Ann Rehabil Med.  2021 Feb;45(1):71-78. 10.5535/arm.20124.

Effect of Core Stability Exercises on Hand Functions in Children With Hemiplegic Cerebral Palsy

Affiliations
  • 1Department of Physical Therapy for Pediatrics and Pediatric Surgery, Faculty of Physical Therapy, Badr University, Cairo, Egypt
  • 2Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

Abstract


Objective
To investigate the effectiveness of core stability exercises on hand functions in children with hemiplegic cerebral palsy.
Methods
Fifty-two children with hemiplegic cerebral palsy ranging in age from 6 years to 8 years were enrolled in this study. They were randomly assigned to two (control and study) groups. The control group received the selected physiotherapy exercises, and the study group received the same selected physiotherapy exercise program and core stability exercises. Time motor performance, gross manual dexterity, and upper extremity skills assessed using the Jebsen Taylor Hand Function Test, Box and Block Test, and Quality Upper Extremity Skill Test, respectively, were measured before and after 12 weeks of the treatment program.
Results
There were significant improvements in both groups by comparing the mean values of all measured variables before and after treatment (p<0.05). There were significant differences between the control and study groups with respect to all measured variables when comparing the post-treatment outcomes (p<0.05).
Conclusion
This study suggests that core stability exercises can be an effective intervention that may improve hand functions in children with hemiplegic cerebral palsy.

Keyword

Hemiplegia, Cerebral palsy, Children, Hand, Core stability

Figure

  • Fig. 1. Participant’s flow diagram.


Reference

1. Van Zelst BR, Miller MD, Russo R, Murchland S, Crotty M. Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the Assessment of Motor and Process Skills. Dev Med Child Neurol. 2006; 48:723–7.
Article
2. Eliasson AC, Bonnier B, Krumlinde-Sundholm L. Clinical experience of constraint induced movement therapy in adolescents with hemiplegic cerebral palsy: a day camp model. Dev Med Child Neurol. 2003; 45:357–9.
Article
3. Gordon AM. Development of hand motor control. In : Kalverboer AF, Gramsbergen AA, editors. Handbook of brain and behaviour in human development. Dordrecht, Netherlands: Kluwer Academic Publishers;2001. p. 51–37.
4. Greaves S, Imms C, Dodd K, Krumlinde-Sundholm L. Assessing bimanual performance in young children with hemiplegic cerebral palsy: a systematic review. Dev Med Child Neurol. 2010; 52:413–21.
Article
5. Hoare BJ, Imms C. Upper-limb injections of botulinum toxin-A in children with cerebral palsy: a critical review of the literature and clinical implications for occupational therapists. Am J Occup Ther. 2004; 58:389–97.
Article
6. Briggs AM, Greig AM, Wark JD, Fazzalari NL, Bennell KL. A review of anatomical and mechanical factors affecting vertebral body integrity. Int J Med Sci. 2004; 1:170–80.
Article
7. Liemohn WP, Baumgartner TA, Gagnon LH. Measuring core stability. J Strength Cond Res. 2005; 19:583–6.
Article
8. Cowley PM, Swensen TC. Development and reliability of two core stability field tests. J Strength Cond Res. 2008; 22:619–24.
Article
9. Rosenblum S, Josman N. The relationship between postural control and fine manual dexterity. Phys Occup Ther Pediatr. 2003; 23:47–60.
Article
10. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987; 67:206–7.
Article
11. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997; 39:214–23.
Article
12. Jebsen RH, Taylor N, Trieschmann RB, Trotter MJ, Howard LA. An objective and standardized test of hand function. Arch Phys Med Rehabil. 1969; 50:311–9.
13. Taylor N, Sand PL, Jebsen RH. Evaluation of hand function in children. Arch Phys Med Rehabil. 1973; 54:129–35.
14. Beebe JA, Lang CE. Relationships and responsiveness of six upper extremity function tests during the first six months of recovery after stroke. J Neurol Phys Ther. 2009; 33:96–103.
Article
15. Rich TL, Menk JS, Rudser KD, Feyma T, Gillick BT. Less-affected hand function in children with hemiparetic unilateral cerebral palsy: a comparison study with typically developing peers. Neurorehabil Neural Repair. 2017; 31:965–76.
Article
16. Mathiowetz V, Volland G, Kashman N, Weber K. Adult norms for the Box and Block Test of manual dexterity. Am J Occup Ther. 1985; 39:386–91.
Article
17. DeMatteo C, Law M, Russell D, Pollock N, Rosenbaum P, Walter S. The reliability and validity of the Quality of Upper Extremity Skills Test. Phys Occup Ther Pediatr. 1993; 13:1–8.
Article
18. Jeffreys I. Developing a progressive core stability program. Strength Cond J. 2002; 24:65–6.
Article
19. Jaspers E, Desloovere K, Bruyninckx H, Klingels K, Molenaers G, Aertbelien E, et al. Three-dimensional upper limb movement characteristics in children with hemiplegic cerebral palsy and typically developing children. Res Dev Disabil. 2011; 32:2283–94.
Article
20. Michelsen SI, Flachs EM, Uldall P, Eriksen EL, McManus V, Parkes J, et al. Frequency of participation of 8-12-year-old children with cerebral palsy: a multi-centre cross-sectional European study. Eur J Paediatr Neurol. 2009; 13:165–77.
Article
21. Lee BH, Kim YM, Jeong GC. Mediating effects of the ICF domain of function and the gross motor function measure on the ICF domains of activity, and participation in children with cerebral palsy. J Phys Ther Sci. 2015; 27:3059–62.
Article
22. Kumaresan A, Mahiba JA. Effect of core muscle exercises in improving reaching activities in participants with hemiplegia. Int J Pharma Bio Sci. 2016; 7:B1096–104.
23. Cetisli Korkmaz N, Can Akman T, Kilavuz Oren G, Bir LS. Trunk control: the essence for upper limb functionality in patients with multiple sclerosis. Mult Scler Relat Disord. 2018; 24:101–6.
Article
24. McCormack DJ. The effects of keyguard use and pelvic positioning on typing speed and accuracy in a boy with cerebral palsy. Am J Occup Ther. 1990; 44:312–5.
Article
25. Cordo PJ, Nashner LM. Properties of postural adjustments associated with rapid arm movements. J Neurophysiol. 1982; 47:287–302.
Article
26. Silfies SP, Ebaugh D, Pontillo M, Butowicz CM. Critical review of the impact of core stability on upper extremity athletic injury and performance. Braz J Phys Ther. 2015; 19:360–8.
Article
27. Behm DG, Anderson K, Curnew RS. Muscle force and activation under stable and unstable conditions. J Strength Cond Res. 2002; 16:416–22.
Article
28. Ambegaonkar JP, Mettinger LM, Caswell SV, Burtt A, Cortes N. Relationships between core endurance, hip strength, and balance in collegiate female athletes. Int J Sports Phys Ther. 2014; 9:604–16.
29. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006; 36:189–98.
Article
30. Fallang B, Saugstad OD, Hadders-Algra M. Goal directed reaching and postural control in supine position in healthy infants. Behav Brain Res. 2000; 115:9–18.
Article
31. Miyake Y, Kobayashi R, Kelepecz D, Nakajima M. Core exercises elevate trunk stability to facilitate skilled motor behavior of the upper extremities. J Bodyw Mov Ther. 2013; 17:259–65.
Article
32. Putnam CA. Sequential motions of body segments in striking and throwing skills: descriptions and explanations. J Biomech. 1993; 26 Suppl 1:125–35.
Article
33. El-Nashar H, ElWishy A, Helmy H, El-Rwainy R. Do core stability exercises improve upper limb function in chronic stroke patients? Egypt J Neurol Psychiatr Neurosurg. 2019; 55:38.
Article
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