Abstract Objective To study the effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy. Methods A total of 97 children with spastic cerebral palsy were randomly divided into an observation group with 49 children and a control group with 48 children. Both groups were given routine rehabilitation training, and the children in the observation group were given suspension exercise training in addition. The scores of the D and E domains of the 88-item version of the Gross Motor Function Measure (GMFM-88) and Berg Balance Scale (BBS) were recorded before treatment and at 1, 3, and 6 months after treatment. Surface electromyography was performed to observe the changes in the root mean square (RMS) of surface electromyogram signals of the adductor muscle and the gastrocnemius muscle. Results Over the time of treatment, both groups had varying degrees of improvement in the scores of the D and E domains of GMFM-88 and BBS. Compared with the control group, the observation group had significantly greater improvements in D and E functional areas and balance function (P < 0.05). Both groups had reductions in the RMS of the surface electromyogram signals of the adductor muscle and the gastrocnemius muscle over the time of treatment, and the observation group had significantly greater reductions than the control group (P < 0.05). Conclusions Suspension exercise training can effectively improve the motor and balance functions of children with spastic cerebral palsy.
WANG Jun,LANG Yong-Bin,DU Jiang-Hua et al. Effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy[J]. CJCP, 2018, 20(6): 465-469.
WANG Jun,LANG Yong-Bin,DU Jiang-Hua et al. Effect of suspension exercise training on motor and balance functions in children with spastic cerebral palsy[J]. CJCP, 2018, 20(6): 465-469.
Germany L, Ehlinger V, Klapouszczak D, et al. Trends in prevalence and characteristics of post-neonatal cerebral palsy cases:a European registry-based study[J]. Res Dev Disabil, 2013, 34(5):1669-1677.
Bodkin AW, Robinson C, Perales FP. Reliability and validity of the gross motor function classification system for cerebral palsy[J]. Pediatr Phys Ther, 2003, 15(4):247-252.
[8]
龚耀先, 蔡太生.中国韦氏儿童智力量表指导手册[M]. 长沙:湖南医科大学, 1996:6.
[9]
杨玉凤. 儿童发育行为心理评定量表[M]. 北京:人民卫生出版社, 2016:70-72.
[10]
Lee M, Ko Y, Shin MM, et al. The effects of progressive functional training on lower limb muscle architecture and motor function in children with spastic cerebral palsy[J]. J Phys Ther Sci, 2015, 27(5):1581-1584.
[11]
Jantakat C, Ramrit S, Emasithi A, et al. Capacity of adolescents with cerebral palsy on paediatric balance scale and Berg balance scale[J]. Res Dev Disabil, 2014, 36C:72-77.
Wright FY, Rosenbaum P, Fehlings D, et al. The Quality Function Measure:reliability and discriminant validity of a new measure of quality of gross motor movement in ambulatory children with cerebral palsy[J]. Dev Med Child Neurol, 2014, 56(8):770-778.
Karabicak GO, Balci NC, Gulsen M, et al. The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy[J]. J Phys Ther Sci, 2016, 28(6):1696-1700.
Kim JH, Kim YE, Bae SH, et al. The effect of the neurac sling exercise on postural balance adjustment and muscular response patterns in chronic low back pain patients[J]. J Phys Ther Sci, 2013, 25(8):1015-1019.
Feltham MG, Ledebt A, Deconinck FJ, et al. Assessment of neuromuscular activation of the upper limbs in children with spastic hemiparetic cerebral palsy during a dynamical task[J]. J Electromyogr Kinesiol, 2010, 20(3):448-456.