Sage Journals: Discover world-class research

Abstract

BACKGROUND AND OBJECTIVE:

The aim of this study was to show the effects of an 8-week Neurodevelopmental Treatment based posture and balance training on postural control and balance in diparetic and hemiparetic Cerebral Palsied children (CPC).

METHODS:

Fifteen CPC (aged 5–15 yrs) were recruited from Denizli Yağmur Çocukları Rehabilitation Centre. Gross Motor Function Classification System, Gross Motor Function Measure, 1-Min Walking Test, Modified Timed Up and Go Test, Paediatric Balance Scale, Functional Independence Measure for Children and Seated Postural Control Measure were used for assessment before and after treatment. An 8-week NDT based posture and balance training was applied to the CPC in one session (60-min) 2 days in a week.

RESULTS:

After the treatment program, all participants showed statistically significant improvements in terms of gross motor function ( $p<$ 0.05). They also showed statistically significant improvements about balance abilities and independence in terms of daily living activities ( $p<$ 0.05). Seated Postural Control Measure scores increased after the treatment program ( $p<$ 0.05).

CONCLUSIONS:

The results of this study indicate that an 8-week Neurodevelopmental Treatment based posture and balance training is an effective approach in order to improve functional motor level and functional independency by improving postural control and balance in diparetic and hemiparetic CPC.

Keywords

Cerebral palsy postural control balance Bobath Concept

Get full access to this article

View all access options for this article.

References

Cavlak

and Kavlak

. Analysing of Ankle-Foot Deformities in Cerebral Palsied Children: A Retrospective Study. J Med Sci 2005; 5(1): 55-60.

Kerem Günel

and Livanelioğlu

. Serebral palside fizyoterapi, Yeni Özbek Matbaası; 2009.

Bly

. What is the role of sensation in motor leraning? What is the role of feedback and feedforward? NDTA Netw 1996; 1-7.

Palisano

Rosenbaum

Bartlett

and Livingston

. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol 2008; 50(10): 744-50.

Salavati

Krijnen

Rameckers

EAA

Looijestijn

Maathuis

CGB

van der Schans

and Steenbergen

. Reliability of the modified Gross Motor Function Measure-88 (GMFM-88) for children with both Spastic Cerebral Palsy and Cerebral Visual Impairment. Res Dev Disabil 2015; 45: 32-48.

Wong

Chan

and Wong

. Functional Independence Measure (WeeFIM) for Chinese Children: Hong Kong Cohort. Pediatrics 2002; 109(2): 102-108.

McDowell

Humphreys

Kerr

and Stevenson

. Test – retest reliability of a 1-min walk test in children with bilateral spastic cerebral palsy (BSCP). Gait Posture 2008; 29: 267-69.

Dhote

Khatri

and Ganvir

. Reliability of “Modified timed up and go” test in children with cerebral palsy. J Pediatr Neurosci 2012; 7(2): 96-100.

Franjoine

Gunther

and Taylor

. Paediatric Balance Scale: A Modified Version of the Berg Balance Scale for the School-Age Children with Mild to Moderate Motor Impairment. PED-PT 2003; 15(2): 114-28.

10.

Field

and Roxborough

. Responsiveness of the Seated Postural Control Measure and the Level of Sitting Scale in children with neuromotor disorders. Disabil Rehabil Assist Technol 2011; 6(6): 473-82.

11.

Wollacott

and Shumway-Cook

. Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance? Neural Plast 2005; 12: 211-219.

12.

Campbell

. The child’s development of functional movement. Physical Therapy for Children 3rd ed 2006; 33-76.

13.

Van der Heide

and Hadders-Algra

. Postural muscle dyscoordination in children with cerebral palsy. Neural Plast 2005; 12: 197-203.

14.

Hadders-Algra

van der Fits

Stremmelaar

and Touwen

. Development of postural adjustments during reaching in infants with CP. Dev Med Child Neurol 1999; 41: 766-776.

15.

Trahan

and Malouin

. Changes in the gross motor function measure in children with different types of cerebral palsy: an eight-month follow-up study. Paediatric Physical Therapy 1999; 2: 12-17.

16.

Bower

and McLellan

. Assessing motor-skill acquisition in four centres for the treatment of children with cerebral palsy. Dev Med Child Neurol 1994; 36: 902-909.

17.

Harbourne

Willett

and Kyvelidou

. A comparison of interventions for children with cerebral palsy to improve sitting postural control. Physical Therapy 2010; 90: 1881-1898.

18.

Ketelaar

and Vermeer

. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Physical Therapy 2001; 81: 1534-1545.

19.

Jonsdottir

and Fetters

. Effects of physical therapy on postural control in children with cerebral palsy. Paediatric Physical Therapy 1997; 9: 68-75.

20.

Kluzik

Fetters

and Coryell

. Quantification of control: a preliminary study of effects of neurodevelopmental treatment on reaching in children with spastic cerebral palsy. Physical Therapy 1990; 70: 65-78.

21.

Butler

and Darrah

. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: An AACPDM evidence report. Dev Med Child Neurol 2001; 43: 778-790.

22.

Carlsen

. Comparison of two occupational therapy approaches for treating the young cerebral-palsied child. Am J Occup Ther 1975; 29: 267-272.

Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children