The Vojta approach changes thicknesses of abdominal muscles and gait in children with spastic cerebral palsy: A randomized controlled trial,pilot study

Abstract

BACKGROUND:

Children with cerebral palsy (CP) have abnormal postures and gait patterns. Many physiotherapists use the Vojta approach as intervention for children with CP. However, its effects remain unclear.

OBJECTIVE:

This study aimed to investigate the effect of the Vojta approach on abdominal muscles and gait in children with spastic CP.

METHODS:

Thirteen children with spastic CP were randomly assigned to a general exercise and a Vojta approach group. The interventions were administered in 30 min sessions, 3 times a week for a total of 6 weeks. We used ultrasonography to measure the thicknesses of the abdominal muscles. The gait and foot pressure were measured by GAITRite.

RESULTS:

The Vojta approach group showed significant difference in the thicknesses of the rectus abdominis, and external oblique abdominal muscles, which are involved in trunk stability ( $p<$ 0.05). There were significant differences in the step width, functional ambulation profile, swing time, stance time, and single support % of cycle as well as foot pressure distribution ( $p<$ 0.05).

CONCLUSION:

The Vojta approach may be considered as an effective treatment method for improving trunk stability and gait functions of children with spastic CP.