Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

The Effectiveness of a Selected Exercise and Rehabilitation Program and a Selected Exercise Program with Rehabilitation on bimanual motor skills in Hemiplegic Children

Document Type : Research Paper

Authors
Saeed Akbari Nia 1
Abdollah Ghasemi 2
Masoumeh Shojaei 3
Seyed Mohammad Kazem Vaez Mousavi 4
1 PhD Student of Motor Development, Research and Sciences Branch, Islamic Azad University, Tehran, Iran.
2 Associate Professor, Department of Physical Education and Sport Sciences, Sciences and Research Branch, Islamic Azad University, Tehran, Iran(Corresponding Author)
3 Associate Professor, Department of Motor Behavior, Faculty of Sports Science, Alzahra University, Tehran, Iran. (Corresponding Author)
4 Professor, Department of Physical Education, Imam Hossein University, Tehran, Iran.
10.22038/mjms.2022.65489.3851
Abstract
Introduction: Hemiplegic children have several neurological defects that are involved in motor function and daily activities; Therefore, the aim of this study was to compare the effectiveness of a selected exercise program and rehabilitation and a selected exercise program with rehabilitation on healthy hand motor skills of hemiplegic children. Methods: The research method is quasi-experimental and the research design is pre-test post-test with experimental and control groups. The statistical population consisted of hemiplegic children referring to Tavaniab, Zanko and Kimia rehabilitation centers in Kermanshah. The statistical sample of the study was 30 people based on the inclusion criteria who were randomly divided into 3 groups of 10 people and in the next stage 24 people remained based on the exclusion criteria (selected exercises 9 people, selected exercises with rehabilitation 8 people and exercises Rehabilitation 7 people). The research instrument was a demographic questionnaire and MABC-2 test. Dependent t-test and one-way analysis of variance were used to analyze the data. Results: The results showed that there was a significant difference between pre-test and post-test of both experimental groups in all variables (p ≤0.001). Also, there was no significant difference in the ball receiving variable between any of the groups (P ≥ 0.001). However, there was a significant difference in the bean bag throwing variable between the rehabilitation group and the selected group with rehabilitation (P ≤ 0.001). Conclusion: It seems that the selected group with rehabilitation has a better effect on bean bag throwing variable than other groups.
Keywords
Motor skills
Exercise
Rehabilitation
Children
Hemiplegia
  1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition
    and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109(suppl 109):8-
    14.
    2. Case-Smith J, Allen AS, Pratt PN. Occupational therapy for children: Mosby St. Louis; 2001.
    3. Rethlefsen SA, Ryan DD, Kay RM. Classification systems in cerebral palsy. Orthopedic Clinics.
    2010;41(4):457-67.
    4. Sakzewski L, Ziviani J, Boyd R. The relationship between unimanual capacity and bimanual
    performance in children with congenital hemiplegia. Developmental Medicine & Child Neurology.
    2010;52(9):811-6.
    5. Steenbergen B, Charles J, Gordon AM. Fingertip force control during bimanual object lifting in
    hemiplegic cerebral palsy. Experimental brain research. 2008;186(2):191-201.
    6. Duque J, Thonnard JL, Vandermeeren Y, Sébire G, Cosnard G, Olivier E. Correlation between
    impaired dexterity and corticospinal tract dysgenesis in congenital hemiplegia. Brain.
    2003;126(3):732-47.
    7. Gordon AM, Duff SV. Relation between clinical measures and fine manipulative control in children
    with hemiplegic cerebral palsy. Developmental medicine and child neurology. 1999;41(9):586-91.
    8. Van Heest AE, House J, Putnam M. Sensibility deficiencies in the hands of children with spastic
    hemiplegia. Journal of Hand Surgery. 1993;18(2):278-81.
    9. Tomhave WA, Van Heest AE, Bagley A, James MA. Affected and contralateral hand strength and
    dexterity measures in children with hemiplegic cerebral palsy. The Journal of hand surgery. 2015 May
    1;40(5):900-7.
    10. Steenbergen B, Veringa A, de Haan A, Hulstijn W. Manual dexterity and keyboard use in spastic
    hemiparesis: a comparison between the impaired hand and the ‘good’hand on a number of performance
    measures. Clinical rehabilitation. 1998;12 (1), 64-72.
  2. 11. Mutsaarts M, Steenbergen B, Bekkering H. Anticipatory planning deficits and task context effects in
    hemiparetic cerebral palsy. Experimental Brain Research. 2006;172(2):151-62.
    12. Rönnqvist L, Rösblad B. Kinematic analysis of unimanual reaching and grasping movements in
    children with hemiplegic cerebral palsy. Clinical Biomechanics. 2007;22(2):165-75.
    13. Hung Y-C, Charles J, Gordon AM. Bimanual coordination during a goal-directed task in children with
    hemiplegic cerebral palsy. Developmental Medicine and Child Neurology. 2004;46(11):746-53.
    14. Arnould C, Penta M, Thonnard J-L. Hand impairments and their relationship with manual ability in
    children with cerebral palsy. Journal of Rehabilitation Medicine. 2008;39(9):708-14.
    15. Bakhtiary AH, Fatemy E. Does electrical stimulation reduce spasticity after stroke? A randomized
    controlled study. Clinical Rehabilitation. 2008;22(5):418-25.
    16. Hara Y. Rehabilitation with functional electrical stimulation in stroke patients. Int J Phys Med Rehabil.
    2013;1(147):2.
    17. Shen J, Leishear K. Novel techniques for upper extremity training for hemiparesis after stroke. UPMC
    Rehab Grand Rounds. 2011:1-8.
    18. Cecatto RB, Chadi G. Functional electrical stimulation (FES) and neuronal plasticity: a historical
    review. Acta Fisiátrica. 2012;19(4):246-57.
    19. Health NIo. Office of Communications and Public Liaison. Online Information Branch, The NIH
    Almanac. 2009.
    20. WUANG YP, SU JH, SU CY. Reliability and responsiveness of the Movement Assessment Battery
    for Children–Second Edition Test in children with developmental coordination disorder.
    Developmental Medicine & Child Neurology. 2012;54(2):160-5.
    21. Trappe H-J. The effect of music on human physiology and pathophysiology. Music and medicine.
    2012;4(2):100-5.
    22. Arner M, Eliasson A-C, Nicklasson S, Sommerstein K, Hägglund G. Hand function in cerebral palsy.
    Report of 367 children in a population-based longitudinal health care program. The Journal of hand
    surgery. 2008;33(8):1337-47.
    23. Eliasson A-C. Improving the use of hands in daily activities: aspects of the treatment of children with
    cerebral palsy. Physical & occupational therapy in pediatrics. 2005;25(3):37-60.
    24. Klevberg GL, Elvrum AKG, Zucknick M, Elkjær S, Østensjø S, Krumlinde‐ Sundholm L, et al .
    Development of bimanual performance in young children with cerebral palsy. Developmental
    Medicine & Child Neurology. 2018;60(5):490-7.
    25. Fedrizzi E, Pagliano E, Andreucci E, Oleari G. Hand function in children with hemiplegic cerebral
    palsy: prospective follow-up and functional outcome in adolescence. Developmental medicine and
    child neurology. 2003;45(2):85-91.
    26. Pin TW-m. Effectiveness of static weight-bearing exercises in children with cerebral palsy. Pediatric
    Physical Therapy. 2007;19(1):62-73.
    27. Azizidarabkhani N, Heyrani A. he effects of bilateral motor trainings with and without mirror on the
    range of joint motion and manipulative skill of children with cerebral palsy. Biquarterly Journal of
    Sport Psychology. 2021;1400(1):145-59.
    28. Azizidarabkhani n, Heyrani A. The effects of six weeks of bilateral motor trainings with and without
    mirror on simple reaction time in affected hand of children with spastic hemiplegic cerebral
    palsy(SHCP). journal of motor and behavioral sciences. 2021;4.-:)1(
    29. Mohammadi A, Talebi M, Havaei N. Comparison of the therapeutic effect of bilateral and unilateral
    movement exercises on upper limb function in hemiplegic patients. Kermanshah Medical Sciences.
    2013;17(2):113-20. [Persian].
    30. Apolo-Arenas MD, Jerônimo AFdA, Caña-Pino A, Fernandes O, Alegrete J, Parraca JA. Standardized
    Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral
    PALSY: A Systematic Review. Journal of personalized medicine. 2021;11(7):604.
    31. Kwon YH ,Lee HY. Differences of respiratory function according to level of the gross motor function
    classification system in children with cerebral palsy. Journal of physical therapy science.
    2014;26(3):389-91.
  3. 32. Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS ,Boyd RN. Oropharyngeal dysphagia and gross
    motor skills in children with cerebral palsy. Pediatrics. 2013;131(5):e1553-e62.
    33. Mendoza SM, Gómez-Conesa A, Montesinos MDH. Association between gross motor function and
    postural control in sitting in children with Cerebral Palsy: a correlational study in Spain. BMC
    pediatrics. 2015;15(1):1-7.
    34. Frontera WR, Slovik DM, Dawson DM. Exercise in rehabilitation medicine: Human Kinetics; 2006.
    35. Taylor MJ, McCormick D, Shawis T, Impson R, Griffin M. Activity-promoting gaming systems in
    exercise and rehabilitation. Journal of rehabilitation research and development. 2011;48(10):1171-86.
Medical Journal of Mashhad university of Medical Sciences
Volume 65, Issue 3
May and June 2022
Pages 1302-1312