볼에서의 체간운동이 뇌성마비아동의 앉은 자세 조절에 미치는 영향

The Effects of Ball Trunk Exercise on Sitting Postural Control in Children with Cerebral Palsy

Objective: This study examined how trunk exercise on the ball and trunk exercise on the mat influence the sitting postural control in children with cerebral palsy. Method: This study divided 24 children with cerebral palsy, who received pediatric physical therapy at Hospital C located in Gyeonggi-do from June to September, 2012, into each group of 12 children and applied ball trunk exercise and mat trunk exercise to the two groups respectively for a six-week period with two times each week and 30 minutes each time. In order to identify their sitting postural control function, the K-GMFM (Korean version of Gross Motor Function Measure), AIMS (Alberta Infant Motor Scale), and SEMG (Surface Electromyography) were measured before and after the training. Result: In comparing within each group, the two groups exhibited statistically significant differences (p<.05) before and after the training in all the measurements of K-GMFM, AIMS, and SEMG. When the two groups were compared, the AIMS showed no statistically significant differences. However, in the K-GMFM and the right-side abdominal muscles in the SEMG, the two groups revealed statistically significant differences (p<.05). Conclusion: Ball trunk exercise and mat trunk exercise were both effective training methods for the sitting postural control in children with cerebral palsy. However, ball trunk exercise was found to be a more effective method.