Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach
Few studies have examined the effect of intensive therapy on gross motor function and trunk control in children with cerebral palsy (CP). This study evaluated the effects of an intensive burst of therapy on the lower limbs and trunk by comparing qualitative functional and functional approaches. This...
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-06-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/12/4078 |
| _version_ | 1797594119137132544 |
|---|---|
| author | Vanessa van Tittelboom Lieve Heyrman Josse De Cat Patrick Algoet Nicky Peeters Ipek Alemdaroğlu-Gürbüz Frank Plasschaert Katrin Van Herpe Guy Molenaers Nele De Bruyn Ellen Deschepper Kaat Desloovere Patrick Calders Hilde Feys Christine Van den Broeck |
| author_facet | Vanessa van Tittelboom Lieve Heyrman Josse De Cat Patrick Algoet Nicky Peeters Ipek Alemdaroğlu-Gürbüz Frank Plasschaert Katrin Van Herpe Guy Molenaers Nele De Bruyn Ellen Deschepper Kaat Desloovere Patrick Calders Hilde Feys Christine Van den Broeck |
| author_sort | Vanessa van Tittelboom |
| collection | DOAJ |
| description | Few studies have examined the effect of intensive therapy on gross motor function and trunk control in children with cerebral palsy (CP). This study evaluated the effects of an intensive burst of therapy on the lower limbs and trunk by comparing qualitative functional and functional approaches. This study was designed as a quasi-randomized, controlled, and evaluator-blinded trial. Thirty-six children with bilateral spastic CP (mean age = 8 y 9 mo; Gross Motor Function Classification II and III) were randomized into functional (<i>n</i> = 12) and qualitative functional (<i>n</i> = 24) groups. The main outcome measures were the Gross Motor Function Measure (GMFM), the Quality Function Measure (QFM), and the Trunk Control Measurement Scale (TCMS). The results revealed significant time-by-approach interaction effects for all QFM attributes and the GMFM’s standing dimension and total score. Post hoc tests showed immediate post-intervention gains with the qualitative functional approach for all QFM attributes, the GMFM’s standing and walking/running/jumping dimension and total score, and the total TCMS score. The qualitative functional approach shows promising results with improvements in movement quality and gross motor function. |
| first_indexed | 2024-03-11T02:18:02Z |
| format | Article |
| id | doaj.art-0fad220ec08a43899440ce9b72269fb2 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T02:18:02Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0fad220ec08a43899440ce9b72269fb22023-11-18T11:00:40ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212407810.3390/jcm12124078Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional ApproachVanessa van Tittelboom0Lieve Heyrman1Josse De Cat2Patrick Algoet3Nicky Peeters4Ipek Alemdaroğlu-Gürbüz5Frank Plasschaert6Katrin Van Herpe7Guy Molenaers8Nele De Bruyn9Ellen Deschepper10Kaat Desloovere11Patrick Calders12Hilde Feys13Christine Van den Broeck14Department of Rehabilitation Sciences and Physiotherapy, Ghent University, 9000 Ghent, BelgiumDepartment of Rehabilitation Sciences and Physiotherapy, Ghent University, 9000 Ghent, BelgiumBelgian Bobath Association (ABBV), 1082 Brussels, BelgiumBelgian Bobath Association (ABBV), 1082 Brussels, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, 3000 Leuven, BelgiumDepartment of Physiotherapy and Rehabilitation, Hacettepe University, Ankara 06560, TurkeyDepartment of Orthopedic Surgery, Ghent University Hospital, 9000 Ghent, BelgiumRehabilitation Centre for Children and Youth, 2242 Pulderbos, BelgiumPediatric Orthopedics, Department of Orthopedics, University Hospital Leuven, 3000 Leuven, BelgiumDepartment of Rehabilitation Sciences and Physiotherapy, Ghent University, 9000 Ghent, BelgiumBiostatistics Unit, Department of Public Health and Primary Care, Ghent University, 9000 Ghent, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, 3000 Leuven, BelgiumDepartment of Rehabilitation Sciences and Physiotherapy, Ghent University, 9000 Ghent, BelgiumDepartment of Rehabilitation Sciences, KU Leuven, 3000 Leuven, BelgiumDepartment of Rehabilitation Sciences and Physiotherapy, Ghent University, 9000 Ghent, BelgiumFew studies have examined the effect of intensive therapy on gross motor function and trunk control in children with cerebral palsy (CP). This study evaluated the effects of an intensive burst of therapy on the lower limbs and trunk by comparing qualitative functional and functional approaches. This study was designed as a quasi-randomized, controlled, and evaluator-blinded trial. Thirty-six children with bilateral spastic CP (mean age = 8 y 9 mo; Gross Motor Function Classification II and III) were randomized into functional (<i>n</i> = 12) and qualitative functional (<i>n</i> = 24) groups. The main outcome measures were the Gross Motor Function Measure (GMFM), the Quality Function Measure (QFM), and the Trunk Control Measurement Scale (TCMS). The results revealed significant time-by-approach interaction effects for all QFM attributes and the GMFM’s standing dimension and total score. Post hoc tests showed immediate post-intervention gains with the qualitative functional approach for all QFM attributes, the GMFM’s standing and walking/running/jumping dimension and total score, and the total TCMS score. The qualitative functional approach shows promising results with improvements in movement quality and gross motor function.https://www.mdpi.com/2077-0383/12/12/4078cerebral palsyintensive therapylower limbstrunk control |
| spellingShingle | Vanessa van Tittelboom Lieve Heyrman Josse De Cat Patrick Algoet Nicky Peeters Ipek Alemdaroğlu-Gürbüz Frank Plasschaert Katrin Van Herpe Guy Molenaers Nele De Bruyn Ellen Deschepper Kaat Desloovere Patrick Calders Hilde Feys Christine Van den Broeck Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach Journal of Clinical Medicine cerebral palsy intensive therapy lower limbs trunk control |
| title | Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach |
| title_full | Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach |
| title_fullStr | Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach |
| title_full_unstemmed | Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach |
| title_short | Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach |
| title_sort | intensive therapy of the lower limbs and the trunk in children with bilateral spastic cerebral palsy comparing a qualitative functional and a functional approach |
| topic | cerebral palsy intensive therapy lower limbs trunk control |
| url | https://www.mdpi.com/2077-0383/12/12/4078 |
| work_keys_str_mv | AT vanessavantittelboom intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT lieveheyrman intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT jossedecat intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT patrickalgoet intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT nickypeeters intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT ipekalemdaroglugurbuz intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT frankplasschaert intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT katrinvanherpe intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT guymolenaers intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT neledebruyn intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT ellendeschepper intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT kaatdesloovere intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT patrickcalders intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT hildefeys intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach AT christinevandenbroeck intensivetherapyofthelowerlimbsandthetrunkinchildrenwithbilateralspasticcerebralpalsycomparingaqualitativefunctionalandafunctionalapproach |