Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach

van Tittelboom, Vanessa; Heyrman, Lieve; De Cat, Josse; Algoet, Patrick; Peeters, Nicky; Alemdaroğlu-Gürbüz, İPEK; Plasschaert, Frank; Van Herpe, Katrin; Molenaers, Guy; De Bruyn, Nele; Deschepper, Ellen; Desloovere, Kaat; Calders, Patrick; Feys, Hilde; Van den Broeck, Christine

doi:10.3390/jcm12124078

Intensive Therapy of the Lower Limbs and the Trunk in Children with Bilateral Spastic Cerebral Palsy: Comparing a Qualitative Functional and a Functional Approach

Atıf İçin Kopyala

van Tittelboom V., Heyrman L., De Cat J., Algoet P., Peeters N., Alemdaroğlu-Gürbüz I., ...Daha Fazla

Journal of Clinical Medicine, cilt.12, sa.12, 2023 (SCI-Expanded)

Yayın Türü: Makale / Tam Makale
Cilt numarası: 12 Sayı: 12
Basım Tarihi: 2023
Doi Numarası: 10.3390/jcm12124078
Dergi Adı: Journal of Clinical Medicine
Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, EMBASE, Directory of Open Access Journals
Anahtar Kelimeler: cerebral palsy, intensive therapy, lower limbs, trunk control
Hacettepe Üniversitesi Adresli: Evet

Özet

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 (n = 12) and qualitative functional (n = 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.