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KMID : 1211620190140040071
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Journal of the Korean Society of Physical Medicine
2019 Volume.14 No. 4 p.71 ~ p.80
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Changes in Body Function, Activity and Participation Following Task-oriented Training in Children with Cerebral Palsy
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Yang Hye-Yun
Kang Soon-Hee
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Abstract
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PURPOSE: This study examined whether a task-oriented training program is an effective intervention to improve the body function, activity, and participation of children with cerebral palsy (CP).
METHODS: Ten children with CP (7-13 years old) performed a task-oriented training program for eight weeks (three sessions per week, 30 minutes each). The task- oriented training program consisted of eight activities. The subjects’ body function was assessed using a handheld dynamometer, goniometer, Modified Ashworth Scale (MAS), Balance Performance Monitor (BPM), and the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). The subjects’ activity and participation were assessed using the Gross Motor Function Measure (GMFM) and Timed Up and Go (TUG) test.
RESULTS: Task-oriented training provided significant improvements in the subjects’ body function. The subjects improved the bilateral isometric muscle strength of the hip flexors, extensors and abductors, knee flexors and extensors, and ankle dorsi- and plantar flexors (p<.05). Bilateral passive hip flexion, abduction, and external rotation, knee flexion, and ankle dorsi- and plantar flexion were also increased (p<.05). In addition, the MAS score of the hip adductors decreased (p<.05) and the BOTMP score increased after training (p<.05). The subjects’ activity and participation also improved significantly after training, increasing the GMFM score (p<.05) and decreasing the TUG score (p<.05). On the other hand, the BPM score did not change after training.
CONCLUSION: This study suggests that a task-oriented training program can be an effective intervention to improve the body function, activity, and participation for children with CP.
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KEYWORD
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Cerebral palsy, Human activity, Social participation, Task-oriented training
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