Personalized balance games for children with cerebral palsy: A pilot study

2021 ◽  
pp. 1-9
Author(s):  
Oleh Kachmar ◽  
Anna Kushnir ◽  
Bohdana Fedchyshyn ◽  
Julián Cristiano ◽  
John O’Flaherty ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Computer Games ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Measurement Scale ◽  
Control Group ◽  
Balance Test ◽  
Control Measurement ◽  
Children With Cerebral Palsy ◽  
Experimental Group

PURPOSE: To assess the changes in balance function in children with cerebral palsy (CP) after two weeks of daily training with personalized balance games. METHODS: Twenty-five children with CP, aged 5 to 18 years were randomly selected for experimental or control groups. Over a period of two weeks, all participants received 8–9 game sessions for 15–20 minutes, totaling 150–160 minutes. The experimental group used personalized balance games available from the GAmification for Better LifE (GABLE) online serious gaming platform. Children from the control group played Nintendo Wii games using a handheld Wii Remote. Both groups received the same background treatment. Recorded outcome measures were from a Trunk Control Measurement Scale (TCMS), Timed Up & Go Test (TUG), Center of Pressure Path Length (COP-PL), and Dynamic Balance Test (DBT). RESULTS: After two weeks of training in the experimental group TCMS scores increased by 4.5 points (SD = 3.5, p< 0.05) and DBT results increased by 0.88 points (IQR = 1.03, p< 0.05) while these scores did not change significantly in the control group. Overall, TUG and COP-PL scores were not affected in either group. CONCLUSION: This study demonstrates improvement of balancing function in children with CP after a two-week course of training with personalized rehabilitation computer games.

scholarly journals Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 687
Author(s):  
Misoo Lim ◽  
Haneul Lee ◽  
Hyoungwon Lim
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement ◽  
Korean Version ◽  
Sitting Balance ◽  
Children With Cerebral Palsy ◽  
Balance Ability

Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

scholarly journals Effectiveness of Virtual Reality and Visual Feedback on Balance and Leg Function in Children with Cerebral Palsy

2019 ◽  
Vol 1 (18) ◽  
Author(s):  
Arūnė Dūdaitė ◽  
Vilma Juodžbalienė
Keyword(s):  
Virtual Reality ◽  
Cerebral Palsy ◽  
Postural Control ◽  
Range Of Motion ◽  
Visual Feedback ◽  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Children With Cerebral Palsy ◽  
Stretching Exercises

Research background. Virtual reality and visual feedback improve motor performance, motor function and balance, so we want to fnd if it affects the function of legs and balance of children with spastic hemiplegia. Research aim was to establish if the use of virtual reality and visual feedback with traditional physiotherapy improve the function of legs and balance of children with cerebral palsy. Methods. Nine children with cerebral palsy participated in the research. Participants were randomly divided into two groups – virtual reality group (n = 6) and control (n = 3). Virtual reality group practised exergaming and stretching exercises for 10 weeks, twice a week. Control group practiced conventional physiotherapy and stretching exercises for 6 weeks, twice a week. We measured the range of motion of the lower limb, spasticity of the lower limb using Modifed Ashworth’o Scale, static, dynamic balance, trunk coordination using Trunk Impairment Scale at the start and the end of the research, and balance using Pediatric Balance Scale. Results. Virtual reality and visual feedback reduced the spasticity of the lower limb, improved balance and postural control for children with cerebral palsy, but it did not improve the range of motion of the lower limb of children with cerebral palsy. Conclusions. Virtual reality and visual feedback did not improve the range of motion of the lower limb of children with cerebral palsy. Virtual reality and visual feedback reduced spasticity of the lower limb, improved balance and postural control for children with cerebral palsy.Keywords. Cerebral palsy, virtual reality, visual feedback, postural control, muscle architecture.

Effects of a core stabilization training program on balance ability in persons with Parkinson’s disease: a randomized controlled trial

2020 ◽  
Vol 34 (6) ◽  
pp. 764-772
Author(s):  
Irene Cabrera-Martos ◽  
Ana Teresa Jiménez-Martín ◽  
Laura López-López ◽  
Janet Rodríguez-Torres ◽  
Araceli Ortiz-Rubio ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Core Stability ◽  
Control Group ◽  
Balance Confidence ◽  
Balance Ability ◽  
Experimental Group

Objective: To explore the effects of an eight-week core stability program on balance ability in persons with Parkinson’s disease. Design: Randomized controlled trial. Setting: A local Parkinson’s association. Subjects: A total of 44 participants with a clinical diagnosis of Parkinson’s disease were randomly assigned to an experimental ( n = 22) or control group ( n = 22). Intervention: The experimental group received 24 sessions of core training, while the control group received an intervention including active joint mobilization, muscle stretching, and motor coordination exercises. Main measures: The primary outcome measure was dynamic balance evaluated using the Mini-Balance Evaluation Systems Test. Secondary outcomes included the balance confidence assessed with the Activities-specific Balance Confidence Scale and standing balance assessed by the maximal excursion of center of pressure during the Modified Clinical Test of Sensory Interaction on Balance and the Limits of Stability test. Results: After treatment, a significant between-group improvement in dynamic balance was observed in the experimental group compared to the control group (change, 2.75 ± 1.80 vs 0.38 ± 2.15, P = 0.002). The experimental group also showed a significant improvement in confidence (change, 16.48 ± 16.21 vs 3.05 ± 13.53, P = 0.047) and maximal excursion of center of pressure in forward (change, 0.86 ± 1.89 cm vs 0.17 ± 0.26 cm, P = 0.048), left (change, 0.88 ± 2.63 cm vs 0.07 ± 0.48 cm, P = 0.010), and right (change, 1.63 ± 2.82 cm vs 0.05 ± 0.17 cm, P = 0.046) directions of limits of stability compared to the control group. Conclusion: A program based on core stability in comparison with non-specific exercise benefits dynamic balance and confidence and increases center of mass excursion in patients with Parkinson’s disease.

scholarly journals Analysis of the Rehabilitation Effect of Modern Rehabilitation Concept Combined with Acupuncture and Massage on Infantile Cerebral Palsy

2020 ◽  
Vol 185 ◽  
pp. 03016
Author(s):  
Xiaosu Jie ◽  
Haijun Shan ◽  
Yujin Hou ◽  
Hua Shi ◽  
Yuanjun Lou ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Research Work ◽  
Intervention Group ◽  
Effective Rate ◽  
Control Group ◽  
Adverse Conditions ◽  
Children With Cerebral Palsy ◽  
Rehabilitation Concepts ◽  
The Difference ◽  
Experimental Group

Objective: To explore the effect of combining modern rehabilitation concepts with acupuncture and massage therapy on the rehabilitation of children with cerebral palsy. Methods: Research work was carried out in our hospital. The work was carried out from September 2018 to September 2019. A total of 100 patients were selected, all of whom were children with cerebral palsy. The 100 patients with cerebral palsy were divided into two groups：the control group who was given modern rehabilitation concept intervention, and the intervention group who was given modern rehabilitation concept combined with acupuncture and massage. The recovery condition of the two groups of cerebral palsy children was compared and analyzed. Results: There were 5 patients in the treatment group who were ineffective, the effective rate was 90.00%, and 11 people in the control group were ineffective, the effective rate was 78.00% which has existential meaning. The incidence of sequelae of the children in the experimental group was 14.00%, and the incidence of sequelae of the children in the control group was 32.00%. In contrast, the incidence of the experimental group was low and the effect was good. The difference in data was significant (P <0.05). Conclusion: The combination of modern rehabilitation concepts and TCM acupuncture and massage intervention methods in children with cerebral palsy has a significant effect, which can improve the child ’s adverse conditions, promote the child ’s recovery, and improve the child ’s motor function, it can be promoted.

scholarly journals EFFECT OF GRADED CONDITIONING ON SELECTED PHYSIOLOGICAL VARIABLES AND BODY COMPOSITION OF CHILDREN WITH CEREBRAL PALSY

2020 ◽  
Vol 13(62) (2) ◽  
pp. 219-226
Author(s):  
C.K. PASWAN
Keyword(s):  
Body Composition ◽  
Cerebral Palsy ◽  
Neurological Impairment ◽  
The Other ◽  
Breath Holding ◽  
Control Group ◽  
Resting Heart Rate ◽  
Physiological Variables ◽  
Children With Cerebral Palsy ◽  
Experimental Group

Cerebral palsy is one of the known and famous types of neurological impairment among children across the globe. The study aimed to see the effect of graded conditioning and exercises over some of the physiological variables of children with cerebral palsy. For the purpose of the study 20 children with cerebral palsy were selected and were divided into two groups of ten each the experimental group were given the treatment and the other was the kept as control group for twelve weeks. To obtain the results the analysis of co-variance was applied and it was seen that resting heart rate (.006), triceps girth (.002), suprailliac girth (.002), abdominal umbilicus (.001), sub-scapular girth (.009), positive breath holding capacity (.007) and cardio-respiratory endurance (.001) showed positive significance at .005 level. As after twelve weeks of graded conditioning it can be seen that most of the physiological variables and variables of body composition showed great signs of improvement and showed positive significance, so it can be concluded that with good graded training (according to their need and capability) the positive physiological improvement can be made among children with cerebral palsy.

scholarly journals The effects of sling exercise program on balance and body activities in children with spastic cerebral palsy

2021 ◽  
Vol 17 (6) ◽  
pp. 410-417
Author(s):  
Eun-Ju Song ◽  
Eun-Jung Lee ◽  
Hae-Yeon Kwon
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Dynamic Balance ◽  
Exercise Program ◽  
Spastic Cerebral Palsy ◽  
Control Group ◽  
Gross Motor ◽  
Significant Difference ◽  
Before And After ◽  
Experimental Group

The purpose of this study was to investigate the static and dynamic balance and body activities after administering a trunk stability exercise program using a sling for children with spastic cerebral palsy of Gross Motor Function Classification System (GMFCS) levels III–IV. This study was conducted based on a quasi-experimental study design. Six of the study participants were assigned to the control group and six were assigned to the experimental group using simple random sampling. Both groups underwent a double-blind clinical trial study in which exercise therapy was performed for 40 min twice a week for 8 weeks. The experimental group underwent the sling exercise program and the control group underwent neuro-developmental treatment. The results showed that static and dynamic balance were significantly different before and after intervention in both the experimental and control groups (P<0.05), and there was also a statistically significant difference between the two groups (P<0.05). Gross motor function and activities of daily life showed significant improvement before and after intervention in the experimental group (P<0.05), but there was no statistically significant difference in the control group (P<0.05). There was a statistically significant difference between the two groups (P<0.05). Therefore, the sling exercise program can be used as an effective treatment for improving balance and physical activity in children with cerebral palsy of GMFCS levels III–IV who have difficulty walking. In addition, such exercise will have a positive impact on the independence of such children and help them to participate in social activities.

EFFECTIVENESS OF STANDING PILATES ON DYNAMIC BALANCE AND LOWER LIMB MUSCULAR ENDURANCE IN BADMINTON PLAYERS: AN EXPERIMENTAL STUDY

2021 ◽  
pp. 70-72
Author(s):  
Priyal Vora ◽  
Jahnvi Panwar
Keyword(s):  
Lower Limb ◽  
Dynamic Balance ◽  
Control Group ◽  
Muscular Endurance ◽  
Balance Test ◽  
Group A ◽  
Group B ◽  
High Level ◽  
Experimental Group ◽  
Control Group Group

Badminton is a very challenging sport which demands high intensity, swift, precise and continuous movements that require a high level of dynamic balance and muscular endurance. Standing Pilates is a form of training developed to improve core strength, balance and endurance. Thirty badminton players between 18-25 years were included and divided into two groups. Experimental group (Group A) received standing Pilates and conventional training whereas control group (Group B) was given only conventional training. All players were assessed for dynamic balance and lower limb muscular endurance with Star Excursion Balance Test and Squat Test respectively. Student t-test was used in the analysis of the data collected for all variables at the beginning and at the end of 4 weeks. Comparing post SEBT and squat test values of Group A and Group B showed that standing Pilates has signicant effect on dynamic balance and lower limb muscular endurance in badminton players

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