Effects of dynamic neuromuscular stabilization on diaphragm movement, postural control, balance and gait performance in cerebral palsy.
NeuroRehabilitation
; 41(4): 739-746, 2017.
Article
in En
| MEDLINE
| ID: mdl-29254112
ABSTRACT
PURPOSE:
To determine the effects of a novel dynamic neuromuscular stabilization (DNS) technique on gross motor function, diaphragm movement, and activation of the external oblique (EO) and internal oblique (IO)/transversus abdominal (TrA) muscles in participants with cerebral palsy (CP).METHOD:
Fifteen participants with CP (7 females) underwent DNS intervention for 30 minutes/day, 3 days a week for 4 weeks. Gross motor function, diaphragm movement, and muscle activation were determined using a gross motor function measure (GMFM-88), ultrasound, and electromyography measurements, respectively, before and after the DNS core stabilization intervention. Paired t-tests were used at pâ<â0.05.DESIGN:
A single-arm, pretest-posttest clinical trial.RESULTS:
GMFM scores for standing, walking, and jumping domains were significantly improved after the intervention (Pâ<â0.05). Diaphragm descending movement (Pâ=â0.0001) and activation of the internal oblique and transversus abdominals were initially undetectable, but remarkably increased after the intervention (Pâ=â0.012).CONCLUSIONS:
DNS is a promising, effective intervention for facilitating deep core muscle activation of the underactive muscle chain comprising the diaphragm, internal oblique, and transversus abdominals, thereby improving age-appropriate standing, walking, and jumping in participants with spastic diplegic CP.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Diaphragm
/
Cerebral Palsy
/
Postural Balance
/
Exercise Therapy
/
Gait
Type of study:
Clinical_trials
Limits:
Female
/
Humans
/
Male
Language:
En
Journal:
NeuroRehabilitation
Journal subject:
NEUROLOGIA
/
REABILITACAO
Year:
2017
Document type:
Article