Article

This study was designed to provide a better understanding of how a
single neurodevelopmental treatment (NDT) session affects sit-to-stand (STS)
movements in children with cerebral palsy (CP).
METHODS: Eight children with
spastic diplegia and five typically developing children, aged 4-6 years,
participated in this study.
The CP participants performed STS movements
immediately before and after a 40-min NDT session. Using a three-dimensional,
four-camera analysis system, angular movements involving the hip, knee and ankle
joints of the participants were obtained. RESULTS:
During forward tilt of the
trunk, the maximum and final angles after the NDT session significantly decreased
compared with those before the session (p < 0.05, p < 0.01). Moreover, the final
hip flexion after the session also significantly decreased compared with that
before the session (p < 0.01). On the other hand, the initial, maximum and final
ankle dorsiflexion angles after the session were significantly greater (p < 0.05,
p < 0.01 and p < 0.05, respectively) than before the session. CONCLUSIONS: These
findings suggest that a single NDT session enables children with CP to stand from
a seated position without using some atypical movement patterns. IMPLICATIONS FOR
REHABILITATION: Preschool-aged children with spastic diplegia, with limited
ability to independently transfer from a sitting position, and dependent on a
wheelchair for mobility experience obstacles to enhanced activities of daily life
and social participation. A single neurodevelopmental treatment session would
enable children with spastic diplegia to perform sit-to-stand movements more
efficiently, with selective muscle control. Understanding how a single
neurodevelopmental treatment session affects sit-to-stand movements in children
with spastic diplegia is invaluable for therapists planning more efficient therapeutic programs and may enable children with spastic diplegia to develop
improved mobility.

Langue : ANGLAIS