The effect of core strength combined with sensory integration training on the walking ability of children with cerebral palsy
Abstract
Objective: To compare the influence of core strength training combined with sensory integration training and routine rehabilitation training on the walking ability of children with cerebral palsy, and to provide a basis for the selection of reasonable rehabilitation training for them. Methods: Thirty children with cerebral palsy aged 7–12 years were randomly divided into an experimental group (15) and a control group (15), with the former conducted for 8 months of core strength training and sensory integration training three times a week, and the latter conducted for the same period of conventional rehabilitation therapy training three times a week. Besides, the research respectively investigates the gross motor function measure (GMFM), parameters of gait, physiological consumption index as well as the balance and postural control of the children in the two groups before and after the training. Results: (1) The scores of GMFM-D and GMFM-E are increased in the experimental and control groups after the intervention, with the former achieving higher scores than the latter (p < 0.01); (2) All parameters of gait improved in both groups after the intervention, the experimental group showing better improvement than the control group in terms of stride length, width, left and right support phases and swing phase(p < 0.05) (3) The physiological consumption index of the experimental group was significantly lower after training (p < 0.05). (4) The COP of the experimental group was remarkably higher than that of the control group after training (p < 0.05). Conclusion: Core strength combined with sensory integration training and conventional rehabilitation training can improve the motor function and walking capacity of children with spastic cerebral palsy, but the former method has a better intervention effect.
References
1. China Society of Rehabilitation Medicine Specialized Committee on Pediatric Rehabilitation, China Disabled Persons Rehabilitation Association Specialized Committee on Pediatric Cerebral Palsy Rehabilitation, China Cerebral Palsy Rehabilitation Guidelines Editorial Committee. Chinese guidelines for rehabilitation of cerebral palsy (2015) Part 1. Chinese Journal of Rehabilitation Medicine.2015, 30(7):747-754.
2. Wu M, Kim J, Gaebler-Spira DJ, et al. Robotic resistance treadmill training improves locomotor function in children with cerebral palsy: a randomized controlled pilot study. Arch Phys Med Rehabil, 2017, 98(11):2126-2133.
3. Damiano DL, Stanley CJ, Alter KE. Task-specific and functional effects of speed-focused elliptical or motor-assisted cycle training in children with bilatera-l cerebral palsy: randomized clinical trial. Neurorehabil Neural Repair, 2017, 31(8):736-745.
4. Jang SH, Lee JH. Impact of sensory integration training on balance among stroke patients: sensory integration training on balance among stroke patients. Open Med (Wars). 2016, 11(1):330-335.
5. Kantor J, Hlaváčková L, Du J, Dvořáková P, Svobodová Z, Karasová K, Kantorová L. The Effects of Ayres Sensory Integration and Related Sensory Based Interventions in Children with Cerebral Palsy: A Scoping Review. Children (Basel). 2022, 9(4):483.
6. Chen Wende (Guidebook for children with learning disability) Sensory Integration Positive Therapy. China Children and Adolescents Publishing House, 1996, 12-13.
7. Li Jianan, Meng Dianhuai. Clinical application of gait analysis. Chinese Journal of Physical Medicine and Rehabilitation, 2006, 28(7):500-503.
8. Kitatani R, Ohata K, Takahashi H, et al. Reduction in energy expenditure duri-ng walking using an automated stride assistance device in healthy young adults. Arch Phys Med Rehabil. 2014, 95(11):2128-2133.
9. Booth ATC, Buizer AI, Meyns P, Oude Lansink ILB, Steenbrink F, van der Krogt MM. The efficacy of functional gait training in children and young adults with cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2018 Sep; 60(9):866-883.
10. Moreau NG, Bodkin AW, Bjornson K, Hobbs A, Soileau M, Lahasky K. Effectiveness of Rehabilitation Interventions to Improve Gait Speed in Children With Cerebral Palsy: Systematic Review and Meta-analysis. Phys Ther. 2016 Dec; 96(12):1938-1954.
11. Burnfield JM, Cesar GM, Buster TW, et al. Walking and fitness improvements in a child with diplegic cerebral palsy following motor-assisted elliptical inter-vention. Pediatr Phys Ther.2018, 30(4):1-7.
12. Lee J, Suk MH, Yoo S, Kwon JY. Physical Activity Energy Expenditure Predicts Quality of Life in Ambulatory School-Age Children with Cerebral Palsy. J Clin Med. 2022, 11(12):3362.
13. Provost B, Dieruf K, Burtner PA, Phillips JP, Bernitsky-Beddingfield A, Sullivan KJ, Bowen CA, Toser L. Endurance and gait in children with cerebral palsy after intensive body weight-supported treadmill training. Pediatr Phys Ther. 2007, 19(1):2-10.
14. Katz-Leurer M, Rotem H, Keren O, Meyer S. 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. Clin Rehabil. 2009, 23(8):714-24.
15. Aurich-Schuler T, Grob F, van Hedel HJA, et al. Can Lokomat therapy w-with children and adolescents be improved? An adaptive clinical pilot trial com-paring Guidance force, Path control, and FreeD .J Neuroeng Rehabil.2017, 14(1):76-89.
16. Ran Maoqun, Xiao Nong, Ren Yongping, et al. Computer-aided three-dimensional gait evaluation of muscle strength and pelvic control in children with cerebral palsy. Chinese Tissue Engineering Research, 2012, 16(39):9279-9282.
17. Wallard L, Dietrich G, Kerlirzin Y, et al. Effect of Robotic-assisted gait rehabilitation on dynamic equilibrium control in the gait of children with cerebral palsy. Gait Posture.2018, 60(1):55-60.
18. Farris RJ, Quintero HA, Murray SA, et al. A Preliminary Assessment of Legged Mobility Provided by a Lower Limb Exoskeleton for Persons with Par-aplegia. IEEE Trans Neural Syst Rehabil Eng. 2014, 22(3): 482-490.
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