Ha Sun-Young, Sung Yun-Hee
Department of Physical Therapy, Graduate School, Kyungnam University, Changwon 51767, Korea.
Department of Physical Therapy, College of Health Sciences, Kyungnam University, Changwon 51767, Korea.
Children (Basel). 2022 Sep 26;9(10):1470. doi: 10.3390/children9101470.
(1) Background: Decreased trunk stability is accompanied by delay in motor development in children with central hypotonia. We investigated the effect of Vojta therapy on trunk control in the sitting position in children with central hypotonia. (2) Methods: In 20 children with central hypotonia, Vojta therapy was applied to the experimental group (n = 10) and general physical therapy to the control group (n = 10). The intervention was applied for 30 min per session, three times a week, for a total of six weeks. We assessed abdominal muscle thickness, trunk control (segmental assessment of trunk control), trunk angle and trunk sway in a sitting position, and gross motor function measure-88. (3) Results: In the experimental group, the thicknesses of internal oblique and transversus abdominis were significantly increased (p < 0.05). The segmental assessment of trunk control score was significantly increased (p < 0.05), and the trunk sway significantly decreased (p < 0.05). Gross motor function measure-88 was significantly increased (p < 0.05). (4) Conclusions: Vojta therapy can be suggested as an effective intervention method for improving trunk control and gross motor function in children with central hypotonia.
(1) 背景:中枢性肌张力低下儿童的躯干稳定性下降伴随着运动发育迟缓。我们研究了Vojta疗法对中枢性肌张力低下儿童坐位时躯干控制的影响。(2) 方法:选取20名中枢性肌张力低下儿童,实验组(n = 10)采用Vojta疗法,对照组(n = 10)采用常规物理治疗。每次干预30分钟,每周3次,共6周。我们评估了腹直肌厚度、躯干控制(躯干控制的节段性评估)、坐位时的躯干角度和躯干摆动,以及粗大运动功能测量-88。(3) 结果:实验组腹内斜肌和腹横肌厚度显著增加(p < 0.05)。躯干控制的节段性评估得分显著提高(p < 0.05),躯干摆动显著减少(p < 0.05)。粗大运动功能测量-88显著提高(p < 0.05)。(4) 结论:Vojta疗法可作为改善中枢性肌张力低下儿童躯干控制和粗大运动功能的有效干预方法。