Investigation of the effect of sensorimotor exercises on proprioceptive perceptions among children with spastic hemiplegic cerebral palsy |
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| Affiliation: | 1. Department of Physical Education and Sport Science, University of Tehran Alborz Campus, Tehran, Iran;2. Faculty of Physical Education and Sport Sciences, Department of Health and Sports Medicine, University of Tehran, Tehran, Iran;3. Department of Sports Medicine, University of Tehran, Tehran, Iran;4. Department of Sport Injuries & Corrective Exercise, Faculty of Physical Education and Sport Sciences, Bu-Ali Sina University, Hamedan, Iran;5. Department of Neurology, Kermanshah University of Medical Sciences, Kermanshah, Iran;1. Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;2. Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran;3. Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran;1. Department of Occupational Therapy, Sengkang General Hospital, Singapore;2. School of Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada;3. School of Physical Therapy, Western University, London, Ontario, Canada;4. Hand & Upper Limb Centre, St. Joseph’s Health Centre, London, Ontario, Canada;1. Program in Occupational Therapy, University of Minnesota, Minneapolis, MN, USA;2. Benedictine Living Community of St. Peter, St. Peter, MN, USA;3. Essentia Health- Polinsky Medical Rehabilitation Center, Duluth, MN, USA;4. Madison Metropolitan School District, Madison, WI, USA;1. Public Health PhD Program, School of Public Health, University of Montreal, Montreal, Quebec, Canada;2. School of Rehabilitation, University of Montreal, Montreal, Quebec, Canada;3. Center for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Quebec, Canada;4. Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, Quebec, Canada;5. Public Health Research Institute, University of Montreal, Montreal, Quebec, Canada;6. Plastic Surgery Service, Department of Surgery, University of Montreal Hospital Center (CHUM), Montreal, Quebec, Canada |
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| Abstract: | Study DesignThis is a blinded randomized clinical trial.IntroductionSensorimotor exercises may be an effective, noninvasive treatment modality for treating patients with pediatric spastic hemiplegic cerebral palsy (CP).Purpose of the StudyWe aim to evaluate the effect of sensorimotor exercises on the proprioceptive capability among children with spastic hemiplegic CP.MethodsThis randomized clinical trial was performed on children with spastic hemiplegic CP. Thirty children aged 8 to 12 years old, with spastic hemiplegic CP, were randomly selected and equally divided into experimental and control groups (N = 15 for each). A joint positioning test was used to measure the patients' baseline proprioceptive ability. The exercise program included sensory and motor exercises which lasted for 8 weeks (three 60-min sessions per week). The data were analyzed by using Welch and paired-sample t-test at the significance level of P < .05.ResultsThe results indicated that the proprioceptive capability of the upper limb could significantly improve (P = .001, effect size = 0.41, observed power = 0.99) by using simultaneous exercising of the sensorimotor complex. The mean increased from 8.53 ± 1.6 to 10.53 ± 1.19 in the experimental group, whereas it changed from 6.66 ± 3.44 to 6.73 ± 3.15 in the control group.DiscussionIn consistent with other studies, the exercises used in the present study enhanced the proprioceptive capability but not sensory performance of the hands of children with hemiplegic. Synchronous sensory and motor training in children with hemiplegic CP may improve the function and organization of the somatosensory cortex and reduce sensory disturbances. Although parents were subjectively satisfied with the outcome of the exercises, such as independency and life style, however these recordings were not measured in this study.ConclusionImplementing simultaneous sensorimotor exercises can improve the proprioceptive capability of the hand. Therefore, these exercises can be used in the rehabilitation programs to meet the children's needs with hemiplegic CP. |
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| Keywords: | Sensorimotor exercises Proprioception Cerebral palsy Spastic hemiplegia |
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