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Vojta Therapy Affects Trunk Control and Postural Sway in Children with Central Hypotonia: A Randomized Controlled
1Department of Physical Therapy, Graduate School, Kyungnam University, Changwon 51767, Korea.
Insights
Vojta therapy significantly improved trunk control and gross motor function in children with central hypotonia. This therapy enhanced abdominal muscle thickness and stability, aiding developmental progress.
Area of Science:
- Pediatric physical therapy
- Neuromuscular rehabilitation
- Child development
Background:
- Central hypotonia in children is linked to diminished trunk stability and delayed motor development.
- Effective interventions are crucial for improving functional outcomes in these children.
Purpose of the Study:
- To evaluate the efficacy of Vojta therapy in enhancing trunk control among children with central hypotonia.
- To assess the impact of Vojta therapy on specific measures of trunk stability and gross motor function.
Main Methods:
- A comparative study involving 20 children with central hypotonia, divided into Vojta therapy (experimental) and general physical therapy (control) groups.
- Interventions were administered over six weeks, with assessments including abdominal muscle thickness, trunk control, trunk angle, trunk sway, and the Gross Motor Function Measure-88.
- Sessions were 30 minutes long, three times per week.
Main Results:
- Vojta therapy significantly increased internal oblique and transversus abdominis muscle thickness (p < 0.05).
- Significant improvements were observed in segmental assessment of trunk control scores (p < 0.05) and a significant decrease in trunk sway (p < 0.05).
- The Gross Motor Function Measure-88 scores also showed significant improvement (p < 0.05) in the experimental group.
Conclusions:
- Vojta therapy demonstrates effectiveness in improving trunk control in children with central hypotonia.
- The findings suggest Vojta therapy is a beneficial intervention for enhancing gross motor function in this population.
Abstract:
(1) Background: Decreased trunk stability is accompanied by delay in motor development in children with central hypotonia. We investigated the effect of Vojta therapy on trunk control in the sitting position in children with central hypotonia. (2) Methods: In 20 children with central hypotonia, Vojta therapy was applied to the experimental group (n = 10) and general physical therapy to the control group (n = 10). The intervention was applied for 30 min per session, three times a week, for a total of six weeks. We assessed abdominal muscle thickness, trunk control (segmental assessment of trunk control), trunk angle and trunk sway in a sitting position, and gross motor function measure-88. (3) Results: In the experimental group, the thicknesses of internal oblique and transversus abdominis were significantly increased (p < 0.05). The segmental assessment of trunk control score was significantly increased (p < 0.05), and the trunk sway significantly decreased (p < 0.05). Gross motor function measure-88 was significantly increased (p < 0.05). (4) Conclusions: Vojta therapy can be suggested as an effective intervention method for improving trunk control and gross motor function in children with central hypotonia.
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