الفهرس 
Title : effect of functional progressive resistance exercise versus eccentric muscle control on dynamic balance and functional ability in children with hemiplegia
AbstactOnly 14 pages are availabe for public view
 |  | from | 116 |  |  |
| | | from | 116 | | |
Abstract
Hemiplegia in children is common form of spastic cerebral palsy resulting in affection of one side of the body including the limbs, trunk and the neck. It represents about 20% –30% of all cerebral palsied children. Children with spastic hemiplegia experience muscle weakness in affected lower limb which leading to delayed or abnormal development of the postural-balance mechanisms and delayed gross motor development.
Purpose: To compare between the influence of functional progressive resistance exercise and functional eccentric training on dynamic balance and functional ability in children with hemiplegia. Subjects: forty children (23 boy and 17 girl) diagnosed with hemiplegia, their age ranged from 6 to 13 years and were assigned to 1 of the 2 groups (study group A) n(20) (13 boy/7 girl) with mean age (8.75±2.15) years, Weight ( 22.15 ±3.51)kg, height ( 122.9±4.3) cm, and body mass index( 14.57±1.37)kg//m2,they received functional progressive resistance exercise in 3 phases (study groupB)n(20) (10 boy/10 girl) with mean age (8.65±1.87) years, weight (22±3.24)kg, height (123.3±4.34) cm and body mass index(14.38±1.58)kg//m2,they received eccentric muscle control exercise. The duration of treatment program was 3 days per week for 6 weeks, outcome measurements where functional ability as measured by gross motor function measure(GMFM) and dynamic balance as measured by functional reach test. They were measured before and after 6 weeks of treatment.
Results: The pre-treatment comparison showed non-significant difference between the two groups in all measured variables. Comparison of pre-post treatment values showed significant improvement in both groups in favor of group (A), and was as follows: GMFM scoreswere67.55±1.87 and 64.5±2.3 for group (A) and group (B) respectively, forward reach test scores were 26.9±2.57 and 24.95±2.37 for group (A) and group (B) respectively, and side reach test scores were 17.7±4.48 and 14.15±4.47 for group(A) and group (B) respectively.
Conclusion:. Both techniques seem to be promising in improving dynamic balance and functional ability in rehabilitation of child with hemiplegia with greater improvement seen with functional progressive resistance exercise group.