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Rehabilitation Practice and Science

Translated Title

應用頭頸部垂直穩定訓練飛碟帽居家訓練對腦性麻痺青少年平衡能力之改善－初步探討

Abstract

Background and aims: Cerebral palsy (CP) is impaired development in movement and postural control due to brain damage during the fetal or early infancy stage of life. Poor control of the neck muscle affects the peripheral sensory input and central nervous signal output, inhibiting the pre-action feedback response and expected postural regulation, which might result in impaired postural stability of the head and trunk. Therefore, the main purpose of this study is to conduct head and neck vertical stabilization training for teenage students with cerebral palsy, and to examine its balance effect. Methods: In addition to maintaining regular rehabilitation training, teenage students with cerebral palsy wore head and neck stabilizing training UFO hats of appropriate weight in home training activities, for 20 minutes per day, three times per week, for four weeks. Subjects were tested before and after training by the Berg Balance Test, computerized balance tester (SMART Balance Master), to measure the static and dynamic balance function and postural stability. Results: A total of nine subjects (10-18 years old) with spastic cerebral palsy were recruited in this study. Before and after training, the Bursting Balance Scale (BBS) scores ranged from 52.00 ± 5.92 to 53.00 ± 5.15 (p=0.041) and the static balance sensory integration test (SOT) ranged from 69.56 ± 9.38 to 77.67 ± 9.33 (p=0.007), which was a significant improvement. The dynamic balance regular weight transfer test (RWS) did not reveal any significant difference, but the dynamic balance stability limit test (LOS) and response time (RT) data showed the body balance and stable control ability to the rear had significantly improved (p＜0.05). Conclusion: After four weeks of training in the stability of the head and neck program, teenage students with spastic cerebral palsy had significantly improved static balance and stability control to the rear, which might be effective in reducing the risk of falls.

Language

Traditional Chinese

First Page

39

Last Page

48

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