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KMID : 1034620200100010060
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Korean Journal of Neuromuscular Rehabilitation
2020 Volume.10 No. 1 p.60 ~ p.67
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Effects of Problem-based Balance Exercise Program on Functional Performance in Ataxic Cerebral Palsy: A Case Report
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Yoo Sung-Ho
Oh Duck-Won
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Abstract
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The purpose of this study was to identify the effects of a problem-based balance exercise program on functional performance in ataxic cerebral palsy. A subject was 15 years old male with cerebellar ataxic cerebral palsy caused by brain tumor. To assess changes in function, gross Motor function measure (GMFM), timed up and go test (TUG), Korean version of the scale for the assessment and rating of ataxia (K-SARA), dynamic gait index (DGI). His own problems were identified from th use of Pediatric Balance Scale. A problem- based balance exercise program consisted of four tasks: (1) standing with feet together, (2) standing with one foot in front, (3) retrieving object from floor, and (4) placing alternate foot on stool. A subject performed this exercise program for average 30-min per day, three days weekly for four weeks (a total of 12 sessions). Values of the GMFM. TUG, K-SARA, and DGI appeared to be noticeably improved after the intervention. These findings indicate that problem-based balance exercise program might be helpful to improve balance function of children with cerebellar ataxia. The problem-based balance exercise based on performance was clinically feasible to facilitate a recovery of the balance and motor function of cerebellar ataxia children with cerebral palsy. Further studies need in this field.
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KEYWORD
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Ataxia, Balance, Cerebral palsy, Problem-based balance exercise
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