Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II

Background: Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP. Objectives: The aim of this study was to comp...

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Main Authors: Mi-Ra Kim, MS, PT, Byoung-Hee Lee, PhD, Dae-Sung Park, PT, PhD
Format: Article
Language:English
Published: World Scientific Publishing 2016-06-01
Series:Hong Kong Physiotherapy Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013702515000615
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author Mi-Ra Kim, MS, PT
Byoung-Hee Lee, PhD
Dae-Sung Park, PT, PhD
author_facet Mi-Ra Kim, MS, PT
Byoung-Hee Lee, PhD
Dae-Sung Park, PT, PhD
author_sort Mi-Ra Kim, MS, PT
collection DOAJ
description Background: Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP. Objectives: The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP. Methods: Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters. Results: The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (p < 0.05). Three children were excluded. Compared to the NDT group (n = 9), the AST/NDT group (n = 8) demonstrated a significant increase in spatiotemporal gait parameters (p < 0.05). Conclusion: These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.
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spelling doaj.art-de54fd19c15a47269d5bdf6d57e56f652022-12-21T17:43:02ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70252016-06-0134C101810.1016/j.hkpj.2015.09.036Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and IIMi-Ra Kim, MS, PT0Byoung-Hee Lee, PhD1Dae-Sung Park, PT, PhD2Department of Physical Therapy, Graduate School, Sahmyook University, Seoul, Republic of KoreaDepartment of Physical Therapy, Graduate School, Sahmyook University, Seoul, Republic of KoreaDepartment of Physical Therapy, Konyang University, Daejeon, Republic of KoreaBackground: Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP. Objectives: The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP. Methods: Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters. Results: The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (p < 0.05). Three children were excluded. Compared to the NDT group (n = 9), the AST/NDT group (n = 8) demonstrated a significant increase in spatiotemporal gait parameters (p < 0.05). Conclusion: These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.http://www.sciencedirect.com/science/article/pii/S1013702515000615Adeli suitbalancegaitGross Motor Function Measurespastic cerebral palsy
spellingShingle Mi-Ra Kim, MS, PT
Byoung-Hee Lee, PhD
Dae-Sung Park, PT, PhD
Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
Hong Kong Physiotherapy Journal
Adeli suit
balance
gait
Gross Motor Function Measure
spastic cerebral palsy
title Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
title_full Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
title_fullStr Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
title_full_unstemmed Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
title_short Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
title_sort effects of combined adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels i and ii
topic Adeli suit
balance
gait
Gross Motor Function Measure
spastic cerebral palsy
url http://www.sciencedirect.com/science/article/pii/S1013702515000615
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