Effects of task-oriented activities based on neurodevelopmental therapy principles on trunk control, balance, and gross motor function in children with spastic diplegic cerebral palsy: A single-blinded randomized clinical trial

Sah, Ajaya K; Balaji, G; Agrahara, Sahana

doi:10.4103/jpn.jpn_35_19

Cited by 25 publications

(26 citation statements)

References 27 publications

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“…In addition, the results of this study are consistent with clinical interventions reporting that a trunk protocol focused on dynamic co-activation of trunk flexors and extensors (based on neurodevelopmental therapy) improved gross motor function in children with spastic cerebral palsy [26][27][28]. Similarly, the same study results were reported in adult stroke patients [49].…”

Section: Discussionsupporting

confidence: 89%

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Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

2021

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Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

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Section: Discussionsupporting

confidence: 89%

“…However, in recent clinical trials, it has been reported that trunk control intervention based on neurodevelopmental treatment improves postural control, balance, and gross motor functions in children with CP more effectively than conventional treatments [ 26 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

2021

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“…Trunk instability is evident in spastic diplegic CP observed by oscillations in the center of pressure, altering the balance and further delaying gross motor function. The delay in gross motor function and altered balance lead to difficulty in performing activities of daily living and poor walking abilities 13 .…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of trunk impairment scale in children with spastic diplegia

Dasoju

Kovela

Tedla

et al. 2021

Sci Rep

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The Trunk Impairment Scale (TIS) is a valid and reliable tool to assess trunk impairment in children with heterogeneous cerebral palsy. The purpose of this study was to determine the reliability and validity of the TIS in assessing children with spastic diplegic cerebral palsy. The sample was a total of 30 subjects (15 = boys, 15 = girls). All subjects underwent an assessment of the sitting component of the Gross Motor Function Measure-88 and TIS by rater 1. Rater one observed video recordings within 24 h and scored TIS for intra-rater reliability, while rater two did likewise after 48 h for inter-rater reliability. The mean and standard deviation of the TIS and sitting components of the Gross Motor Function Measure-88 were 15.66 ± 4.20 and 52.36 ± 6.26, respectively. We established intra-rater and inter-rater reliability of the TIS with Intra Class Correlation Coefficient 0.991 and 0.972, respectively. The concurrent validity of the TIS with the sitting component of the Gross Motor Function Measure-88 was good, with an r-value of 0.844 (p < 0.001). This study showed the excellent intra-rater and inter-rater reliability and high concurrent validity of the TIS in assessing children with spastic diplegic cerebral palsy.

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“…The pooled ES of the three studies investigating the effectiveness of facilitation on activity level, using the GMFM as an outcome, was large but not significant (ES = 3.78, 95% CI [− 6.73-14.28]), as shown in the forest plot, Fig. 4a (Kerem & Livanelioglu, 2002;Sah et al, 2019;Tsorlakis et al, 2004). The pooled ES of the studies reporting outcomes with the PEDI for participation (Blauw-Hospers et al, 2011;Cameron et al, 2005) was medium (ES = 0.26, 95% CI − 1.32 to 1.84; Fig.…”

Section: Facilitation Of Activities and Movementsmentioning

confidence: 97%

Effectiveness of Facilitation, Arrangement of Task and Situation, (Non-)verbal Communication, and Counseling of Caregivers in Children with Neuromotor Disorders: a Systematic Review

Marsico

Graser

Hedel

2021

Adv Neurodev Disord

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Objectives The techniques facilitation of activities, arrangement of task or situation, verbal and non-verbal communication, and counseling and empowerment of parents and caregivers are applied in different therapy approaches to improve motor function in children with neuromotor disorders. This review quantitatively examines the effectiveness of these four techniques allocated to pre-defined age groups and levels of disability. Methods We followed the systematic review methodology proposed by the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM). The search was conducted on PubMed, Scopus, EMBASE, PEDro, OT Seeker, ERIC, and CINAHL. The main outcomes of the included articles were allocated to the framework of the International Classification of Functioning, Disability, and Health (body functions, activities, and participation). Results The search yielded eleven studies for facilitation, 22 for arrangement of task or situation, three for verbal and non-verbal communication, and three studies for counseling and empowerment. The effect sizes indicated strong evidence for body function and activity outcomes for the use of facilitation in newborns until the age of 2 years and the arrangement of tasks in children between 2 and 5 years with cerebral palsy. Conclusions Thus, while some evidence exist for facilitation and arrangement of task or situation, further research is needed on the effectiveness of verbal and non-verbal communication and counseling and empowerment of parents and caregivers to improve motor function, activities, and participation. Systematic review registration. PROSPERO CRD42017048583.

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Effects of task-oriented activities based on neurodevelopmental therapy principles on trunk control, balance, and gross motor function in children with spastic diplegic cerebral palsy: A single-blinded randomized clinical trial

Cited by 25 publications

References 27 publications

Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Psychometric properties of trunk impairment scale in children with spastic diplegia

Effectiveness of Facilitation, Arrangement of Task and Situation, (Non-)verbal Communication, and Counseling of Caregivers in Children with Neuromotor Disorders: a Systematic Review

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