1589/jpts.23.123
  26. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. 3rd ed. Maryland: Lippincott Williams & Wilkins. 2007;443-68.