About
Scope & Aims
Editorial office
Editorial board
Reviewers
Ethical standards and procedures
Abstracting and indexing
Contact
Articles & Issues
Current issue
Articles in press
Archive
For Authors
General rules
Guide for authors
Templates
Publication charge
For Reviewers
Guide for reviewers
Our reviewers
ORIGINAL PAPER
Effect of task-oriented exercise training program on the functional performance
of children with cerebral palsy
1
Department of Physiotherapy, Faculty of Allied Health Sciences, Bayero University, Kano, Nigeria
2
Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
Submission date: 2020-01-19
Acceptance date: 2020-06-03
Publication date: 2021-08-21
Physiother Quart. 2021;29(3):40-48
KEYWORDS
TOPICS
clinical scienceneurosciences neurology neurophysiologypediatricsphysical activity and sports of handicapped
ABSTRACT
Introduction:
To evaluate the effects of task-oriented exercise training program (TOET) on the functional performance (mobility and walking efficiency) of children with cerebral palsy (CP).
Methods:
Overall, 46 children with CP were recruited from outpatient units of the physiotherapy clinics of Aminu Kano Teaching Hospital, Murtala Mohammed Specialist Hospital, and a school for children with disabilities. They were randomly assigned to the TOET group (n = 23) and the control group (CG) (n = 23). Children in CG practised conventional physiotherapy. Each group trained twice weekly for 12 weeks. Mobility and walking efficiency were assessed with a mobility questionnaire and 10-meter walk test, respectively, at baseline, after 6th and 12th weeks, and after 6 weeks of follow-up. Data were analysed with repeated measures ANOVA, t-test, Mann-Whitney U test, and Friedman’s test, with α < 0.05.
Results:
A total of 39 children with CP completed the study, 19 in CG and 20 in TOET group. The between-group scores of mobility (TOET: 69.15 ± 17.32; CG: 67.03 ± 10.49) and walking efficiency (TOET: 0.63 ± 0.2 m/s; CG: 0.63 ± 0.19 m/s) were not different at baseline and at the 6th week (p > 0.05). At the 12th week, there were significant between-group differences in mobility (TOET: 86.16 ± 7.20; CG: 71.09 ± 13.58) and walking efficiency (TOET: 1.00 ± 0.29 m/s; CG: 0.78 ± 0.28 m/s) (p < 0.05). The within-group scores of walking efficiency and mobility increased in both TOET and CG (p < 0.005 for both comparisons).
Conclusions:
TOET is an effective intervention to improve functional performance of children with CP.
To evaluate the effects of task-oriented exercise training program (TOET) on the functional performance (mobility and walking efficiency) of children with cerebral palsy (CP).
Methods:
Overall, 46 children with CP were recruited from outpatient units of the physiotherapy clinics of Aminu Kano Teaching Hospital, Murtala Mohammed Specialist Hospital, and a school for children with disabilities. They were randomly assigned to the TOET group (n = 23) and the control group (CG) (n = 23). Children in CG practised conventional physiotherapy. Each group trained twice weekly for 12 weeks. Mobility and walking efficiency were assessed with a mobility questionnaire and 10-meter walk test, respectively, at baseline, after 6th and 12th weeks, and after 6 weeks of follow-up. Data were analysed with repeated measures ANOVA, t-test, Mann-Whitney U test, and Friedman’s test, with α < 0.05.
Results:
A total of 39 children with CP completed the study, 19 in CG and 20 in TOET group. The between-group scores of mobility (TOET: 69.15 ± 17.32; CG: 67.03 ± 10.49) and walking efficiency (TOET: 0.63 ± 0.2 m/s; CG: 0.63 ± 0.19 m/s) were not different at baseline and at the 6th week (p > 0.05). At the 12th week, there were significant between-group differences in mobility (TOET: 86.16 ± 7.20; CG: 71.09 ± 13.58) and walking efficiency (TOET: 1.00 ± 0.29 m/s; CG: 0.78 ± 0.28 m/s) (p < 0.05). The within-group scores of walking efficiency and mobility increased in both TOET and CG (p < 0.005 for both comparisons).
Conclusions:
TOET is an effective intervention to improve functional performance of children with CP.
REFERENCES (41)
1.
Van Ravesteyn NT, Dallmeijer AJ, Scholtes VA, Roorda LD, Becher JG. Measuring mobility limitations in children with cerebral palsy: interrater and intrarater reliability of a mobility questionnaire (MobQues). Dev Med Child Neurol. 2010;52(2):194–199; doi: 10.1111/j.1469-8749.2009.03341.x.
2.
Roorda LD, Scholtes VA, van der Lee JH, Becher J, Dallmeijer AJ. Measuring mobility limitations in children with cerebral palsy: development, scalability, unidimensionality, and internal consistency of the Mobility Questionnaire, MobQues47. Arch Phys Med Rehabil. 2010;91(8):1194–1209; doi: 10.1016/j.apmr.2010.05.009.
3.
Liao H-F, Liu Y-C, Liu W-Y, Lin Y-T. Effectiveness of loaded sit-to-stand resistance exercise for children with mild spastic diplegia: a randomized clinical trial. Arch Phys Med Rehabil. 2007;88(1):25–31; doi: 10.1016/j.apmr.2006.10.006.
4.
Katz-Leurer M, Rotem H, Keren O, Meyer S. The effects of a ‘home-based’ task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury. Clin Rehabil. 2009;23(8):714–724; doi: 10.1177/0269215509335293.
5.
Salem Y, Godwin EM. Effects of task-oriented training on mobility function in children with cerebral palsy. NeuroRehabilitation. 2009;24(4):307–313; doi: 10.3233/NRE-2009-0483.
6.
Kumban W, Amatachaya S, Peungsuwan P, Siritaratiwat W. Effects of sit to stand training on functional balance of children with cerebral palsy [in Thai]. J Med Tech Phy Ther. 2010;22(3):280–291.
7.
Blundell SW, Shepherd RB, Dean CM, Adams RD, Cahill BM. Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4–8 years. Clin Rehabil. 2003;17(1):48–57; doi: 10.1191/0269215503cr584oa.
8.
Kumar C, Ostwal P. Comparison between task-oriented training and proprioceptive neuromuscular facilitation exercises on lower extremity function in cerebral palsy ‒ a randomized clinical trial. J Nov Physiother. 2016;6(3):291; doi: 10.4172/2165-7025.1000291.
9.
Nadeau S, Duclos C, Bouyer L, Richards CL. Guiding task-oriented gait training after stroke or spinal cord injury by means of a biomechanical gait analysis. Prog Brain Res. 2011;192:161–180; doi: 10.1016/B978-0-444-53355-5.00011-7.
10.
Shumway-Cook A, Woollacott MH. A conceptual framework for clinical practice. In: Shumway-Cook A, Woollacott MH, Motor control. Translating research into clinical practice. Philadelphia: Lippincott Williams & Wilkins; 2007; 136–153.
11.
Carr JH, Shepherd RB. A motor learning model for stroke rehabilitation. Physiotherapy. 1989;75(7):372–380; doi: 10.1016/S0031-9406(10)62588-6.
12.
Bayona NA, Bitensky J, Salter K, Teasell R. The role of task-specific training in rehabilitation therapies. Top Stroke Rehabil. 2005;12(3):58–65; doi: 10.1310/BQM5-6YGB-MVJ5-WVCR.
13.
Carr JH, Shepherd RB. The changing face of neurological rehabilitation. Rev Bras Fisioter. 2006;10(2):147–156; doi: 10.1590/S1413-35552006000200003.
14.
Timmermans AAA, Spooren AIF, Kingma H, Seelen HAM. Influence of task-oriented training content on skilled arm-hand performance in stroke: a systematic review. Neurorehabil Neural Repair. 2010;24(9):858–870; doi: 10.1177/1545968310368963.
15.
Ward N. Treatment of arm and hand dysfunction after CNS damage. In: Dietz V, Ward N (eds.), Oxford textbook of neurorehabilitation. Oxford: Oxford University Press; 2015; 238–250.
16.
Larin HM. Motor learning: a practical framework for paediatric physiotherapy. Physiother Theory Pract. 1998;14(1):33–47; doi: 10.3109/09593989809070042.
17.
Ma HI, Trombly CA, Robinson-Podolski C. The effect of context on skill acquisition and transfer. Am J Occup Ther. 1999;53(2):138–144; doi: 10.5014/ajot.53.2.138.
18.
Kenyon LK, Blackinton MT. Applying motor-control theory to physical therapy practice: a case report. Physiother Can. 2011;63(3):345–354; doi: 10.3138/ptc.2010-06.
19.
Hubbard IJ, Parsons MW, Neilson C, Carey LM. Task‐specific training: evidence for and translation to clinical practice. Occup Ther Int. 2009;16(3–4):175–189; doi: 10.1002/oti.275.
20.
Muratori LM, Lamberg EM, Quinn L, Duff SV. Applying principles of motor learning and control to upper extremity rehabilitation. J Hand Ther. 2013;26(2):94–103; doi: 10.1016/j.jht.2012.12.007.
21.
Morriss L, Wittmannová J. The effect of blocked versus random training schedules on boccia skills performance in experienced athletes with cerebral palsy. Eur J Adapt Phys Act. 2010;3(2):17–28; doi: 10.5507/euj.2010.006.
22.
Magill RA. The amount and distribution of practice. In: Magill RA (ed.), Motor learning and control: concepts and applications. Boston: McGraw-Hill; 2007; 390–404.
23.
Zwicker JG, Harris SR. A reflection on motor learning theory in pediatric occupational therapy practice. Can J Occup Ther. 2009;76(1):29–37; doi: 10.1177/000841740907600108.
24.
Verschuren O, Ketelaar M, Gorter JW, Helders PJM, Uiterwaal CSPM, Takken T. Exercise training program in children and adolescents with cerebral palsy: a randomized controlled trial. Arch Pediatr Adolesc Med. 2007;161(11):1075–1081; doi: 10.1001/archpedi.161.11.1075.
25.
Kim Y, Lee B-H. Clinical usefulness of child-centered task-oriented training on balance ability in cerebral palsy. J Phys Ther Sci. 2013;25(8):947–951; doi: 10.1589/jpts.25.947.
26.
Kumar C, Kataria S. Effectiveness of task oriented circuit training on functional mobility and balance in cerebral palsy. Indian J Physiother Occup Ther. 2013;7(4):23–28; doi: 10.5958/j.0973-5674.7.4.116.
27.
Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJ. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther. 2001;81(9):1534–1545; doi: 10.1093/ptj/81.9.1534.
28.
Han H-K, Chung Y. Effects of task-oriented training for gross motor function measure, balance and gait function in persons with cerebral palsy. Phys Ther Rehabil Sci. 2016;5(1):9–14; doi: 10.14474/ptrs.2016.5.1.9.
29.
Crompton J, Imms C, McCoy AT, Randall M, Eldridge B, Scoullar B, et al. Group-based task-related training for children with cerebral palsy: a pilot study. Phys Occup Ther Pediatr. 2007;27(4):43–65; doi: 10.1080/J006v27n04_04.
30.
Novak I, McIntyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885–910; doi: 10.1111/dmcn.12246.
31.
Toovey R, Bernie C, Harvey AR, McGinley JL, Spittle AJ. Task-specific gross motor skills training for ambulant school-aged children with cerebral palsy: a systematic review. BMJ Paediatr Open. 2017;1:e000078; doi: 10.1136/bmjpo-2017-000078.
32.
Das SP, Ganesh GS. Evidence-based approach to physical therapy in cerebral palsy. Indian J Orthop. 2019;53(1):20–34; doi: 10.4103/ortho.IJOrtho_241_17.
33.
Kumban W, Amatachaya S, Emasithi A, Siritaratiwat W. Effects of task-specific training on functional ability in children with mild to moderate cerebral palsy. Dev Neurorehabil. 2013;16(6):410–417; doi: 10.3109/17518423.2013.772672.
34.
Ogwumike OO, Badaru UM, Adeniyi AF. Effect of task-oriented training on balance and motor function of ambulant children with cerebral palsy. Rehabilitacion. 2019;53(4):276–283; doi: 10.1016/j.rh.2019.07.003.
35.
Van Ravesteyn NT, Scholtes VA, Becher JG, Roorda LD, Verschuren O, Dallmeijer AJ. Measuring mobility limitations in children with cerebral palsy: content and construct validity of a mobility questionnaire (MobQues). Dev Med Child Neurol. 2010;52(10):229–235; doi: 10.1111/j.1469-8749.2010.03729.x.
36.
Wolf SL, Catlin PA, Gage K, Gurucharri K, Robertson R, Stephen K. Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile. Phys Ther. 1999;79(12):1122–1133; doi: 10.1093/ptj/79.12.1122.
37.
Van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests. Arch Phys Med Rehabil. 2005;86(2):190–196; doi: 10.1016/j.apmr.2004.02.010.
38.
Thompson P, Beath T, Bell J, Jacobson G, Phair T, Salbach NM, et al. Test-retest reliability of the 10-metre fast walk test and 6-minute walk test in ambulatory school-aged children with cerebral palsy. Dev Med Child Neurol. 2008;50(5):370–376; doi: 10.1111/j.1469-8749.2008.02048.x.
39.
Choi Y, Jung H. A commentary on task-oriented interventions in the functional mobility and postural control of children with cerebral palsy. Int J Neurorehabilitation. 2018;5(2):314; doi: 10.4172/2376-0281.1000314.
40.
Ledebt A, Becher J, Kapper J, Rozendaal RM, Bakker R, Leenders IC, et al. Balance training with visual feedback in children with hemiplegic cerebral palsy: effect on stance and gait. Motor Control. 2005;9(4):459–468; doi: 10.1123/mcj.9.4.459.
41.
Kim J-H, Choi Y-E. The effect of task-oriented training on mobility function, postural stability in children with cerebral palsy. J Korean Soc Phys Med. 2017;12(3):79–84; doi: 10.13066/kspm.2017.12.3.79.
Share
RELATED ARTICLE
| eISSN: | 2544-4395 |
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
