[논문]The Effect of Functional Training Using a Sliding Rehabilitation Machine on the Mobility of the Ankle Joint and Balance in Children with CP

Park, Joo-Wan; Kim, Won-Bok

doi:10.13066/kspm.2014.9.3.293

The Effect of Functional Training Using a Sliding Rehabilitation Machine on the Mobility of the Ankle Joint and Balance in Children with CP 원문보기

대한물리의학회지 = Journal of the korean society of physical medicine, v.9 no.3, 2014년, pp.293 - 299

Park, Joo-Wan (Department of Physical Therapy, Graduate School, Daegu University) , Kim, Won-Bok (Department of Physical Therapy, Daegu University)

Abstract ▼ AI-Helper

PURPOSE: The purpose of this study was to investigate the effect of functional training using a sliding rehabilitation machine (SRM) on the mobility of the ankle joint and balance in children with cerebral palsy (CP). METHODS: The subjects consisted of 11 children who were diagnosed with spastic CP. They carried out the functional training using the SRM for 30 minutes, three times a week, for 8 weeks. Before and after all of the training sessions, the subjects were tested using the Pediatric Balance Scale (PBS) and Gross Motor Function Measurement (GMFM), range of motion (ROM) in the ankle joint, the pennation angle of the gastrocnemius muscle and the fascicle length of gastrocnemius muscle were measured to determine the mobility of the ankle joint and balance ability. RESULTS: There were significant differences between the pre-test and post-test in the PBS and GMFM. The ROM of the ankle joint was significantly increased after the functional training using the SRM. Moreover, the fascicle length was increased and the pennation angle was decreased after the functional training using the SRM, but the difference was not significant. CONCLUSION: These results suggest that functional training using the SRM may have some effect on the mobility of ankle joint and balance in children with CP. According to the results, this study could present an approach to the rehabilitation or treatment of children with CP.

주제어

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문제 정의

Therefore, evidences on its effectiveness still need to be gathered in relation to children with CP, especially focusing on the ankle joint. Thus, the aim of this study was to investigate the effect of training using the SRM in children with CP. It is hoped that this work will present evidence on an effective method of rehabilitation for this patient population.

제안 방법

All children who participated in this study trained with the SRM for 30 minutes a day, twice a week, for 8 weeks with concurrent conventional Bobath therapy. Every training session was carried out under the supervision of experienced physical therapist to prevent any accidents and to help children carry out the correct exercise with the proper posture.
Informed consent was obtained from children’s patients after all information such as the purpose, method, advantages or inconvenience, risk, and test schedule of the study were presented to them.
Some tests for balance ability, such as the Gross Motor Function Measurement (GMFM) and Pediatric Balance Scale (PBS) were performed at the beginning and the end of this study.
To compare the morphological changes in gastrocnemius muscle measurements of the pennation angle and fascicle length were taken using a sonograph(Accuvix V10, Samsung Medicine, Korea) and the ROM of the ankle joint was also measured to investigate the improvement in mobility of this joint.

대상 데이터

Informed consent was obtained from children’s patients after all information such as the purpose, method, advantages or inconvenience, risk, and test schedule of the study were presented to them. Ultimately, 11 children participated in this study(Table 1).

데이터처리

The paired t-test was used to compare before and after training with the SRM and Wilcoxon’s signed rank test for values not to meet normality were used.

이론/모형

0 for windows was used for statistical analysis. The Shapiro-Wilk test was used for the test of normality. The paired t-test was used to compare before and after training with the SRM and Wilcoxon’s signed rank test for values not to meet normality were used.

성능/효과

In this study, the pennation angle of the gastrocnemius was decreased and the fascicle length of the gastrocnemius was increased, although not statistically significantly, in children with CP after training using the SRM compared to before the training. Barber et al.
The ROM for dorsiflexion of the ankle joint was significantly improved; the mean values of pennation angle and fascicle length were also increased, but the difference was not statistically significant. Table 3 shows the differences between pre- and post-testing in ROM, pennation angle, and fascicle length.

후속연구

These study data suggest that SRM training may increase the ROM of the ankle and balance and can be applied in the treatment of children with CP. Further studies are needed that include greater numbers of participants and more specific methodological procedures to clarify the effects of SRM training on children with CP.
Thus, the aim of this study was to investigate the effect of training using the SRM in children with CP. It is hoped that this work will present evidence on an effective method of rehabilitation for this patient population.

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