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:: Volume 23, Issue 3 (10-2021) ::
J Gorgan Univ Med Sci 2021, 23(3): 8-15 Back to browse issues page
Effect of High-Intensity Circuit Training on Balance and Activities of Daily Living in Children with Cerebral Palsy: A Clinical Trial Study
Arash Nasiri1 , Ramin Shabani * 2, Mohammad Reza Fadaei Chafy3 , Elham Bidabadi4
1- Ph.D Candidate in Exercise Physiology, Department of Physical Education and Sport Sciences, Rasht Branch, Islamic Azad University, Rasht, Iran.
2- Professor, Department of Physical Education and Sport Sciences, Rasht Branch, Islamic Azad University, Rasht, Iran. , shabani_msn@yahoo.com
3- Assistant Professor, Department of Physical Education and Sport Sciences, Rasht Branch, Islamic Azad University, Rasht, Iran.
4- Child Neurologist, Associate Professor, Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (4080 Views)
Background and Objective: Spastic diplegia cerebral palsy is a movement disorder originating from brain injury before, during, or immediately after birth. Exercise plays an important role in motor recovery. This study was performed to determine the effect of high-intensity circuit training on balance and activity daily living in children with cerebral palsy (CP).
Methods: In this clinical trial, 34 children with cerebral palsy were randomly divided into two groups of 17 including occupational therapy (control group) and circuit training group with occupational therapy as interventional group. Berg balance scale and activity scale for kids were used to assess changes in balance and activity of daily living before and after 12 weeks of exercise, respectively. High-intensity circuit training consisting of 3 rounds and each round consisting of 6,
30-second stations and a 30-second break between stations, which were performed three times a week for 12 weeks. Occupational therapy was performed one session per week.
Results: The rate of balance and activities of daily living and its components in the circuit training group with occupational therapy showed a significant improvement compared to control group (P<0.05).
Conclusion: Circuit trainings with occupational therapy can further improve the performance of balance and activity of daily living in children with Spastic diplegia cerebral palsy compared to occupational therapy.
Keywords: Cerebral Palsy [MeSH], Disable Children [MeSH], Postural Balance [MeSH], Activities of Daily Living [MeSH], Exercise Therapy [MeSH]
Article ID: Vol23-34
Full-Text [PDF 696 kb]   (12072 Downloads)    
Type of Study: Original Articles | Subject: Rehabilitation
1. Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral palsy epidemiology: where are we now and where are we going? Dev Med Child Neurol. 1992 Jun; 34(6): 547-51. DOI: 10.1111/j.1469-8749.1992.tb11479.x [DOI] [PubMed]
2. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012 Nov; 130(5): e1285-312. DOI: 10.1542/peds.2012-0924 [DOI] [PubMed]
3. Gordon AM, Friel KM. Intensive training of upper extremity function in children with cerebral palsy. In: Nowak DA. Sensorimotor Control of Grasping: Physiology and Pathophysiology. 1st ed. Cambridge University Press. 2009; pp: 438-57.
4. Dalvand H, Dehghan L, Hadian MR, Feizy A, Hosseini SA. Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Arch Phys Med Rehabil. 2012 Mar; 93(3): 480-44. DOI: 10.1016/j.apmr.2011.10.019 [DOI] [PubMed]
5. Thompson N, Stebbins J, Seniorou M, Newham D. Muscle strength and walking ability in diplegic cerebral palsy: implications for assessment and management. Gait Posture. 2011 Mar; 33(3): 321-25. DOI: 10.1016/j.gaitpost.2010.10.091 [DOI] [PubMed]
6. Park ES, Park CI, Lee HJ, Kim DY, Lee DS, Cho SR. The characteristics of sit-to-stand transfer in young children with spastic cerebral palsy based on kinematic and kinetic data. Gait Posture. 2003 Feb; 17(1): 43-49. DOI: 10.1016/s0966-6362(02)00055-3 [DOI] [PubMed]
7. Wren TAL, Sheng M, Bowen RE, Scaduto AA, Kay RM, Otsuka NY, et al. Concurrent and discriminant validity of Spanish language instruments for measuring functional health status. J Pediatr Orthop. 2008 Mar; 28(2): 199-212. DOI: 10.1097/BPO.0b013e318165216d [DOI] [PubMed]
8. Graham HK, Selber P. Musculoskeletal aspects of cerebral palsy. J Bone Joint Surg Br. 2003 Mar; 85(2): 157-66. DOI: 10.1302/0301-620x.85b2.14066 [DOI] [PubMed]
9. Case-Smith J. Occupational Therapy for Children. 5th ed. Philadelphia: Elsevier Mosby. 2005; pp: 238-39.
10. Bell KJ, Ounpuu S, DeLuca PA, Romness MJ. Natural progression of gait in children with cerebral palsy. J Pediatr Orthop. 2002 Sep-Oct; 22(5): 677-82. [PubMed]
11. Ross SA, Engsberg JR. Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy. Arch Phys Med Rehabil. 2007 Sep; 88(9): 1114-20. DOI: 10.1016/j.apmr.2007.06.011 [DOI] [PubMed]
12. Kim WH, Park EY. Causal relation between spasticity, strength, gross motor function, and functional outcome in children with cerebral palsy: a path analysis. Dev Med Child Neurol. 2011 Jan; 53(1): 68-73. DOI: 10.1111/j.1469-8749.2010.03777.x [DOI] [PubMed]
13. Park EY, Kim WH. Meta-analysis of the effect of strengthening interventions in individuals with cerebral palsy. Res Dev Disabil. 2014 Feb; 35(2): 239-49. DOI: 10.1016/j.ridd.2013.10.021 [DOI] [PubMed]
14. Franki I, Desloovere K, Cat JD, Feys H, Molenaers G, Calders P, et al. The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy: a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework. J Rehabil Med. 2012 May; 44(5): 385-95. DOI: 10.2340/16501977-0983 [DOI] [PubMed]
15. van Vulpen LF, de Groot S, Rameckers E, Becher JG, Dallmeijer AJ. Improved Walking Capacity and Muscle Strength After Functional Power-Training in Young Children With Cerebral Palsy. Neurorehabil Neural Repair. 2017 Sep; 31(9): 827-41. DOI: 10.1177/1545968317723750 [DOI] [PubMed]
16. Dallmeijer AJ, Rameckers EA, Houdijk H, de Groot S, Scholtes VA, Becher JG. Isometric muscle strength and mobility capacity in children with cerebral palsy. Disabil Rehabil. 2017 Jan; 39(2): 135-42. DOI: 10.3109/09638288.2015.1095950 [DOI] [PubMed]
17. van Vulpen LF, de Groot S, Rameckers EAA, Becher JG, Dallmeijer AJ. Effectiveness of Functional Power Training on Walking Ability in Young Children With Cerebral Palsy: Study Protocol of a Double-Baseline Trial. Pediatr Phys Ther. 2017 Jul; 29(3): 275-82. DOI: 10.1097/PEP.0000000000000424 [DOI] [PubMed]
18. Scholtes VA, Becher JG, Comuth A, Dekkers H, Van Dijk L, Dallmeijer AJ. Effectiveness of functional progressive resistance exercise strength training on muscle strength and mobility in children with cerebral palsy: a randomized controlled trial. Dev Med Child Neurol. 2010 Jun; 52(6): e107-13. DOI: 10.1111/j.1469-8749.2009.03604.x [DOI] [PubMed]
19. Damiano DL, Abel MF. Functional outcomes of strength training in spastic cerebral palsy. Arch Phys Med Rehabil. 1998 Feb; 79(2): 119-25. DOI: 10.1016/s0003-9993(98)90287-8 [DOI] [PubMed]
20. Law M, King G, King S, Kertoy M, Hurley P, Rosenbaum P, et al. Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol. 2006 May; 48(5): 337-42. DOI: 10.1017/S0012162206000740 [DOI] [PubMed]
21. Brown M, Gordon WA. Impact of impairment on activity patterns of children. Arch Phys Med Rehabil. 1987 Dec; 68(12): 828-32. [PubMed]
22. Powell KE, Dysinger W. Childhood participation in organized school sports and physical education as precursors of adult physical activity. Am J Prev Med. 1987 Sep-Oct; 3(5): 276-81. [PubMed]
23. Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995 Aug; 75(8): 658-67. DOI: 10.1093/ptj/75.8.658 [DOI] [PubMed]
24. Carpinelli RN. Challenging the American College of Sports Medicine 2009 position stand on resistance training. Med Sport. 2009; 13(2): 131-37. DOI: 10.2478/v10036-009-0020-7 [Article] [DOI]
25. Faigenbaum AD, Kraemer WJ, Blimkie CJR, Jeffreys I, Micheli LJ, Nitka M, et al. Youth resistance training: updated position statement paper from the national strength and conditioning association. J Strength Cond Res. 2009 Aug; 23(5 Suppl): S60-79. DOI: 10.1519/JSC.0b013e31819df407 [DOI] [PubMed]
26. Hart T, Whyte J, Poulsen I, Spangsberg Kristensen K, Nordenbo AM, Chervoneva I, et al. How Do Intensity and Duration of Rehabilitation Services Affect Outcomes From Severe Traumatic Brain Injury? A Natural Experiment Comparing Health Care Delivery Systems in 2 Developed Nations. Arch Phys Med Rehabil. 2016 Dec; 97(12): 2045-53. DOI: 10.1016/j.apmr.2016.07.012 [DOI] [PubMed]
27. Park EY, Kim EJ. Effect of the frequency of therapy on the performance of activities of daily living in children with cerebral palsy. J Phys Ther Sci. 2018 May; 30(5): 707-10. DOI: 10.1589/jpts.30.707 [DOI] [PubMed]
28. Schranz C, Kruse A, Belohlavek T, Steinwender G, Tilp M, Pieber T, et al. Does Home-Based Progressive Resistance or High-Intensity Circuit Training Improve Strength, Function, Activity or Participation in Children With Cerebral Palsy? Arch Phys Med Rehabil. 2018 Dec; 99(12): 2457-2464.e4. DOI: 10.1016/j.apmr.2018.06.010 [DOI] [PubMed]
29. Kumar C, Kataria S. Effectiveness of Task Oriented Circuit Training on Functional Mobility and Balance in Cerebral Palsy. Indian J Physiother Occup Ther. 2013 Oct-Dec; 23-28. DOI: 10.5958/j.0973-5674.7.4.116 [Article] [DOI]
30. Hadian M, Nakhostin Ansari N, Asgari T, Abdolvahab M, Jalili M. [Inter& Intra rater Reliability of Berg Balance Scale for evaluation of the balance in children with spastic hemieplegia]. J Mod Rehabil. 2007; 1 (2 and 3): 31-37. [Article in Persian] [View at Publisher]
31. Khatoon Dehghan S, Rassafiani M, Akbar Fahimi N, Farahbod M, Salehi M. [Validity and reliability of Activities Scale for Kids (ASK) in children with cerebral palsy]. JRRS. 2011; 7(3): 267-77. DOI: 10.22122/jrrs.v7i3.182 [Article in Persian] [View at Publisher] [DOI]
32. Gao J, He L, Yu X, Wang L, Chen H, Zhao B, et al. Rehabilitation with a combination of scalp acupuncture and exercise therapy in spastic cerebral palsy. Complement Ther Clin Pract. 2019 May; 35: 296-300. DOI: 10.1016/j.ctcp.2019.03.002 [DOI] [PubMed]
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Nasiri A, Shabani R, Fadaei Chafy M R, Bidabadi E. Effect of High-Intensity Circuit Training on Balance and Activities of Daily Living in Children with Cerebral Palsy: A Clinical Trial Study. J Gorgan Univ Med Sci 2021; 23 (3) :8-15
URL: http://goums.ac.ir/journal/article-1-3855-en.html

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Volume 23, Issue 3 (10-2021) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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