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. 2015 May;27(5):1337-40.
doi: 10.1589/jpts.27.1337. Epub 2015 May 26.

Effects of trunk-hip strengthening on standing in children with spastic diplegia: a comparative pilot study

Joong-Hwi Kim  1 , Hye-Jung Seo  2
Affiliations

Effects of trunk-hip strengthening on standing in children with spastic diplegia: a comparative pilot study

Joong-Hwi Kim et al. J Phys Ther Sci. 2015 May.

Abstract

[Purpose] This study evaluated the effects of trunk-hip strengthening exercise on trunk-hip activation and pelvic tilt motion during standing in children with spastic diplegia and compared the improvement of pelvic tilt between the modified trunk-hip strengthening exercise and conventional exercise. [Subjects and Methods] Ten ambulant children with spastic diplegia were randomized to the modified trunk-hip strengthening exercise (n = 5) or conventional exercise (n = 5) group. The intervention consisted of a 6-week modified trunk-hip strengthening exercise 3 times per week. The children were tested for trunk-hip muscles activation and pelvic tilt motion during standing by surface electromyography and an inclinometer before and after the intervention. [Results] The anterior pelvic tilt angle and activation of the extensor spinae, rectus femoris, and semitendinosus during standing decreased significantly in the modified exercise group. The activation of extensor spinae differed significantly between groups. [Conclusion] Compared to the conventional exercise, the modified exercise was more effective for trunk-hip activation improvement and anterior pelvic tilt motion decrease during standing in children with spastic diplegia. We suggest clinicians use an individually tailored modified trunk-hip strengthening exercise for strengthening the weakest muscle groups in children with standing ability problems.

Keywords: Cerebral palsy; Pelvic tilt; Trunk-hip strengthening.

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Figures

Fig. 1.
Fig. 1.
Schematics and descriptions of the conventional (1, 2) and modified (3, 4) trunk-hip strengthening exercises
See this image and copyright information in PMC

References

    1. Dodd KJ, Taylor NF, Damiano DL: A systematic review of the effectiveness of strength-training programs for people with cerebral palsy. Arch Phys Med Rehabil, 2002, 83: 1157–1164. - PubMed
    1. Gates PE, Banks D, Johnston TE, et al. : Randomized controlled trial assessing participation and quality of life in a supported speed treadmill training exercise program vs. a strengthening program for children with cerebral palsy. J Pediatr Rehabil Med, 2012, 5: 75–88. - PubMed
    1. Wiley ME, Damiano DL: Lower-extremity strength profiles in spastic cerebral palsy. Dev Med Child Neurol, 1998, 40: 100–107. - PubMed
    1. Scholtes VA, Becher JG, Janssen-Potten 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. - PubMed
    1. Anttila H, Autti-Rämö I, Suoranta J, et al. : Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr, 2008, 8: 14. - PMC - PubMed

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