Influence of Coactivation Therapy on Stability of Children with Cerebral Palsy
Authors:
A. Kristková Zwingerová 1,4,5; I. Palaščáková Špringrová 2,3; E. Žiaková 1,6
Authors‘ workplace:
Fakulta ošetrovateľstva a zdravotnických odborných štúdií, Slovenská zdravotnická univerzita v Bratislave
1; REHASPRING centrum, s. r. o., Ambulantní zdravotnické zařízení fyzioterapie, akreditované pracoviště MZ ČR
pro postgraduální vzdělávání, Praha Čelákovice
2; ACT centrum, s. r. o., akreditované pracoviště MZ ČR pro postgraduální vzdělávání, Praha Čelákovice
3; Sanatoria Klimkovice, Klimkovice – Hýlov
4; Rehacentrum Adéla Zwingerová, NZZ, Opava
5; Rehabilitačné centrum Harmony n., Bratislava
6
Published in:
Rehabil. fyz. Lék., 24, 2017, No. 3, pp. 143-149.
Category:
Original Papers
Overview
The pilot study examines the influence of the Acral Coactivation Therapy on postural stability of children suffering from cerebral palsy. The children with cerebral palsy have a deficit in postural control, which is a prerequisite for performing common daily life activities. The neurophysiology method Acral Coactivation Therapy is based on a motor learning fixation having its origin in motor development positions and its variants. The motor patterns in the Acral Coactivation Therapies are practiced within common everyday activities in patients’ real conditions.
The aim is to evaluate effect of the Acral Coactivation Therapy on stability of children suffering from cerebral palsy and compare the differences in the resulting values among the trial group A with the intervention methods and the control group B in the parameters center of pressure of reaction force, path circumscribing the path of the center of pressure, load distribution in anterioposterior direction and in the mediolateral direction. A sample of 24 (19 girls and 5 boys) was engaged with the aim to measure stability of the children, of whom 12 (their average age was 10.25 ± 4.6) underwent the Acral coactivation therapy besides the standard spa treatment. 12 patients (their average age was 8.17 ± 3.9) of the control group underwent the standard spa treatments. After finishing the three weeks of therapy of the neuromuscular Acral Coactivation Therapy and comparing the input and output results it appeared that the variability of the output values of the monitored group of children had decreased in comparison with the control group in the parameters center of pressure of the reaction force, path circumscribing the path of the center of pressure and the load distribution in anterioposterior direction. However, any significant changes did not show. The biggest differences between the groups, which evaluated using material significance (Cohen´s d), where found in the average load distribution parameters in the anterioposterior and mediolateral direction.
Keywords:
postural stability, the Acral Coactivation Therapy, movement patterns, acral parts, motor learnin
Sources
1. BURTNER, P. A., WOOLLACOTT, M. H., CRAFT, G. L. et al.: The capacity to adapt to changing balance threats: A comparison of children with cerebral palsy and typically developing children. Dev. Neurorehabil., 10, 2007, 3, s. 249-260.
2. CORRÊA, J. C., CORRÊA, F. I., FRANCO, R. C. et al.: Corporal oscillation during static biped posture in children with cerebral palsy. Electromyogr. Clin. Neurophysiol., 47, 2007, 3, s. 131-136.
3. ČAKRT, O. a kol.: Diagnosticky specifické nálezy při posturografickém vyšetření – dvě kazuistiky. Česk. Slov. Neurol., 75/108,, 2012, 1.
4. DONKER, S. F., LEDEBT, A., ROERDING, M. et al.: Children with cerebral palsy exhibit greater and more regular postural sway than typically developing children. Exp. Brain Res., 184, 2008, 3, s. 363-370.
5. DONKER, S. F., ROERDING, M., GREVEN, A. J. et al.: Regularity of center of pressure trajectories depends on the amount of attention invested in postural control. Exp. Brain. Res., 181, 2007, 1, s. 1-11.
6. DRŠATA, J., VALIŠ, M., LÁNSKÝ, M. a kol.: Přínos statické počítačové posturografie ke skríningovému vyšetření kvantifikace posturální rovnováhy. Cesk. Slov. Neurol. N., 71/104, 2008, 4, s 422-428.
7. DUARTE, M., FREITAS, S. M.: Revision of posturography based on force plate for balance evaluation. Rev. Bras. Fysiother., 14, 2010, 3, 183-192.
8. GRECCO, L. A., TOMITA, S. M., CHRISTOVÃO, T. C. et al.: Effect of treadmill gait training on static and functional balance in children with cerebral palsy: a randomized controlled trial. Braz. J. Phys. Ther., 17. 2013, 1, s. 17-23.
9. FYSIOMED CS, 2016 [online].
10. JANURA, M.: Biomechanika I. 1. vyd., Ostravská univerzita v Ostravě, 2011.
11. JU, Y. H., HWANG, I. S., CHERNG, R. J.: Postural adjustment of children with spastic diplegic cerebral palsy during seated hand reaching in different directions. Arch. Phys. Med. Rehabil., 93, 2012, 3, s. 471-479.
12. KAZON, S., GRECCO, L. A. C., PASINI, H. et al.: Static balance and function in children with cerebral palsy submitted to neuromuscular blosck and neuromuscular electrical stimulation: Study protocol for prospective, randomized, controlled trial. BMC Pediatr., 12, 201212, s. 53.
13. KLOBUCKÁ, S., KOVÁČ, M., ŽIAKOVÁ, E.: Zlepšenie motorických funkcií testovaných GMFM u dvoch pacientov s detskou mozgovou obrnou po absolvovaní roboticky asistovaného lokomočného tréningu. Neurol. Praxi, 12, 2011, 6, s. 435-442.
14. KLOBUCKÁ, S., ŽIAKOVÁ, E., KLOBUCKÁ, R.: Vplyv prostredia virtuálnej reality počas roboticky asistovaného lokomočného tréningu na motorické funkcie paciantov s detskou mozgovou obrnou. Cesk, Slov, Neurol, N., 76/109, 2013, 6, s. 702-711.
15. KOLÁŘ, P. a kol.: Rehabilitace v klinické praxi. 1. vyd., Praha, Galén, 2009. 713 s.
16. KOLÁŘ, P.: Spasticita u dětské mozkové obrny. Rehabil. fyz. Lék., 22, 2015, 3.
17. KOVÁČIKOVÁ, Z., OŘECHOVSKÁ, K., SVOBODA, Z., JANURA, M.: Hodnocení posturální stability pomocí funkčních testů u skupiny transtibiálně amputovaných (Pilotní studie). Rehabil. fyz. Lék., 21, 2014, 2, s. 51 -55.
18. KRÁLÍČEK, P.: Úvod do speciální neurofyzilogie. 3. vyd., Praha, Galén, 2011. 235 s.
19. KWON, Y. H. et al.: Differences in respiratory pressure and pulmonary function among children with spastic diplegic and hemiplegic cerebral palsy in comparison with normal controls. In Journal of PhysicalTtheraphy Science., 27, 2015, 2.
20. KUČERA, M., KOLÁŘ, P., DYLEVSKÝ, I. a kol.: Dítě, sport a zdraví. 1. vyd., Praha, Galén, 2011.
21. KYVELIDOU, A., HARBOURNE, R. T., SHOSTROM, V. K. et al.: Reliability of center of pressure measures for assessing the development of sitting postural control in infants with or at risk of cerebral palsy. Arch. Phys. Med. Rehabil., 91, 2010, 10, s. 1593-1601.
22. LEDEPT, A., BECHER, J., KAPPER, J.: Balance training with visual feedback in children with hemiplegic cerebral palsy: Effect on stance and gait. Motor Kontrol, 9, 2005, 4, s. 459-468.
23. MAREŠOVÁ, E., JOUDOVÁ, P., SEVERA, S.: Dětská mozková obrna. 1. vyd. v elektronické verzi. Praha, Galén, 2011.
24. MĚRKOVÁ, H., NEUMANNOVÁ, K., DVOŘÁK,R.: Vliv Akrální koaktivační terapie na sílu výdechových svalů a rozvíjení hrudníku. Rehabil. fyz. Lék., 22, 2015, č. 2, s. 51-56.
25. MKN - 10, Mezinárodní statistická klasifikace nemocí a přidružených zdravotních problémů, 2016 [online].
26. MORGAN, C., NOVAK, I., DÁLE, R. C. et al.: Optimising motor learning in infants at high risk of cerebral palsy: a pilot study. BMC Pediatr, 2015, 1.
27. OLAMA, K. A., NOUR, E. L., DIN, S. M., IBRAGEM, M. B.: Role of three side support ankle-foot orthosis in improving the balance in children with spastic diplegic cerebral palsy. Egypt J. Med. Hum. Genet., 14, 2012, s. 77-85.
28. PALAŠČÁKOVÁ ŠPRINGROVÁ, I.: Akrální koaktivační. 1. vyd., Čelákovice, Rehaspring, 2011, 142 s.
29. PALAŠČÁKOVÁ ŠPRINGROVÁ, I.: Akrální vzpěrná cvičení pro napřímená záda. 2. vyd., Čelákovice, ACT centrum, s.r.o. 2015.
30. PALAŠČÁKOVÁ ŠPRINGROVÁ, I.: Akrální vzpěrná cvičení pro napřímená záda u kojenců a dětí. 1. vyd., Čelákovice, ACT centrum, s.r.o., 2015.
31. PALISANO, R., ROSNEBAUM, P., WALTER, S. et al.: Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev. Med. Child Neuro1, 39, 1997, 4, s. 214-223.
32. PASTUCHA, D., MALINČÍKOVÁ, J., TICHÁ, R.: Rizika sportovní aktivity v dětském věku. Pediatr. pro praxi, 11, 2010, 4, s. 224-227.
33. Pavlo, S. L., SANTOS, A. N., OLIVEIRA, A. B. et al.: Postural control during sit-to-stand movement and its relationship with upright position in children with hemiplegic spastic cerebral palsy and in typically developing children. Braz. J. Phys. Ther., 19, 2001, 1, s. 18-25.
34. REILLY, D. S., WOLLACOTT, M. H., van DONKELAAR, P. et al.: The interaction between executive attention and postural control in dual – task conditions: children with cerebral palsy. Arch. Phys. Med. Rehabil., 89, 2008, 5, s. 834-842.
35. RHA, D., KIM, D. J., PARK, E. S.: Effect of hinded akle-foot orthoses on standing balance control in children with bilateral spastic cerebral palsy. Jonsei Med. J., 51, 2010, 5, s. 746-752.
36. ROERDINK, M., De HAART, M., DAFFERSTHOFER, A.: Dynamical structure of center of pressure trajectories in patients recovering from stroke. Exp. Brain Res., 174, 2006, 2, s. 256-269.
37. RUCK, J., CHABOT, G., RAUCH, F.: Vibration treatment in cerebral palsy: A randomized controlled pilot study. J. Musculoskelet Neuronal Interac, 10, 2010, 1, s. 77-83.
38. STEHLÍKOVÁ, M. a kol.: Kombinovaný trénink uzavřených a otevřených kinematických řetězců v rehabilitaci na příkladu systému Flowin. Rehabil. fyz. Lék., 20, 2013, č. 4.
39. ŠIŠKOVÁ, D.: Dětská mozková obrna. Reviz. Posud. Lék., 14, 2011, 4.
40. WOOLLACOTT, M. H., SHUMWAY-COOK, A.: Postural dysfunction during standing and walking in children with cerebral palsy: what are the underluing problems and what new therapies might improve balance? Neural. Plast, 12, 2005, 2-3, s. 211-219.
41. WOOLLACOTT, M. H., SHUMWAY-COOK, A., HUTCHINSON, S.: Effect of balance training on muscle activity used in recovery of stability in children with cerebral palsy: a pilot study. Dev. Med. Child Neurol., 47, 2005, 7, s. 455-461.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2017 Issue 3
Most read in this issue
- Examination of the Patellofemoral Joint with Magnetic Resonance and Targeted Physiotherapy Procedures in Treatments of Retropatellar Pain
- Constraint Induced Movement Therapy Patients after Stroke
- The Inpatient Rehabilitation after Lower Limb Amputation, Evaluation by Functional Walk Tests
- Influence of Coactivation Therapy on Stability of Children with Cerebral Palsy