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Changes in Body Function, Activity and Participation Following Task-oriented Training in Children with Cerebral Palsy
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¾çÇýÀ± ( Yang Hye-Yun )
Çѱ¹±³Åë´ëÇб³ ¹°¸®Ä¡·áÇаú
°¼øÈñ ( Kang Soon-Hee )
Çѱ¹±³Åë´ëÇб³ ¹°¸®Ä¡·áÇаú
Abstract
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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Cerebral palsy; Human activity; Social participation; Task-oriented training
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