Upper limb training using visual feedback for children with cerebral palsy

Authors : Dilara Merve SARI, Tuğba KURU

Pages : 179-188

Doi:10.15437/jetr.878969

View : 13 | Download : 9

Publication Date : 2022-12-19

Article Type : Research Paper

Abstract :Purpose: This study aimed to investigate that if upper limb visual feedback training added to the usual therapy was effective on upper limb functions in children with cerebral palsy. Methods: Thirty-eight children with cerebral palsy insert ignore into journalissuearticles values(4-18 years); participated in the study. The participants were randomly assigned into two groups. Study group insert ignore into journalissuearticles values(n=19, mean age 8.50±3.40, 53% female); received visual feedback training plus usual therapy twice a week for 8 weeks, 16 sessions in total, while control group insert ignore into journalissuearticles values(n=19, mean age 10.60±3.80, 42% female); received only usual therapy. The participants’ Gross Motor Function Classification System levels were between I-III and spasticity levels were between ‘0’ to ‘1+’ according to Modified Ashworth Scale. Upper limb range of motion insert ignore into journalissuearticles values(ROM);, grip and pinch strength, hand skills insert ignore into journalissuearticles values(Minnesota Manual Dexterity Test insert ignore into journalissuearticles values(MMDT););, and functional abilities insert ignore into journalissuearticles values(Childhood Health Assessment Questionnaire insert ignore into journalissuearticles values(CHAQ);); were assessed before and after treatment. Results: The change amount in shoulder flexion insert ignore into journalissuearticles values(p=0.004); and abduction insert ignore into journalissuearticles values(p=0.01);, supination insert ignore into journalissuearticles values(p=0.019); and wrist flexion insert ignore into journalissuearticles values(p=0.004); and extension insert ignore into journalissuearticles values(p=0.00); ROM values; bilateral MMDT scores insert ignore into journalissuearticles values(p=0.003); were statistically significantly improved in study group compared to control group. Conclusion: Adding visual feedback training to the usual therapy program of children with cerebral palsy was found to be effective in some outcome measurements such as upper limb ROM and hand skills. In the long-term rehabilitation process, this new training method may be an alternative additive option for children, families, and physiotherapists.
Keywords : serebral palsi, üst ekstremite, rehabilitasyon, geribildirim