Lee Na-Yun, Lee Eun-Jung, Kwon Hae-Yeon
Ulsan Community Rehabilitation Center, Ulsan, Korea.
Department of Biomedical Health Science, Graduate School, Dong-Eui University, Busan, Korea.
J Exerc Rehabil. 2021 Feb 23;17(1):21-27. doi: 10.12965/jer.2142032.016. eCollection 2021 Feb.
The purpose of this study was to investigate changes in dynamic balance and gross motion function when dual-task training was performed on an unstable support surface by children with spastic diplegia. The subjects of this study were 14 children (experimental group n=7, control group n=7) who were medical diagnosed with spastic diplegia. Both groups were administered treatment for 30 min, 2 times a week for 8 weeks, with the experimental group performing dual-task exercise in which cognitive tasks related to daily living were performed while maintaining balance on an unstable surface, and the control group being administered neurodevelopmental treatment. Balance and gross motor function Assessments were conducted before intervention and after 8 weeks of intervention. Wilcoxon signed-rank test was performed to analyze changes in balance, gross motor function in the group, and the Mann-Whitney test was conducted to compare the differences between the two groups before and after intervention. The results showed that there was a statistically significant difference in both groups when balance in a sitting position and gross motor function (<0.05). There was a statistically significant difference between the two groups in balance and gross motor function assessment (<0.05). Based on the results of this study, it was confirmed that dual-task training improves balance, gross motor function in children with spastic diplegia. Therefore, dual-task training may be considered as an effective method of intervention method in the functional aspect of children with spastic diplegia.
本研究的目的是调查痉挛型双侧瘫儿童在不稳定支撑面上进行双任务训练时动态平衡和总体运动功能的变化。本研究的受试者为14名经医学诊断为痉挛型双侧瘫的儿童（实验组n = 7，对照组n = 7）。两组均接受每周2次、每次30分钟、为期8周的治疗，实验组进行双任务训练，即在不稳定表面上保持平衡的同时执行与日常生活相关的认知任务，对照组接受神经发育治疗。在干预前和干预8周后进行平衡和总体运动功能评估。采用Wilcoxon符号秩检验分析组内平衡、总体运动功能的变化，采用Mann-Whitney检验比较两组干预前后的差异。结果显示，两组在坐位平衡和总体运动功能方面均有统计学显著差异（<0.05）。两组在平衡和总体运动功能评估方面有统计学显著差异（<0.05）。基于本研究结果，证实双任务训练可改善痉挛型双侧瘫儿童的平衡和总体运动功能。因此，双任务训练可被视为痉挛型双侧瘫儿童功能方面的一种有效干预方法。
