Core Stability Training On Children With Spastic Cerebral Motor Function

Objective To investigate the effects of core stability training on gross motor function and walking ability of children with spastic cerebral palsy.Method The study included a sample of60children with spastic bilateral cerebral palsy who had been treated in the department of neurology and rehabilitation of Qingdao Woman and Children’s Hospital from June2012to June2013.Inclusion criteria are as follows:Children with conclusive diagnosis and types of cerebral palsy and aged at least2years old;Gross Motor Function Classification System (GMFCS) levels Ⅰ-Ⅱ;being able to understand and obey language orders; no history of botulinum toxin A injection and/or orthopedic surgery in the past6months.60participants were radomly divided into2groups according to the matching rules amomg the ages;types and GMFCS levels.Under the same fundamental training programs,the experimental group(n=30) received a30minutes core stability training and a30minutes routine physcial therapy every day, the control group received routine physcial therapy twice (30minutes once).All rehabilitation training are30minutes per time,5times per week. Before and3months after training,they were assessed withA.B.C.D and E domains of Gross Motor Function Measure(GMFM);the timed10meter walk test(10MWT) and the timed stair test(TST).The data were analyed using computer statistically software SPSS17.0.Result After3months,The scores of A.B and C domains of both groups are not increased(P>0.05),But the scores of D and E domains of both groups are markedly increased(P<0.05)and the time of10MWT and TST are decreased simultaneously(P<0.05),especially in experimental group(P<0.05).For step numbers,both groups are decreased(P<0.05)and there is no significant difference between two groups(P>0.05).Conclusion Comparing with simply routine physcial therapy, the core stability training combined with routine physcial therapy can improve the gross motor function of children with spastic bilateral cerebral palsy more effectively,including to increase the speed and decrease the time of walking and going staires.but there is no difference in increasing step length.