대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제15권4호
  • /
  • Pages.75-85
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  • 2020
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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저항성 운동과 그룹 운동을 병합한 프로그램이 뇌성마비 아동의 균형능력, 파악력 및 삶의 질에 미치는 영향

The Effect of a Program Combining Resistance Exercise and Group Exercise on Balance, Grip Strength, and Quality of Life of Children with Cerebral Palsy

  • 김성현 (가천대학교 일반대학원 보건과학과 물리치료학 전공) ;
  • 신호진 (가천대학교 일반대학원 보건과학과 물리치료학 전공) ;
  • 함석찬 (차의과학대학교 통합의학대학원) ;
  • 박선욱 (삼성서울병원 물리치료실) ;
  • 조휘영 (가천대학교 물리치료학과) ;
  • 이민구 (고려대학교 의과대학 생리학교실)
  • Kim, Sung-Hyeon (Department of Health Science, Gachon University Graduate School) ;
  • Shin, Ho-Jin (Department of Health Science, Gachon University Graduate School) ;
  • Hahm, Suk-Chan (Graduate School of Integrative Medicine, CHA University) ;
  • Park, Sun-Wook (Department of Physical Therapy, Samsung medical center) ;
  • Cho, Hwi-Young (Department of Physical Therapy, Gachon University) ;
  • Lee, Min-Goo (Department of Physiology, Korea University College of Medicine)
  • 투고 : 2020.06.25
  • 심사 : 2020.08.04
  • 발행 : 2020.11.30
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초록

PURPOSE: Cerebral palsy is a common cause of disability in children, requiring constant rehabilitation. Improving balance in children with cerebral palsy helps to alleviate daily movement and the quality of life. This study examines a program that combines Resistance Exercise and Group Exercise, and investigates the effect on trunk control ability, balance ability, maximum grip strength, and quality of life of children with cerebral palsy. METHODS: Totally, 9 children with cerebral palsy participated in this study. Resistance exercise was performed for 8 weeks, 40 minutes every day. Group Exercise was conducted for 8 weeks, 40 minutes each Sunday. All participants were evaluated by the Korean version of the trunk control measurement scale, pediatric reach test, grip strength test, and KIDSCREEN-52. RESULTS: The trunk control ability was significantly improved in all subcategories (p < .05). In the pediatric reach test, the left and right directions were significantly improved (p < .05). Maximum grip strength was significantly improved in both hands (p < .05). The quality of life significantly improved in total score, physical well-being, general moods, self-perception, autonomy, relationship with parents, and home life (p < .05). CONCLUSION: Considering the encouraging results, we propose to use Resistance Exercise and Group Exercise as programs other than rehabilitation treatment in hospitals, to improve motor function and quality of life of children with cerebral palsy.

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참고문헌

  1. Aisen ML, Kerkovich D, Mast J, et al. Cerebral palsy: Clinical care and neurological rehabilitation. Lancet Neurol. 2011;10:844-52. https://doi.org/10.1016/S1474-4422(11)70176-4
  2. Koman LA, Smith BP, Shilt JS. Cerebral palsy. Lancet. 2004;363(9421):1619-31. https://doi.org/10.1016/S0140-6736(04)16207-7
  3. Bax M, Goldstein M, Rosenbaum PL, et al. Proposed definition and classification of cerebral palsy. Developmental Medicine & Child Neurology. 2005;47(8):571-6. https://doi.org/10.1017/S001216220500112X
  4. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006 [published correction appears in Dev Med Child Neurol. 2007 Jun;49(6):480]. Dev Med Child Neurol Suppl. 2007;109:8-14.
  5. Ferdjallah M, Harris GF, Smith P, et al. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech (Bristol, Avon). 2002;17(3):203-10. https://doi.org/10.1016/S0268-0033(01)00121-8
  6. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. International journal of sports physical therapy. 2013;8(1):62.
  7. Brogren E, Forssberg H, Hadders‐Algra M. Influence of two different sitting positions on postural adjustments in children with spastic diplegia. Developmental Medicine & Child Neurology. 2001;43(8):534-46. https://doi.org/10.1017/S0012162201000974
  8. Tecklin JS. Pediatric physical therapy: Lippincott Williams & Wilkins. 2008.
  9. Yun CK, Kim WB. Effect of different sitting postures on transverse abdominis muscle thickness and sitting balance in children with cerebral palsy. Physical Therapy Korea. 2014;21(3):11-9. https://doi.org/10.12674/ptk.2014.21.3.011
  10. Bobath B. Adult hemiplegia: evaluation and treatment: Elsevier Health Sciences. 1990.
  11. Saavedra S, Joshi A, Woollacott M, van Donkelaar P. Eye hand coordination in children with cerebral palsy. Experimental brain research. 2009;192(2):155-65. https://doi.org/10.1007/s00221-008-1549-8
  12. Harburn KL, Hill KM, Kramer JF, et al. Clinical applicability and test-retest reliability of an external perturbation test of balance in stroke subjects. Archives of physical medicine and rehabilitation; 1995;76(4): 317-23. https://doi.org/10.1016/S0003-9993(95)80656-3
  13. Claxton DB, Troy M, Dupree S. A question of balance. Journal of Physical Education, Recreation and Dance; 2006;77(3):32-7. https://doi.org/10.1080/07303084.2006.10597842
  14. Carlberg EB. Hadders-Alqra M. Postural dysfunctionin children with cerebral palsy: some implications for therapeutic guidance. Neural plasticity. 2005;12(2-3): 221-8. https://doi.org/10.1155/NP.2005.221
  15. Damiano DL, Abel MF. Functional outcomes of strength training in spastic cerebral palsy. Archives of physical medicine and rehabilitation. 1998;79(2):119-25. https://doi.org/10.1016/S0003-9993(98)90287-8
  16. Engardt M, Grimby G. Adapted exercise important after stroke. Acute and long-term effects of different training programs. Lakartidningen; 2005;102(6):392.
  17. Noles SW, Cash TF, Winstead BA. Body image, physical attractiveness, and depression. J Consult Clin Psychol. 1985;53(1):88-94. https://doi.org/10.1037/0022-006X.53.1.88
  18. Fauzi AA, Khayat MM, Sabirin S, et al. Structured home-based exercise program for improving walking ability in ambulant children with cerebral palsy. J Pediatr Rehabil Med. 2019;12(2):161‐9. https://doi.org/10.3233/PRM-180538
  19. Auld ML, Johnston LM. "Strong and steady": a community-based strength and balance exercise group for children with cerebral palsy. Disabil Rehabil. 2014;36(24):2065‐71. https://doi.org/10.3109/09638288.2014.891054
  20. Kim BJ, Kim SM, Kwon HY. The effect of group exercise program on the self-efficacy and activities of daily living in adults with cerebral palsy. J Phys Ther Sci. 2017;29(12):2184‐9. https://doi.org/10.1589/jpts.29.2184
  21. Novak I, Cusick A, Lannin N. Occupational therapy home programs for cerebral palsy: double-blind, randomized, controlled trial. Pediatrics. 2009;124(4):e606-14. https://doi.org/10.1542/peds.2009-0288
  22. Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. 2000;80(10):974-85. https://doi.org/10.1093/ptj/80.10.974
  23. Verheyden G, Nieuwboer A, Mertin J, et al. The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clin Rehabil. 2004;18(3):326‐34. https://doi.org/10.1191/0269215504cr733oa
  24. Heyrman L, Molenaers G, Desloovere K, et al. A clinical tool to measure trunk control in children with cerebral palsy: the Trunk Control Measurement Scale. Res Dev Disabil. 2011;32(6):2624-35. https://doi.org/10.1016/j.ridd.2011.06.012
  25. Bartlett D, Birmingham T. Validity and reliability of a pediatric reach test. Pediatr Phys Ther. 2003;15(2):84‐92. https://doi.org/10.1097/01.PEP.0000067885.63909.5C
  26. De Smet L, Fabry G. Grip force reduction in patients with tennis elbow: influence of elbow position. J Hand Ther. 1997;10(3):229-31. https://doi.org/10.1016/S0894-1130(97)80026-9
  27. Ravens-Sieberer U, Gosch A, Rajmil L, et al. KIDSCREEN-52 quality-of-life measure for children and adolescents. Expert Rev Pharmacoecon Outcomes Res. 2005;5(3):353‐64. https://doi.org/10.1586/14737167.5.3.353
  28. Hong SD, Yang JW, Jang WS, et al. The KIDSCREEN-52 quality of life measure for children and adolescents (KIDSCREEN-52-HRQOL): reliability and validity of the Korean version. J Korean Med Sci. 2007;22(3):446‐52. https://doi.org/10.3346/jkms.2007.22.3.446
  29. Wang TH, Peng YC, Chen YL, et al. A home-based program using patterned sensory enhancement improves resistance exercise effects for children with cerebral palsy: a randomized controlled trial. Neurorehabil Neural Repair. 2013;27(8):684-94. https://doi.org/10.1177/1545968313491001
  30. Tekin F, Kavlak E, Cavlak U, et al. Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children. J Back Musculoskelet Rehabil. 2018;31(2):397-403. https://doi.org/10.3233/BMR-170813
  31. de Araujo PA, Starling JMP, Oliveira VC, et al. Combining balance-training interventions with other active interventions may enhance effects on postural control in children and adolescents with cerebral palsy: A systematic review and meta-analysis. Braz J Phys Ther. 2019;S1413-3555(18)30795-0.
  32. Shumway-Cook A, Hutchinson S, Kartin D, et al. Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol. 2003;45(9):591-602. https://doi.org/10.1111/j.1469-8749.2003.tb00963.x
  33. Tarakci D, Ersoz Huseyinsinoglu B, Tarakci E, et al. Effects of Nintendo Wii-Fit® video games on balance in children with mild cerebral palsy. Pediatr Int. 2016; 58(10):1042-50. https://doi.org/10.1111/ped.12942
  34. Katz-Leurer M, Rotem H, Keren O, et al. The effects of a 'home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury. Clin Rehabil. 2009;23(8):714-24. https://doi.org/10.1177/0269215509335293
  35. Huang PC, Pan PJ, Ou YC, et al. Motion analysis of throwing Boccia balls in children with cerebral palsy. Res Dev Disabil. 2014;35(2):393-9. https://doi.org/10.1016/j.ridd.2013.11.017
  36. Shin SO, Kim NS. Upper extremity resistance exercise with elastic bands for respiratory function in children with cerebral palsy. J Phys Ther Sci. 2017;29(12):2077-80. https://doi.org/10.1589/jpts.29.2077
  37. Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years. Arch Phys Med Rehabil. 1997;78(1):26-32. https://doi.org/10.1016/S0003-9993(97)90005-8
  38. Schlussel MM, Anjos LA, Kac G. Hand grip strength test and its use in nutritional assessment. Rev Nutr. 2008;21(2):233-5. https://doi.org/10.1590/S1415-52732008000200009
  39. Bragagnolo R, Caporossi FS, Dock-Nascimento DB, et al. Handgrip strength and adductor pollicis muscle thickness as predictors of postoperative complications after major operations of the gastrointestinal tract. E Spen Eur E J Clin Nutr Metab. 2011;6(1):e21-6. https://doi.org/10.1016/j.eclnm.2010.11.001
  40. Cooper R, Kuh D, Hardy R. Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ. 2010;341:c4467. https://doi.org/10.1136/bmj.c4467
  41. Shin SO, Kim NS: Correlation between muscle strength, pulmonary function and respiratory muscle in children with cerebral palsy. J Korean Soc Phys Med. 2016;11:123-30. https://doi.org/10.13066/kspm.2016.11.2.123
  42. Moreno MA, Silva E, Goncalves M. The effect of proprioceptive neuromuscular facilitation techniquesKabat Method-on maximum respiratory pressure. Fisioter Mov. 2005;18(2):53-61.
  43. Sullivan PE, Portney LG: Electromyographic activity of shoulder muscles during unilateral upper extremity proprioceptive neuromuscular facilitation patterns. Phys Ther. 1980;60:283-8. https://doi.org/10.1093/ptj/60.3.283
  44. Toder DS. Respiratory problems in the adolescent with developmental delay. Adolesc Med. 2000;11(3):617-31.
  45. Maher CA, Toohey M, Ferguson M. Physical activity predicts quality of life and happiness in children and adolescents with cerebral palsy. Disabil Rehabil. 2016;38(9):865-9. https://doi.org/10.3109/09638288.2015.1066450

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