Bobath And Pilates Therapy On Sitting And Standing Balance In Children With Cerebral Palsy
DOI:
https://doi.org/10.51601/ijhp.v3i4.299Abstract
Cerebral Palsy is the most common neurological disorder in children that affects
movement and posture due to damage to the brain which controls motor skills,
causing balance problems when sitting and standing. This balance is affected by
the strength of the erector spine and abdominal muscles that straighten and
control the trunk. If low trunk muscle tone causes problems with balance and
mobility so that the child has difficulty sitting, playing in a sitting position,
functional hand movements such as eating and activities of daily living. This
research is an experiment with a pre test – post one group design which aims to
analyze the effectiveness of bobath and pilates therapy on sitting and standing
balance in children with cerebral palsy. A total of 17 children with cerebral palsy
were given bobath and pilates therapy for 16 weeks, with a dose of: 1 time/day, 3
times a week with a treatment time of 45 minutes for each child. The research
subjects were children with cerebral palsy with the following criteria: 1-year old,
unbalanced sitting and standing. It will be carried out from February to June
2023. Sitting balance is measured with a sitting level scale and standing balance
with a pediatric balance scale. The research subjects consisted of 13 men
(76.47%) and 4 women (23.53%) with the GMFCS categories being III and IV.
The average age of research subjects: 36.5758 ± 15.02504. The results of
statistical tests with Wilcoxon obtained a value of p = 0.001 at the sitting level of
the scale and p = 0.002 on the pediatric balance scale. Conclusion: Bobath and
pilates therapy are effective in increasing the value of the sitting level of the scale
and the pediatric balance scale in children with cerebral palsy.
References
N. Belizón-Bravo, R. P. Romero-Galisteo, F. Cano-Bravo, G. Gonzalez-Medina, E. Pinero-Pinto, and C. LuqueMoreno, “Effects of dynamic suit orthoses on the spatio-temporal gait parameters in children with cerebral palsy:
A systematic review,” Children, vol. 8, no. 11, 2021, doi: 10.3390/children8111016.
R. Moura et al., “Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy,”
Dement. e Neuropsychol., vol. 11, no. 3, pp. 287–296, 2017, doi: 10.1590/1980-57642016dn11-030011.
M. R. Kim, B. H. Lee, and D. S. Park, “Effects of combined Adeli suit and neurodevelopmental treatment in
children with spastic cerebral palsy with gross motor function classification system levels I and II,” Hong Kong
Physiother. J., vol. 34, pp. 10–18, 2016, doi: 10.1016/j.hkpj.2015.09.036.
H. M. Abd-Elfattah, D. O. S. M. Galal, M. I. E. Aly, S. M. Aly, and T. E. Elnegamy, “Effect of Pilates Exercises
on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy,” Ann. Rehabil. Med., vol. 46, no.
, pp. 45–52, 2022, doi: 10.5535/arm.21148.
U. C. and F. A. Fatih Tekin, Erdogan Kavlak∗, “Effectiveness of Neuro-Developmental Treatment (Bobath
Concept) on postural control and balance in Cerebral Palsied children,” J. Back Musculoskelet. Rehabil., vol. 31,
no. 2, pp. 397–403, 2018, doi: 10.3233/BMR-170813.
N. Farjoun, M. Mayston, L. L. Florencio, C. Fernández-De-Las-Peñas, and D. Palacios-Ceña, “Essence of the
Bobath concept in the treatment of children with cerebral palsy. A qualitative study of the experience of Spanish
therapists,” Physiother. Theory Pract., vol. 38, no. 1, pp. 151–163, 2022, doi: 10.1080/09593985.2020.1725943.
S. Monica et al., “Relationship between Trunk Position Sense and Trunk Control in Children with Spastic
Cerebral Palsy: A Cross-Sectional Study,” Rehabil. Res. Pract., vol. 2021, 2021, doi: 10.1155/2021/9758640.
Z. Güçhan Topcu and H. Tomaç, “The Effectiveness of Massage for Children With Cerebral Palsy: A Systematic
Review,” Adv. Mind. Body. Med., vol. 34, no. 2, pp. 4–13, 2020.
J. W. Shin, G. Bin Song, and J. Ko, “The effects of neck and trunk stabilization exercises on cerebral palsy
children’s static and dynamic trunk balance: Case series,” J. Phys. Ther. Sci., vol. 29, no. 4, pp. 771–774, 2017,
doi: 10.1589/jpts.29.771.
V. Horber, A. Fares, M. J. Platt, C. Arnaud, I. Krägeloh-Mann, and E. Sellier, “Severity of Cerebral Palsy-The
Impact of Associated Impairments,” Neuropediatrics, vol. 51, no. 2, pp. 120–128, 2020, doi: 10.1055/s-0040-
Y. Tunde Gbonjubola, D. Garba Muhammad, and A. Tobi Elisha, “Physiotherapy management of children with
cerebral palsy,” Adesh Univ. J. Med. Sci. Res., vol. 3, no. 2, pp. 64–68, 2021, doi: 10.25259/ aujmsr_29_2021.
M. J. Vinolo-Gil, E. Casado-Fernández, V. Perez-Cabezas, G. Gonzalez-Medina, F. J. Martín-Vega, and R.
Martín-Valero, “Effects of the combination of music therapy and physiotherapy in the improvement of motor
function in cerebral palsy: A challenge for research,” Children, vol. 8, no. 10, 2021, doi:
3390/children8100868.
A. Numanoğlu Akbaş and M. Kerem Günel, “Effects of Trunk Training on Trunk, Upper and Lower Limb
Motor Functions in Children with Spastic Cerebral Palsy: A Stratified Randomized Controlled Trial,” Konuralp
Tıp Derg., vol. 11, pp. 253–259, 2019, doi: 10.18521/ktd.453532.
A. N. dos Santos, S. S. Serikawa, and N. A. C. F. Rocha, “Pilates improves lower limbs strength and postural
control during quite standing in a child with hemiparetic cerebral palsy: A case report study,” Dev. Neurorehabil.,
vol. 19, no. 4, pp. 226–230, 2016, doi: 10.3109/17518423.2014.947040.
I. M. Sari, A. C. Meidian, and M. Samekto, “Perbedaan Neuro Development Treatment ( Ndt ) Dan Pilates
Terhadap Kesiembangan Duduk Pada Cerebral,” J. Fisioter., pp. 1–13, 2016.
E. KAVLAK, A. UNAL, F. TEKIN, and F. ALTUG, “Bobath terapisinin serebral palside denge üzerindeki
etkisi,” Cukurova Med. J., vol. 43, no. 4, pp. 975–981, 2018, doi: 10.17826/cumj.375565.
T. Besios, A. Nikolaos, G. Vassilios, M. Giorgos, Y. Tzioumakis, and N. Comoutos, “Effects of the
Neurodevelopmental Treatment (NDT) on the Mobility of Children with Cerebral Palsy,” Open J. Ther.
Rehabil., vol. 06, no. 04, pp. 95–103, 2018, doi: 10.4236/ojtr.2018.64009.
B. Trisnowiyanto and M. M. Syatibi, “Differences Influence of Aquatic Therapy and Neuro Developmental
Treatment on the Motor Functional Development Ability of Children With Cerebral Palsy,” J. Keperawatan
Dan Fisioter., vol. 2, no. 2, pp. 165–171, 2020, doi: 10.35451/jkf.v2i2.413.
L. Triandari, K. Tirtayasa, M. Irfan, D. M. Wihandani, B. K. Satriyasa, and Sugijanto, “Kombinasi Perceptual
Motor Program Dan Neurodevelopmental Treatment Lebih Baik Daripada Treatment Dalam Meningkatkan
Kemampuan Duduk the Combination of Perceptual Motor Program and Neurodevelopmental Treatment Was
Better Than the Combination of Kinesiotap,” Sport Fit. J., vol. 6, no. 2, pp. 31–37, 2018.
International Journal of Health and Pharmaceutical
M. R. Franjoine, N. Darr, B. Young, S. W. McCoy, and A. LaForme Fiss, “Examination of the effects of age, sex,
and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical
development using the Pediatric Balance Scale,” Dev. Neurorehabil., vol. 25, no. 2, pp. 115–124, 2022, doi:
1080/17518423.2021.1943033.
R. Sharma, J. Sharma, and V. Bharadwaj, “Evidence Based Review of Physiotherapy Management of Cerebral
Palsy Patients,” Int. J. Physiother. Res., vol. 6, no. 5, pp. 2864–2881, 2018, doi: 10.16965/ijpr.2018.166.
A. C. Panhan, M. Gonçalves, G. D. Eltz, M. M. Villalba, A. C. Cardozo, and F. Bérzin, “Neuromuscular
efficiency of the multifidus muscle in pilates practitioners and non-practitioners,” Complement. Ther. Med., vol.
, pp. 61–63, 2018, doi: 10.1016/j.ctim.2018.07.014.
H. M. Abd-Elfattah, D. O. S. M. Galal, M. I. E. Aly, S. M. Aly, and T. E. Elnegamy, “Effect of Pilates Exercises
on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy,” Ann. Rehabil. Med., vol. 46, no.
, p. 21148, 2022, doi: 10.5535/arm.21148.
C. Panhan, M. Gonçalves, G. D. Eltz, M. M. Villalba, A. C. Cardozo, and F. Bérzin, “Neuromuscular efficiency
of the multifidus muscle in pilates practitioners and non-practitioners,” Complement. Ther. Med., vol. 40, pp.
–63, 2018, doi: 10.1016/j.ctim.2018.07.014.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Suharto Suharto, Sri Saadiyah L, Hasnia Ahmad, Tiar Erawan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
