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[Effect of Biofeedback Combined with Task-oriented Training on Hand Function, Gesell Scale Score and Balance Ability
Jin-Rong Huang1, Feng Zhang1, Fang-Fang Wen1
1Department of Neurorehabilitation for Children, Ganzhou Maternal and Child Health Hospital, Ganzhou 341000, China.
Insights
Biofeedback combined with task-oriented training significantly improved hand function, balance, and motor skills in children with spastic cerebral palsy (SCP). This approach also increased developmental levels and parent satisfaction compared to conventional therapy.
Area of Science:
- Pediatric Rehabilitation
- Neurology
- Developmental Pediatrics
Background:
- Spastic cerebral palsy (SCP) significantly impacts motor function and development in children.
- Conventional rehabilitation offers some benefits but may not fully address all functional deficits.
Purpose of the Study:
- To evaluate the efficacy of biofeedback combined with task-oriented training in improving hand function, development, and balance in children with SCP.
- To compare these outcomes against conventional rehabilitation methods.
Main Methods:
- A randomized controlled trial involving 66 children with SCP.
- The observation group received biofeedback and task-oriented training alongside conventional therapy.
- The control group received only conventional rehabilitation for six months.
Main Results:
- The observation group showed significant improvements in Modified Ashworth Scale (MAS) scores, Berg Balance Scale (BBS) scores, and Gross Motor Function Measure (GMFM) for standing and walking.
- Assisting Hand Assessment (AHA) scores and Gesell developmental quotient (DQ) scores were also significantly higher in the observation group.
- Parental satisfaction with treatment was markedly higher in the observation group (90.91% vs. 60.61%).
Conclusions:
- Biofeedback combined with task-oriented training is an effective intervention for children with SCP.
- This combined approach enhances motor function, balance, hand function, and overall development.
- It also leads to greater satisfaction among guardians regarding rehabilitation outcomes.
Objective:
To analyze the effects of biofeedback combined with task-oriented training on hand function, Gesell's infant development scale score (Gesell) and balance ability in children with spastic cerebral palsy (SCP).
Methods:
66 children with SCP admitted to our hospital from January 2016 to June 2018 were randomly divided into the control group and the observation group. The control group ( n=33) received conventional rehabilitation treatment, and the observation group ( n=33) received biofeedback combined with task-oriented training based on the treatment of control group. After 6-month treatment, Modified Ashworth scale (MAS) score, Berg balance scale (BBS) score, standing and walking function score in gross motor function scale (GMFM), assisting hand assessment scales (AHA) score, Gesell scale score and satisfaction of the children's parents were compared between the two groups.
Results:
The MAS score after treatment was lower than that before treatment in both two groups ( P<0.05), and the BBS score after treatment was higher than that before treatment in both two groups ( P<0.05). After treatment, the MAS score in the observation group was lower than the control group, and the BBS score in the observation group was higher than the control group ( P<0.05). The scores of standing and walking function after treatment were higher than that before treatment in both two groups ( P<0.05). After treatment, the scores of standing and walking function in the observation group were higher than the control group ( P<0.05). The AHA score and Gesell developmental quotient (DQ) score after treatment were higher than that before treatment in both two groups ( P<0.05). After the treatment, the AHA score and Gesell DQ score in the observation group were higher than the control group ( P<0.05). The satisfaction rate of rehabilitation treatment in the observation group was higher than the control group (90.91% vs. 60.61%, P<0.05).
Conclusion:
Biofeedback combined with task-oriented training can improve balance ability, spasm relieve, hand function, development level, standing and walking function in the children with spastic cerebral palsy and increase the treatment satisfaction degree of children's guardians.
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