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Bobath terapisinin serebral palside denge üzerindeki etkisi

Year 2018, Volume: 43 Issue: 4, 975 - 981, 29.12.2018
https://doi.org/10.17826/cumj.375565

Abstract

Amaç: Serebral palsili çocuklarda en sık karşılaşılan sorunlardan biri, denge kontrolündeki zayıflıktır. Bu çalışmada, diparetik veya hemiparetik serebral palsili çocuklarda 8 haftalık Bobath terapisinin denge üzerine etkisini araştırmayı amaçladık.

Gereç ve Yöntem: Çalışmaya 5-14 yaşlarında toplam 15 serebral palsi tanılı (8 diparezi, 7 hemiparezi) çocuk dahil edildi. Çocuklar bağımsız olarak veya yürüme yardımcısıyla yürümektedir. Demografik veriler kaydedildi. Motor fonksiyon seviyesini belirlemek için Kaba Motor Fonksiyon Sınıflandırma Sistemi ve Kaba Motor Fonksiyon Ölçümü kullanıldı. Denge yeteneği için 1 Dakika Yürüme Testi, 10 metre yürüme testi ve Pediatrik Denge Ölçeği ve günlük yaşam aktitivitelerindeki bağımsızlığı değerlendirmek için Çocuklar için Fonksiyonel Bağımsızlık Ölçeği (WeeFIM) kullanıldı. Bobath therapisi toplam 8 hafta boyunca, haftada 2 gün ve bir seansı 60 dakika olacak şekilde uygulandı. Tüm değerlendirmeler tedavi öncesi ve tedaviden sonra yapıldı.

Bulgular: 8 haftalık Bobath terapisinden sonra, motor fonksiyonlarda, fonksiyonel bağımsızlık düzeyi ve denge skorlarında istatistiksel olarak anlamlı iyileşmeler olduğu gösterildi.

Sonuç: Serebral palsili çocuklarda Bobath terapisi fonksiyonel motor yeteneği, günlük yaşam aktivitelerinde bağımsızlık düzeyi ve denge yeteneğini geliştirir.


References

  • 1. Kerem Günel M, Livanelioğlu A. Serebral Palside Fizyoterapi. In: Serebral Palsi. Ankara:Yeni Özbek Matbaası; 2009. p19-29.
  • 2. Berger W, Altenmueller E, Dietz V. Normal and impaired development of children’s gait. Hum Neurobiol 1984;3:163–170.
  • 3. Liao HF, Hwang AW. Relations of balance function and gross motor ability for children with cerebral palsy. Percept Mot Skills 2003; 96:1173–1184.
  • 4. Liao HF, Jeng SF, Lai JS, Cheng CK, Hu MH. The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Dev Med Child Neurol 1997;39:106–112.
  • 5. World Confederation for Physical Therapy: Description of Physical Therapy. Declarations of principle and position statements. 14th General Meeting of WCPT. Available from: http://www.wcpt.org/ common/docs/WCPTPolicies.pdf.
  • 6. The Bobath Approach The Bobath Centre. Available from: http:// www.bobath.org.uk/TheBobathApproach.html.
  • 7. Bobath K, Bobath B. The neurodevelopmental treatment. In: Scrutton D, editor. Management of the Motor Disorders of Children with Cerebral Palsy. Oxford: Blackwell Scientific Publications Ltd; 1984.p 6–18.
  • 8. Mayston M, Barber C, Stern G, Bryce J. The Bobath concept – will it stand the test of time? Paper presented at the First World Conference for the Bobath/NDT Concept in Slovenia, June 1997.
  • 9. Mayston M. People with cerebral palsy: effects of and perspectives for therapy. Neural Plasticity 2001a;8:51–69.
  • 10. Mayston, M. The Bobath concept today. Synapse, Spring 2001b:32–34.
  • 11. Mayston M. The Bobath concept – evolution and application. In: Forssberg H, Hirschfeld H, editors. Movement Disorders in Children. Medicine and Sport Science 1992;36: 1–6.
  • 12. Bly L. A historical and current view of the basis of NDT. Pediatric Physical Therapy 1991;3:131–5.
  • 13. Royeen C, DeGangi G. Use of neurodevelopmental treatment as an intervention: annotated listing of studies 1980–1990. Perceptual and Motor Skills 1992;75:175–94.
  • 14. Steinbok P, Reiner A, Beauchamp R, Armstrong R, Cochrane D. A randomized clinical trial to compare selective posterior rhizotomy plus physiotherapy with physiotherapy alone in children with spastic diplegic cerebral palsy. Developmental Medicine & Child Neurology 1997;39:178–84.
  • 15. Yılmaz E. Serebral Palsi olgularının rehabilitasyon sonuçları. İstanbul: İstanbul 70.Yıl Physiacal Therapy and Rehabilitation Research Hospital; 2005. 65p.
  • 16. McDowell BC, Kerr C, Parkes J, Cosgrove A. Validity of a 1 minute walk test for children with cerebral palsy. Dev Med Child Neurol 2005; 47:744–748.
  • 17. Kembhavi G, Darrah J, Magill-Evans J, et al. Using the Berg balance scale to distinguish balance abilities in children with cerebral palsy. Pediatr Phys Ther 2002;14:92–99.
  • 18. Msall ME, Ottenbacher K, Duffy L, Lyon N, Heyer N, Phillips L, Hard BJ, Braun S&Granger C. Reliability and validity of the WeeFIM in children with neurodevelopmental disabilities. Pediatric Research 1996;39:378–378. doi:10.1203/00006450-199604001-02276.
  • 19. Shumway-Cook A,Woollacott M. Motor control: translating research into clinical practice. USA: Lippincott Williams & Wilkins; 2012.
  • 20. Butler C, Darrah J. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: An AACPDM evidence report. Developmental Medicine & Child Neurology 2001; 43: 778–790.
  • 21. Borges MBS, Werneck MJDS, Silva MDLD, Gandolfi L, Pratesi R. Therapeutic effects of a horse riding simulator in children with cerebral palsy. Arq Neuropsiquiatr 2011; 69:799–804.
  • 22. El-Shamy SM, Abd El Kafy EM. Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. Disabil Rehabil 2014;36:1176–83.
  • 23. Trahan J, Malouin F. Changes in the gross motor function measure in children with different types of cerebral palsy: an eight-month follow-up study. Pediatric Physical Therapy 1999;2:12–17.
  • 24. Bower E, McLellan D. Assessing motor-skill acquisition in four centres for the treatment of children with cerebral palsy. Developmental Medicine & Child Neurology 1994;36:902–909.
  • 25. Harbourne R, Willett S, Kyvelidou A. A comparison of interventions for children with cerebral palsy to improve sitting postural control. Physical Therapy 2010;90:1881-1898.
  • 26. Hsue BJ, Miller F, Su FC. The dynamic balance of the children with cerebral palsy and typical developing during gait. Part I: Spatial relationship between COM and COP trajectories. Gait Posture 2009;29:465-470.

Effectiveness of Bobath therapy on balance in cerebral palsy

Year 2018, Volume: 43 Issue: 4, 975 - 981, 29.12.2018
https://doi.org/10.17826/cumj.375565

Abstract

Purpose: Weakness on balance control is one of the most common problems for children with cerebral palsy. Present study aimed to investigate the effectiveness of 8 week-Bobath therapy on balance in children with diparetic or hemiparetic cerebral palsy.

Materials and Methods: A total of 15 cerebral palsy diagnosed children (8 diparesis, 7 hemiparesis) aged 5-14 years, were included in this study. Children could walk independently or by using a walking aid. The demographic data were saved for each case. Gross Motor Function Classification System and Gross Motor Function Measure were used to determine level of motor function. 1 Minute Walking Test, 10-meter Walking Test, Pediatric Balance Scale for balance ability and Functional Independence Measure for children (WeeFIM) for assessing of independence in activities of daily living were used. Bobath therapy were applied to children one 60-minute session, 2 days a week and 8 weeks in total. All evaluations were performed before treatment and repeated after treatment program.

Results: After 8-week Bobath therapy, the results showed that improvement in motor function, level of functional independence and balance scores were statistically significant. 

Conclusion: Bobath therapy improves functional motor ability, independence level on daily living activities, and also balance ability in children with cerebral palsy.


References

  • 1. Kerem Günel M, Livanelioğlu A. Serebral Palside Fizyoterapi. In: Serebral Palsi. Ankara:Yeni Özbek Matbaası; 2009. p19-29.
  • 2. Berger W, Altenmueller E, Dietz V. Normal and impaired development of children’s gait. Hum Neurobiol 1984;3:163–170.
  • 3. Liao HF, Hwang AW. Relations of balance function and gross motor ability for children with cerebral palsy. Percept Mot Skills 2003; 96:1173–1184.
  • 4. Liao HF, Jeng SF, Lai JS, Cheng CK, Hu MH. The relation between standing balance and walking function in children with spastic diplegic cerebral palsy. Dev Med Child Neurol 1997;39:106–112.
  • 5. World Confederation for Physical Therapy: Description of Physical Therapy. Declarations of principle and position statements. 14th General Meeting of WCPT. Available from: http://www.wcpt.org/ common/docs/WCPTPolicies.pdf.
  • 6. The Bobath Approach The Bobath Centre. Available from: http:// www.bobath.org.uk/TheBobathApproach.html.
  • 7. Bobath K, Bobath B. The neurodevelopmental treatment. In: Scrutton D, editor. Management of the Motor Disorders of Children with Cerebral Palsy. Oxford: Blackwell Scientific Publications Ltd; 1984.p 6–18.
  • 8. Mayston M, Barber C, Stern G, Bryce J. The Bobath concept – will it stand the test of time? Paper presented at the First World Conference for the Bobath/NDT Concept in Slovenia, June 1997.
  • 9. Mayston M. People with cerebral palsy: effects of and perspectives for therapy. Neural Plasticity 2001a;8:51–69.
  • 10. Mayston, M. The Bobath concept today. Synapse, Spring 2001b:32–34.
  • 11. Mayston M. The Bobath concept – evolution and application. In: Forssberg H, Hirschfeld H, editors. Movement Disorders in Children. Medicine and Sport Science 1992;36: 1–6.
  • 12. Bly L. A historical and current view of the basis of NDT. Pediatric Physical Therapy 1991;3:131–5.
  • 13. Royeen C, DeGangi G. Use of neurodevelopmental treatment as an intervention: annotated listing of studies 1980–1990. Perceptual and Motor Skills 1992;75:175–94.
  • 14. Steinbok P, Reiner A, Beauchamp R, Armstrong R, Cochrane D. A randomized clinical trial to compare selective posterior rhizotomy plus physiotherapy with physiotherapy alone in children with spastic diplegic cerebral palsy. Developmental Medicine & Child Neurology 1997;39:178–84.
  • 15. Yılmaz E. Serebral Palsi olgularının rehabilitasyon sonuçları. İstanbul: İstanbul 70.Yıl Physiacal Therapy and Rehabilitation Research Hospital; 2005. 65p.
  • 16. McDowell BC, Kerr C, Parkes J, Cosgrove A. Validity of a 1 minute walk test for children with cerebral palsy. Dev Med Child Neurol 2005; 47:744–748.
  • 17. Kembhavi G, Darrah J, Magill-Evans J, et al. Using the Berg balance scale to distinguish balance abilities in children with cerebral palsy. Pediatr Phys Ther 2002;14:92–99.
  • 18. Msall ME, Ottenbacher K, Duffy L, Lyon N, Heyer N, Phillips L, Hard BJ, Braun S&Granger C. Reliability and validity of the WeeFIM in children with neurodevelopmental disabilities. Pediatric Research 1996;39:378–378. doi:10.1203/00006450-199604001-02276.
  • 19. Shumway-Cook A,Woollacott M. Motor control: translating research into clinical practice. USA: Lippincott Williams & Wilkins; 2012.
  • 20. Butler C, Darrah J. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: An AACPDM evidence report. Developmental Medicine & Child Neurology 2001; 43: 778–790.
  • 21. Borges MBS, Werneck MJDS, Silva MDLD, Gandolfi L, Pratesi R. Therapeutic effects of a horse riding simulator in children with cerebral palsy. Arq Neuropsiquiatr 2011; 69:799–804.
  • 22. El-Shamy SM, Abd El Kafy EM. Effect of balance training on postural balance control and risk of fall in children with diplegic cerebral palsy. Disabil Rehabil 2014;36:1176–83.
  • 23. Trahan J, Malouin F. Changes in the gross motor function measure in children with different types of cerebral palsy: an eight-month follow-up study. Pediatric Physical Therapy 1999;2:12–17.
  • 24. Bower E, McLellan D. Assessing motor-skill acquisition in four centres for the treatment of children with cerebral palsy. Developmental Medicine & Child Neurology 1994;36:902–909.
  • 25. Harbourne R, Willett S, Kyvelidou A. A comparison of interventions for children with cerebral palsy to improve sitting postural control. Physical Therapy 2010;90:1881-1898.
  • 26. Hsue BJ, Miller F, Su FC. The dynamic balance of the children with cerebral palsy and typical developing during gait. Part I: Spatial relationship between COM and COP trajectories. Gait Posture 2009;29:465-470.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Erdoğan Kavlak 0000-0002-6344-259X

Ayşe Ünal 0000-0003-0959-5664

Fatih Tekin 0000-0001-7829-7957

Filiz Altuğ 0000-0002-4287-8562

Publication Date December 29, 2018
Acceptance Date March 3, 2018
Published in Issue Year 2018 Volume: 43 Issue: 4

Cite

MLA Kavlak, Erdoğan et al. “Effectiveness of Bobath Therapy on Balance in Cerebral Palsy”. Cukurova Medical Journal, vol. 43, no. 4, 2018, pp. 975-81, doi:10.17826/cumj.375565.

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