https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2017.250

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 5; Issue 6 (December 2017)

Page No.: 2566-2571

DOI: https://dx.doi.org/10.16965/ijpr.2017.250

EFFICACY OF SPECIALIZED TRUNK TRAINING PROGRAM IN IMPROVING THORAX CIRCUMFERENCE AND FUNCTIONAL REACHING SKILL IN QUADRIPARESIS CEREBRAL PALSIED CHILDREN

Ahmed M. Azam.                                                                                                   

Department of physiotherapy for developmental disturbance and pediatric surgery, Faculty of physical therapy, Cairo University, Giza, Egypt.

Address for Correspondence:  Prof. Dr. Ahmed M. Azam, Department of physiotherapy for developmental disturbance and pediatric surgery, Faculty of physical therapy, Cairo University, Giza, Egypt.  E-Mail: prof.ahmedazzam@yahoo.com

ABSTRACT

Objectives: This work was carried out to investigate the efficacy of specialized trunk training program in improving thorax circumference and functional reaching skill in quadriparesis cerebral palsied children.
Method: Thirty children were enrolled in this study and randomly assigned into two groups; group A (specialized trunk training program plus physiotherapy program), and group B (physiotherapy program only). Functional Reach (FR) Test and thorax circumference were the measurment tools.
Results: The mean difference between pre and post-treatment results was significant in both groups in favor of the study group (p=0.0001)in both functional reach and thorax circumference variables.
Conclusion: According to the results of this study, it can be concluded that the combined effect of physiotherapy training program in addition to specialized trunk training program can be recommended in improvement functional reaching skill and thorax circumference in quadriparesis cerebral palsied children.

Key word: Trunk training,  Thorax circumference, Functional reaching skill, Cerebral palsy.

REFERENCES

  1. Sparacio, J., The Effects of Seating on Respiratory Function. Seventeenth International Seating Symposium. February 2001;22-24.
  2. Stamer M., 2000. Posture and movement of the child with cerebral palsy. Congenital hemiplegia,1st Edition, Therapy Skill Builder,(pp9-16).
  3. Rochester, D., Respiratory effects of respiratory muscle weakness and atrophy. Am. Rev. Respir Dis. 1986;134:1083-1086.
  4. Detrokr, A., Kelly, S., Macklem, P., et al mechanics of intercostal muscles. J Clin Invest. 1985; 75:85-857.
  5. Duncan, PW., Weiner, DK., Chandler, J., Studenski, S.,. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):192–197.
  6. Murat, E., Barın, S., Ramazan,G., Aydan, K., Müfit, A.,. Decreased chest mobility in children with spastic cerebral palsy The Turkish Journal of Pediatrics. 2006;48:344-350.
  7. Wiley, ME., Damiano, DL.,. Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol, 1998;40:100–107.
  8. Scholtes, VA., Becher, JG., Janssen, YJ., et al. Effectiveness of functional progressive resistance exercise training on walking ability in children with cerebral palsy: a randomized controlled trial. Res Dev Disabil, 2012;33:181–188.
  9. Benditt, JO., Management of pulmonary complications in neuromuscular disease. Phys Med Rehabil Clin North Am. 1998;9:167–185.
  10. Redstone, F., The effects of seating position on the respiratory patterns of preschoolers with cerebral palsy. Int J Rehabil Res. 2004;27:283–288.
  11. Detroyer, A., Deisser, P.,. The effects of intermittent positive pressure breathing in patients with respiratory muscle weakness. Am Rev Respir Dis. 1981;124:132–137.
  12. Bach, JR., Bianchi, C.,. Prevention of pectus excavatum for children with spinal muscular atrophy type 1. Am J Phys Med Rehabil. 2003;82:815–819.
  13. Mccool, FD., Tzelepis, GE.,. Inspiratory muscle training in the patient with a neuromuscular disease. Phys Ther. 1995;75:1006-1014.
  14. Lardner, R., Frank, C., and Page, p.,(2010). Assessment and treatment of muscle imbalance. the Janda approach(1995) pp:37
  15. Beverly, D. Progressive casting and splinting for lower extremity deformities in children with neuromotor dysfunction, 1st ed. USA: Therapy Skill Builders, (1990)
  16. Hoffinger, et al. Pediatr Orthop. 1993;13(6):722-726.
  17. Neumann, D. A.. Kinesiology of the hip: a focus on muscular actions. Journal of orthopedic & sports physical therapy 2010;40(2):82-s.
  18. Neumann, DA.,. Kinesiology of the musculoskeletal system. Foundations for physical rehabilitation, 2nd ed. USA: Mosby. 2011.
  19. Hans, M. Management of the hemiplegic upper limb 1990;1399-3054.
  20. Veeger, HE., Vanderhelm, FC.,. Shoulder function: the perfect compromise between mobility and stability. J Biomech. 2007;40(10):2119-29.

Cite this article: Ahmed M. Azam. EFFICACY OF SPECIALIZED TRUNK TRAINING PROGRAM IN IMPROVING THORAX CIRCUMFERENCE AND FUNCTIONAL REACHING SKILL IN QUADRIPARESIS CEREBRAL PALSIED CHILDREN. Int J Physiother Res 2017;5(6):2566-2571. DOI: 10.16965/ijpr.2017.250
Post Views: 0