The effects of a `home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury

Katz‐Leurer, Michal; Rotem, Hemda; Keren, Ofer; Meyer, Shirley

doi:10.1177/0269215509335293

Cited by 100 publications

(105 citation statements)

References 39 publications

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“…Provision of an intervention consisting of task -oriented training to these children improved their balance and walking ability (Peungsuwan et al, 2017). A previous study on the application of a motor program consisting of task-oriented training to children with cerebral palsy also confirmed the effectiveness of task-oriented training in enhancing both motor function and balance abilities (Katz-Leurer et al, 2009). …”

Section: ⅳ Discussionmentioning

confidence: 73%

The Effect of Task-oriented Training on Mobility Function, Postural Stability in Children with Cerebral Palsy

Kim

Choi

2017

KSPM

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| Abstract |1 )PURPOSE: The purpose of this study is to examine how task-oriented training focused on lower extremity strengthening can affect mobility function and postural stability. METHODS:The study's subjects included 10 children with cerebral palsy: 7 girls and 3 boys between the ages of 4 and 9 whose Gross Motor Functional Classification System (GMFCS) level was I or II. Their functional mobility was gauged using the Gross Motor Function Measurement (GMFM), and their postural stability was evaluated using a force platform. Participants received task-oriented training focused on lower extremity strengthening for 5 weeks. The study used a paired t-test to investigate the difference in mobility function and postural stability of children with cerebral palsy before and after the lower extremity strengthening exercise. RESULTS:The GMFM dimensions D (standing) (p<.02) and E (walking) (p<.001) improved significantly between the pre-test and post-test. A significant increase in the posturographic center of pressure (CoP) shift and surface area of the † Corresponding Author : choiye00@naver.com This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.CoP were found overall between the pre-test and post-test (p<.001). CONCLUSION:The present study provides evidence that an 8-week task-oriented training focused on strengthening the lower extremities is an effective and feasible strategy for improving the mobility function and postural stability of children with cerebral palsy.

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Section: ⅳ Discussionmentioning

confidence: 73%

The Effect of Task-oriented Training on Mobility Function, Postural Stability in Children with Cerebral Palsy

Kim

Choi

2017

KSPM

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“…18 Another indication for a possible direct association between lower-extremity strength and muscle weakness is that strengthrelated exercises (e.g., sit-to-stand exercises, step-up exercises, and circuit training) in TBI patients have been shown to induce improvements in walking speed and functional tasks requiring balance control. 47 Considering the results of the current study, strengthening of the leg muscles, with special focus on the weaker/ hemiparetic side, may be an efficient way to improve/treat balance and gait control in TBI patients. Further, the present results suggest that strength measurements can be used to assess the risk of instability and quantify laterality of TBI-related impairment.…”

Section: Altered Gait In Traumatic Brain Injury Patientsmentioning

confidence: 85%

Associations between Muscle Strength Asymmetry and Impairments in Gait and Posture in Young Brain-Injured Patients

Drijkoningen

Caeyenberghs

Linden³

et al. 2015

Journal of Neurotrauma

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Traumatic brain injury (TBI) can lead to deficits in gait and posture, which are often asymmetric. A possible factor mediating these deficits may be asymmetry in strength of the leg muscles. However, muscle strength in the lower extremities has rarely been investigated in (young) TBI patients. Here, we investigated associations between lower-extremity muscle weakness, strength asymmetry, and impairments in gait and posture in young TBI patients. A group of young patients with moderate-to-severe TBI (n=19; age, 14 years 11 months ±2 years) and a group of typically developing subjects (n=31; age, 14 years 1 month±3 years) participated in this study. A force platform was used to measure postural sway to quantify balance control during normal standing and during conditions of compromised visual and/or somatosensory feedback. Spatiotemporal gait parameters were assessed during comfortable and fast-speed walking, using an electronic walkway. Muscle strength in four lower-extremity muscle groups was measured bilaterally using a handheld dynamometer. Findings revealed that TBI patients had poorer postural balance scores across all sensory conditions, as compared to typically developing subjects. During comfortable and fast gait, TBI patients demonstrated a lower gait velocity, longer double-support phase, and increased step-length asymmetry. Further, TBI patients had a reduced strength of leg muscles and an increased strength asymmetry. Correlation analyses revealed that asymmetry in muscle strength was predictive of a poorer balance control and a more variable and asymmetric gait. To the best of our knowledge, this is the first study to measure strength asymmetry in leg muscles of a sample of TBI patients and illustrate the importance of muscular asymmetry as a potential marker and possible risk factor of impairments in control of posture and gait.

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“…Aerobic physical activity, walk or light run, associated with muscular strengthening in three hours a week for twelve weeks improves cardiovascular conditioning both when performed under supervision and when oriented at home. Aerobic exercise with muscular strengthening performed in therapeutic pool also results in the same benefits [13][14][15] (A,B).…”

Section: Recommendationmentioning

confidence: 99%

Traumatic brain injury: rehabilitation

Almeida¹,

Falkenburg²,

Nascimento³

et al. 2012

Acta Fisiátrica

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The effects of a `home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury

Abstract: A home-based task-oriented exercise programme can improve balance performance in children with spastic cerebral palsy or severe traumatic brain injury.

Cited by 100 publications

References 39 publications

The Effect of Task-oriented Training on Mobility Function, Postural Stability in Children with Cerebral Palsy

The Effect of Task-oriented Training on Mobility Function, Postural Stability in Children with Cerebral Palsy

Associations between Muscle Strength Asymmetry and Impairments in Gait and Posture in Young Brain-Injured Patients

Traumatic brain injury: rehabilitation

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