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Trunk endurance and gait changes after core stability training in children with hemiplegic cerebral palsy: A
Insights
Core stability training significantly improved trunk muscle endurance and gait in children with cerebral palsy (CP). This targeted approach enhances mobility and functional capacity in pediatric hemiplegic CP patients.
Area of Science:
- Pediatric rehabilitation
- Neuromuscular disorders
- Biomechanics
Background:
- Trunk muscle weakness is prevalent in children with cerebral palsy (CP), impacting their endurance and mobility.
- Reduced trunk muscle endurance in CP can lead to decreased functional movement capacity.
Purpose of the Study:
- To investigate the impact of core stability training on trunk muscle endurance.
- To assess the effects of core stability training on gait parameters in children with hemiplegic CP.
Main Methods:
- Thirty children (10-12 years) with hemiplegic CP were divided into a control and a study group.
- The study group received an 8-week core stability training program alongside standard physical therapy.
- Trunk muscle endurance and gait parameters were measured pre- and post-intervention.
Main Results:
- Both groups improved trunk flexor/extensor endurance and gait parameters.
- The study group demonstrated significant improvement in lateral trunk muscle endurance.
- Post-treatment, the study group showed superior outcomes across all measured variables compared to the control group.
Conclusions:
- Core stability exercises, when added to physical therapy, effectively enhance trunk muscle endurance.
- This training regimen improves gait parameters in children with hemiplegic cerebral palsy.
- Core stability training is a valuable intervention for improving functional outcomes in pediatric CP.
Background:
Weakness of trunk muscles is a common disorder in children with cerebral palsy (CP). They encounter decreased levels of endurance that can lead to diminished capacity of movement.
Objective:
To evaluate the effect of core stability training on the endurance of trunk muscles and gait parameters in children with hemiplegic CP.
Methods:
Thirty children with hemiplegic CP aged 10 to 12 years were randomly assigned to two groups of equal number; control group (A) and study group (B). Both groups underwent the same designed physical therapy program. Moreover, group B underwent core stability training 3 times/week for 8 weeks. Endurance time of trunk muscles and gait parameters were measured before and after the intervention using the trunk endurance tests and the Biodex gait trainer respectively.
Results:
Both groups showed statistically significant improvements in the endurance time of trunk flexors and extensors and gait parameters after treatment but only group B showed statistically significant improvement in the endurance time of lateral trunk muscles. There were post-treatment statistically significant differences between both groups in favor of group B regarding all measured variables.
Conclusion:
Addition of core stability exercises to the treatment program can effectively improve the endurance time of trunk muscles and gait in children with hemiplegic CP.
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