PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effects of Goal-Oriented Functional Tasks on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy -A Single Case Study-

  • Lee, Eun-Jung (Ulsan Community Rehabilitation Center, Department of Biomedical Health Science, Graduate School, Dong-Eui University) ;
  • Kwon, Hae-Yeon (Department of Physical Therapy, College of Nersing and Healthcare Sciences, Dong-Eui University)
  • Received : 2020.04.28
  • Accepted : 2020.06.18
  • Published : 2020.08.31
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Abstract

Purpose: The study sought to determine whether goal achievement, performance, satisfaction, activities of daily living, and gross motor function in children with spastic cerebral palsy are positive affected by goal-oriented functional task training. Methods: In a single case study, two 7-year-old girls diagnosed with spastic cerebral palsy were given functional task training based on individualized goals for 24 60-minute sessions over a period of 6 months. The individualized goals reflected the needs of both children and parents. The Canadian occupational performance measure (COPM) and the goal attainment scale (GAS) were used to measure goal performance and satisfaction before and after intervention. Independence of activities of daily living before and after intervention were assessed using the functional independence measure for children (Wee-FIM). And change of gross motor function were assessed using gross motor function measure (GMFM). Results: Clinically significant changes were observed in COPM and GAS, as well as positive changes in independence of gross motor function and activities of daily living. Conclusion: The findings indicate that goal-oriented functional task training addresses the needs of children with spastic cerebral palsy, which increases treatment satisfaction and has a positive effect on independent activities and participation in daily life.

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References

  1. Allen J, Dodd KJ, Taylor NF, et al. Strength training c an be enjoyable and beneficial for adults with cerebral palsy. Disability and Rehabilitation. 2004;26(19):1121-1127. https://doi.org/10.1080/09638280410001712378
  2. Almhdawi KA, Mathiowetz VG, White M, et al. Efficacy of occupational therapy task-oriented approach in upper extremity post-stroke rehabilitation. Occupational Therapy International. 2016;23(4):444-456. https://doi.org/10.1002/oti.1447
  3. Bamm EL, Rosenbaum P. Family-centered theory: origins, development, barriers, and supports to implementation in rehabilitation medicine. Archives of physical medicine and rehabilitation. 2008;89(8):1618-1624. https://doi.org/10.1016/j.apmr.2007.12.034
  4. Carpenter L, Baker GA, Tyldesley B. The use of the Canadian occupational performance measure as an outcome of a pain management program. Canadian Journal of Occupational Therapy.2001;68(1):16-22. https://doi.org/10.1177/000841740106800102
  5. Cho SM, Oh DW, Kim SY. Comparison of parent-reported quality of life associated with functional levels in school-aged children with cerebral palsy. The Journal of Korean Society of Occupational Therapy.2009;17(1):29-37.
  6. Choi YJ, Kim KM. A review on the use of a goal attainment scale as measurement tool for the effectiveness of rehabilitation intervention of children. Journal of Korean Society of Occupational Therapy. 2009;17(2):105-114.
  7. Damiano DL, Abel MF. Relation of gait analysis to gross motor function in cerebral palsy. Developmental Medicine & Child Neurology. 1996;38(5):389-96. https://doi.org/10.1111/j.1469-8749.1996.tb15097.x
  8. De Vreede PL, Samson MM, van Meeteren NL, et al. Functional tasks exercise versus resistance exercise to improve daily function in older women: a feasibility study. Archives of Physical Medicine and Rehabilitation. 2004;85(12):1952-1961. https://doi.org/10.1016/j.apmr.2004.05.006
  9. Franki I , Desloovere K , De C at J , et al. Christine t he evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy: a systematic review using the international classification of functioning, disability and health as a conceptual framework. Journal of Rehabilitation Medicine. 2012;44(5):385-395. https://doi.org/10.2340/16501977-0983
  10. Gibson E, Pick A. An ecological approach to perceptual learning and development. New York. Oxford University Press.
  11. Heavlin WD, Le-Merow SW, Lewis VM. The psychometric foundations of goal attainment scaling. Community Mental Health Journal. 1982;18(3):230-241. https://doi.org/10.1007/BF00754339
  12. Hong ME. The effects of combined aquatic and land exercise program on gross motor function and balance and trunk control ability in young children with cerebral palsy patients. Sahmyook University. Dissertation of Master's Degree. 2015.
  13. Johnson A. Prevalence and characteristics of children with cerebral palsy in Europe. Developmental Medicine and Child Neurology. 2002;44(9):633-640. https://doi.org/10.1017/S0012162201002675
  14. Kang EM. Relationship between functional activities in school and self-esteem for school-aged children with cerebral palsy. Dan-kook University. Dissertation of Master's Degree. 2011.
  15. Ketelaar M, Vermer A, Hart H, et al. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Physical Therapy. 2001;81(9):1534-1545. https://doi.org/10.1093/ptj/81.9.1534
  16. Ketelaar M, Vermer A, Helders PJ. Functional motor abilities of children with cerebral palsy: a systematic literature review of assessment measures. Clinical rehabilitation. 1998;12(5):369-380. https://doi.org/10.1191/026921598673571117
  17. Kim JJ. Effects of an activity focused intervention program on t he daily l ife of children with cerebral palsy. Catholic University of Pusan. Dissertation of Doctorate Degree. 2016.
  18. Kim SJ, Lee CH, Na JK. Current physical therapy status for the children with cerebral palsy in Korea. Journal of Korean Academy of Rehabilitation Medicine. 2000;24(2):200-207.
  19. Lee CH, Hwang SG, Choi HS. Inter-rater reliability of the gross motor function measure. Korean Research Society of Physical Therapy. 1995;2(1):1-13.
  20. Lowing K, Bexelius A, Carlberg EB. Activity focused and goal directed therapy for children with cerebral palsy-do goals make a difference? Disability and Rehabilitation. 2009;31(2):1808-1816. https://doi.org/10.1080/09638280902822278
  21. Malec JF, Smigielski JS, Depompolo RW. Goal attainment scaling and outcome measurement in postacute brain injury rehabilitation. Archives of Physical Medicine and Rehabilitation. 1991;72(2):138-143.
  22. Manini T, Marko M, Vanarnam T, et al. Efficacy of resistance and task-specific exercise in older adults who modify tasks of everyday life. Journal of Gerontology, Series A: Biological sciences and medical sciences. 2007;62(6):616-639. https://doi.org/10.1093/gerona/62.6.616
  23. Msall ME, DiGaudio K, Duffy LC, et al. WeeFIM normative sample of an instrument for tracking functional independence in children. Clinical Pediatrics. 1994;33(7):431-438. https://doi.org/10.1177/000992289403300709
  24. Nordmark E, Hagglund G, Jarnlo GB. Reliability of the gross motor function measure in cerebral palsy. Scandinavian Journal of rehabilitation medicine. 1997;29(1):25-28.
  25. Orellano E, Colon WI, Arbesman M. Effect of occupation-and activity-based interventions on instrumental activities of daily living performance among community dwelling older adults: a systematic review. The American Journal of Occupational Therapy. 2012;66(3):292-300. https://doi.org/10.5014/ajot.2012.003053
  26. Ostensjo S, Brogren Carlberg E, Vollestad NK. Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Developmental Medicine and Child Neurology. 2003;45(9):603-615. https://doi.org/10.1111/j.1469-8749.2003.tb00964.x
  27. Ostensjo S, Oien I, Fallang B. Goal-oriented rehabilitation of prescholers with cerebral palsy-a multi-case study of combined use of the Canadian occupational performance measure (COPM) and the goal attainment scaling (GAS). Developmental Neurorehabilitation. 2008;1(4): 252-259. https://doi.org/10.1080/17518420802525500
  28. Ottenbacher KJ, Cusick A. Discriminative versus evaluative assessment; some observations on goal attainment scaling. American Journal of Occupational Therapy. 1993;47(4): 349-354. https://doi.org/10.5014/ajot.47.4.349
  29. Pan AW, Chung L, Hsin-Hwei G. Reliability and v alidity of the Canadian occupational performance measure for clients with psychiatric disorders in Taiwan. Occupational Therapy International. 2003;10(4):269-277. https://doi.org/10.1002/oti.190
  30. Park YJ, Hong EK. Effects of exercise interventions on postural control for children with cerebral palsy in Korea: a systematic review. The Journal of Korean Academy of Sensory Integration. 2016;14(2):46-57. https://doi.org/10.18064/JKASI.2016.14.2.046
  31. Polatajko HJ, Cantin N. Developmental coordination disorder (dyspraxia): an overview of the state of the art. Seminars in Pediatric Neurology. 2006;12(4):250-258. https://doi.org/10.1016/j.spen.2005.12.007
  32. Polatajko HJ, Mandich A. Enabling occupation in children: the cognitive orientation to daily occupational performance (CO-OP) approach. The Israeli Journal of Occupational Therapy. 2005;14(1):46-47.
  33. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy april 2006. Developmental medicine and child neurology. Supplement. 2007;109(109):8-14.
  34. Schoen S, Anderson J. Neurodevelopmental treatment frame of reference. Philadelphia. Lippincott Williams & Wilkins. 1999.
  35. Shumway-cook A. Woollacott M. Motor control: translating research into clinical practice, 3rd ed. Maryland. Lipincott Williams & Wilkins, 2007.
  36. Sorsdahl AB, Moe-Nilssen R, Kaale H, et al. Change in basic motor abilities quality of movement and everyday activities following intensive, goal-directed, activity focused physio therapy in group setting for children with cerebral palsy. BioMed Central pediatrics. 2010;10(26):1-11. https://doi.org/10.1186/1471-244X-10-1
  37. Stubbs PW, Diong J. The effect of strengthening interventions on strength and physical performance in people with cerebral palsy (PEDro synthesis). British journal of sports Medicine. 2016;50(3):189-279. https://doi.org/10.1136/bjsports-2015-094929
  38. Taylor NF, Dodd KJ, Larkin H. Adults with cerebral palsy benefit from participating in a strength training programme at a community gymnasium. Disability and Rehabilitation. 2004;26(19):1128-1134. https://doi.org/10.1080/09638280410001712387
  39. Tecklin JS. Pediatric physical therapy, 3rd ed. Philadelphia. Lippincoff Williams & Wilkins. 1999.
  40. Valvano J, Jane RM. Activity-focused motor interventions for infants and young children with neurological conditions. Infants and Young Children. 2006;19(4):292-307. https://doi.org/10.1097/00001163-200610000-00003
  41. Valvano J. Activity-focused motor interventions for children with neurological conditions. Physical & occupational therapy in pediatrics. 2004;24(1-2):79-107. https://doi.org/10.1300/J006v24n01_04
  42. Vojta V, Peters A. Vojta-prinzip muskelspiele in reflexfortbewegung und motorischer ontogenese, 3rd ed. Heidelberg. Springer Medizin Verlag. 2007.
  43. World Health Organization. World health organization international classification of functioning disability, and health. Geneva, Switzerland. 2001.