Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy

Sina LABAF, Alireza SHAMSODDINI, Mohammad Taghi HOLLISAZ, Vahid Sobhani SOBHANI, Abolfazl SHAKIBAEE

Abstract


1210

How to Cite This Article: labaf S, Shamsoddini A, Hollisaz MT, Sobhani V, Shakibaee A . Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy. Iran J Child Neurol. Spring 2015;9(1):37-42.

Abstract

Objective

Neurodevelopmental treatments are an advanced therapeutic approach practiced by experienced occupational therapists for the rehabilitation of children with cerebral palsy. The primary challenge in children with cerebral palsy is gross motor dysfunction. We studied the effects of neurodevelopmental therapy on gross motor function in children with cerebral palsy.

Materials & Methods

In a quasi-experimental design, 28 children with cerebral palsy were randomly divided into two groups. Neurodevelopmental therapy was given to a first group (n=15) with a mean age of 4.9 years; and a second group with a mean age 4.4 years (n=13) who were the control group. All children were evaluated with the Gross Motor Function Measure. Treatments were scheduled for three - one-hour sessions per week for 3 months.

Results

We obtained statistically significant differences in the values between the baseline and post treatment in two groups. The groups were significantly different in laying and rolling (P=0.000), sitting (0.002), crawling and kneeling (0.004), and standing abilities (P=0.005). However, there were no significant

differences in walking, running, and jumping abilities between the two groups (0.090).

Conclusion

We concluded that the neurodevelopmental treatment improved gross motor function in children with cerebral palsy in four dimensions (laying and rolling, sitting, crawling and kneeling, and standing). However, walking, running, and jumping did not improve significantly.


Keywords


Cerebral palsy; Children, Gross motor function, Neurodevelopmental treatment; Rehabilitation

Full Text:

PDF

361

References


Miller F. Cerebral palsy. Springer Science-Business Media: New York; 2005. p. 523-666.

Stanley FJ, Blair E, Alberman E. Cerebral Palsies: Epidemiology & Causal Pathways. London, England:Mac Keith Press 2000; 29-41.

Scherzer AL, Tscharnuter I. Early Diagnosis and Therapy in Cerebral Palsy: A Primer on Infant Development Problems. 2nd Ed. New York: Marcel Dekker Inc; 1990.P.87-101.

Hutton JL, Cooke T, Pharoah PO. Life expectancy in children with cerebral palsy. British Medical Journal 1994; 13: 430-435.

Bulter C and Arrah J. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence repoet. Dev Med Child Neurol. 2001; 43(11): 778- 90.

Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJM. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther 2001; 81: 1534–1545.

Mayston M. People with cerebral palsy: effects of and perspectives for therapy. Neural Plasticity 2001; 8: 51–69.

Mintaze Kerem G. Rehabilitation of children with cerebral palsy from a physiotherapist’s perspective. Acta Orthop Traumatol Turc. 2009; 34(2): 173-80.

Shamsoddini AR and Hollisaz MT. effect of Sensory integration therapy on Gross motor Function in Children with cerebral palsy. Iran J Child Neurology 2009; 8(1) 43-48.

Shamsoddini AR. Comparison Between the effect of neurodevelopmental treatment and sensory integration

therapy on gross motor function in children with cerebral palsy. Iran J Child Neurology 2010; 4(1): 31-38.

Case-Smith J. Occupational therapy for children. 6th ed. St Louis MO: Mosby; 2010. P. 325-372.

Mintaze Kerem G. Rehabilitation of children with cerebral palsy from a physiotherapist’s perspective. Acta

Orthop Traumatol Turc. 2009; 34(2): 173-80.

Russell D, Rosenbaum P, Gowland C, Hardy S, Lane M, Plews N, et al. Manual for the Gross Motor Function Measure. Children’s Developmental Rehabilitation Programme at Chedoke-McMaster University Ontario 1993; 67-73.

Alotaibi M, Long T, Kennedy E, Bavishi S. The efficacy of GMFM-88 and GMFM-66 to detect changes in gross motor function in children with cerebral palsy (CP): a literature review. Disabil Rehabil. 2014; 36(8):617-27.

Ko IH, Kim JH, Lee BH. Relationship between Lower Limb Muscle Structure and Function in Cerebral Palsy. J Phys Ther Sci. 2014 Jan; 26(1):63-6.

Song CS. Relationships between Physical and Cognitive Functioning and Activities of Daily Living in Children with Cerebral Palsy. J Phys Ther Sci. 2013; 25(5):619-22.

Shamsoddini A, Amirsalari S, Hollisaz MT, Rahimniya A, Khatibi-Aghda A. Management of Spasticity in Children with Cerebral Palsy. Iran J Pediatr 2014; 24(4): 345-351.

Fetters L, Kluzik J. The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy. Physical Therapy 1996; 76(4):346- 58.

Mayston M. People with cerebral palsy: effects of and perspectives for therapy. Neural Plasticity 2001; 8: 51–69.

Akbari A, Javad zadeh M, Shahraki S, Jahanshahi J. the effects of functional therapy on motor development in children with cerebral palsy. Iran J Child Neurology 2009; 8(4) 23-32.

Tsorlakis N, Evaggelinou C, Grouios G, Tsorbatzoudis C. Effect of intensive neurodevelopmental treatment in gross motor function of children with cerebral palsy. Dev Med Child Neurol 2004; 46(11):740-5.

Arndt SW, Chandler LS, Sweeney JK, Sharkey MA, McElroy JJ. Effects of a neurodevelopmental treatment-based trunk protocol for infants with posture and movement dysfunction. Pediatr Phys Ther. 2008;20(1):11-22.




DOI: https://doi.org/10.22037/ijcn.v9i2.6165

Refbacks

  • There are currently no refbacks.


Copyright (c)