Balance And Strength Training Method To Improve Neurodevelopmental Therapy In Children With Spastic Cerebral Function Ankle Efficacy Compared

ObjectivesTo evaluate the balance muscle strength training on ankle motor function for childrenwith spastic cerebral palsy, compared with conventional neurology developmentaltherapy do, providing effective treatments and basis for the cerebral palsyrehabilitation therapy in the future.MethodsThis study selected twelve eligible children with spastic cerebral palsy,12cases weredivided into test group and control group equally. Test group is for the balance musclestrength training, control group is for neurology development therapy training.The training conducted for50to60minutes five times weekly for twelve weeks. Thevoloume is the same in both groups. Then using ankle isometric muscle strength ofdorsiflexion and plantarflexion, the thickness of the anterior tibial muscle belly andmedial head of the gastrocnemius muscle, gross motor function measure (GMFM),the kinematics and kinetic parameters of walking to assess efficacy before and aftertwelve weeks. Muscle thickness measured with portable type ultrasonic diagnosticinstrument; Kinematics parameter recorded through two-dimensional photography,kinematics parameters including walking velocity, stride length, support time andjoint range of motion from sagittal plane; Kinetic parameter mainly for the groundreaction force, through Kislter three-dimensional force platform collection.ResultsAfter12weeks, the test group with isometric muscle strength of ankle dorsiflexion(P<0.05), thickness of anterior tibial muscle belly(P <0.05), the dominant side stridelength (disadvantage side for supporting leg)(P <0.01), the inferior lateral supporttime (P <0.01), ankle range of sagittal plane(P <0.05) than12weeks ago havesignificant improvement; The test group and the control group after12weeks withsagittal hip stretching angle (P <0.01; P <0.01), hip range of motion (P <0.05)compared with12weeks ago have significant improvement; After12weeks of thetest group compared with control group, hip flexion angle exist differencesignificantly (P <0.05); After12weeks of two groups of children with GMFM scorethan12weeks ago have significantly increase (P <0.05); Two groups of childrenwith dynamic plantar pressure curve are diverse from each other.Conclusions1. The test group with isometric muscle strength of ankle dorsiflexion and thicknessof anterior tibial muscle belly have significant improvement, isometric musclestrength of ankle plantaflexion is better than the control group, indicating squatmovement from balance muscle strength training can effectively improve the crusmuscle strength for children with spastic cerebral palsy,maybe give priority toimprove the plantaflexion strength.2. The test group with the dominant side stride length, the inferior lateral support timehave increased significantly, indicating by giving children the unbalanced load toimprove the disadvantage of lower limbs side supporting ability and advantages offlexion capacity, maybe beneficial to relieve the patient’s bilateral differences.3. Balance strength training can significantly improve gross motor function in children with spastic cerebral palsy, the effect is same as the conventional neurologydevelopmental therapy.4. The test group with ankle range of motion, hip stretching angle and hip range ofmotion have significant improvement. Hip flexion angle is better than the controlgroup. Indicating balance muscle strength training can improve joint range of motionfrom sagittal plane for children with spastic cerebral palsy.