Effects of Task-oriented Approach on Affected Arm Function in Children with          Spastic Hemiplegia Due to Cerebral Palsy

Song, Chiang-Soon

doi:10.1589/jpts.26.797

Cited by 22 publications

(16 citation statements)

References 14 publications

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“…The task-oriented approach used in the present study includes problem solving and functional tasks 7 ) . A number of recent studies have demonstrated the effects of task-oriented approaches 8 , 9 , 10 ) . However, only a few studies have applied a step-by-step task training program composed of ADL that the patient wants to accomplish.…”

Section: Introductionmentioning

confidence: 99%

The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke

Choi

Soonhee

2015

J Phys Ther Sci

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[Purpose] This study aimed to determine whether a task-oriented training program improved balance, activities of daily living (ADL) performance, and self-efficacy in stroke patients. Twenty patients with stroke were recruited from a hospital in Cheongju, Korea. [Subjects] Ten of the subjects were assigned to an experimental group that participated in the task-oriented training program, and the other 10 were assigned to a control group that received traditional rehabilitation therapy. [Methods] In the two groups, balance was measured with the Berg Balance Scale (BBS), ADL performance with the Modified Barthel Index (MBI), and self-efficacy with the Self-Efficacy Scale (SES), before and after 4 weeks of training. [Results] Comparative analysis of the experimental group’s pretest and post-test results showed statistically significant differences in the BBS, MBI, and SES scores. There were also significant between-group differences in the BBS, MBI, and SES scores. [Conclusion] The results suggest that a task-oriented training program can be an effective intervention to improve balance ability, ADL performance, and self-efficacy in stroke patients.

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Section: Introductionmentioning

confidence: 99%

The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke

Choi

Soonhee

2015

J Phys Ther Sci

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“…Children suffering from spastic hemiplegia generally experience various motor and sensory impairments, such as muscle weakness, spasticity, abnormal movements, and sensory dysfunctions, and approximately 50% show greater disability in the upper extremities than the lower ones. Dysfunctions in the upper extremity result in these patients being dependent on others to perform daily activities and leads to a lack of successful social integration (34, 35). The effect of HAL-SJ seen in this study may also apply to hemiplegia CP and may be useful to improve their ADL.…”

Section: Discussionmentioning

confidence: 99%

Voluntary Elbow Extension-Flexion Using Single Joint Hybrid Assistive Limb (HAL) for Patients of Spastic Cerebral Palsy: Two Cases Report

et al. 2019

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Cerebral palsy (CP) patients with spastic diplegia struggle to perform activities of daily life (ADL) using their upper arms. The single-joint-type Hybrid Assistive limb (HAL) for upper limbs is a new portable robot that can provide elbow motion support in accordance with bioelectric activation of patient's biceps and triceps brachii muscles. The purpose of this study is to assess the feasibility and efficacy of the use of HAL for CP patients. Two patients were enrolled in this study. (Case 1: a 19-years-old male, at the Gross Motor Function Classification System (GMFCS) level IV, Case 2: a 17-years-old male at GMFCS level III). Both these patients experienced difficulty in voluntary elbow extension in ADLs. The HAL intervention (eight sessions; voluntary extension-flexion training of the elbow with HAL and clinical evaluation) was conducted for both sides in Case 1 and for the right side in Case 2. Clinical assessments were conducted as follows: Surface electromyography was used to evaluate the muscle activities of the biceps, triceps brachii, trapezius, and pectoralis major during elbow extension-flexion. The voluntary extension-flexion angles of the elbow, the coactivation index of the biceps and triceps brachii muscles, synergy analysis, and the Action Research Arm Test (ARAT) scores were assessed before and after the HAL sessions; the FIM score was evaluated before and after the entire intervention. In Case 1, the voluntary extension angle tended to increase after the HAL sessions. In both cases, the ARAT scores improved after the sessions. The FIM scores improved after HAL intervention. The voluntary extension-flexion of the elbow using the HAL may be a feasible option for rehabilitation of CP patients.

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“…Moreover, one study demonstrates children with CP who play interactive videogames for 3 weeks show improvements in balance and motor performance 25 ) . Children with CP may have impaired postural balance, which contributes to gait abnormalities 26 , 27 ) . Furthermore, loaded sit-to-stand exercises improve basic motor abilities, functional muscle strength, and walking efficiency 28 , 29 , 30 ) .…”

Section: Discussionmentioning

confidence: 99%

Effects of interactive games on motor performance in children with spastic cerebral palsy

AlSaif

Alsenany

2015

J Phys Ther Sci

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[Purpose] Motor control and muscle strength impairments are the prime reasons for motor behavior disorders in children with spastic cerebral palsy. These impairments lead to histological changes in muscle growth and the learning of motor skills. Therefore, such children experience reduced muscle force generation and decreased muscle flexibility. We investigated the effect of training with Nintendo Wii Fit games on motor performance in children with spastic cerebral palsy. [Subjects and Methods] Forty children with cerebral palsy spastic diplegia aged 6–10 years diagnosed with level-3 functional capabilities according to the Gross Motor Classification System (GMFCS) were enrolled. Participants were divided randomly into equal groups: group (A) that practiced with the Nintendo Wii Fit game for at least 20 minutes/day for 12 weeks and group (B) that underwent no training (control group). The Movement Assessment Battery for Children-2 (mABC-2) was used to assess motor performance, because it mainly involves motor tasks very similar to those involved in playing Nintendo Wii Fit games, e.g., goal-directed arm movements, balancing, and jumping. [Results] There were significant improvements in the subscales of the motor performance test of those who practiced with the Nintendo Wii, while the control group showed no significant changes. [Conclusion] Using motion interactive games in home rehabilitation is feasible for children with cerebral palsy.

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Effects of Task-oriented Approach on Affected Arm Function in Children with Spastic Hemiplegia Due to Cerebral Palsy

Cited by 22 publications

References 14 publications

The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke

The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke

Voluntary Elbow Extension-Flexion Using Single Joint Hybrid Assistive Limb (HAL) for Patients of Spastic Cerebral Palsy: Two Cases Report

Effects of interactive games on motor performance in children with spastic cerebral palsy

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