This study investigated the effects of an exercise program on trunk control, pelvic movement, and medial gastrocnemius structure in children with spastic diplegic cerebral palsy. Fourteen children were recruited and randomly assigned to an experimental group (n = 7) or a control group (n = 7). The experimental group participated in a structured program consisting of deep abdominal muscle strengthening, pelvic movement, and lower-limb strengthening exercises, whereas the control group received general physical therapy. Trunk control was assessed using the trunk control measurement scale, pelvic movement during gait was evaluated using a wearable gait analysis system, and medial gastrocnemius structure was measured using ultrasonography. In the results, the experimental group showed significant increases in static sitting balance, equilibrium, and total score within the group (p<.05). Dynamic sitting balance and equilibrium showed significant between-groups differences in change (post-pre)(p<.05). Regarding pelvic movement, a significant difference between the dominant and non-dominant sides was observed in pelvic rotation range after the intervention (p<.05). Additionally, the change in medial gastrocnemius thickness (post–pre) differed significantly between the two groups (p<.05). These findings suggest that an exercise program focusing on deep abdominal muscle strengthening, pelvic movement, and lower-limb strengthening exercises may be an effective intervention to improve functional outcomes in children with spastic diplegic cerebral palsy compared with general physical therapy.
목차
Abstract Ⅰ. Introduction Ⅱ. Methods 1. Participants 2. Intervention 3. Trunk control measurement scale 4. Pelvic movement 5. Structure of the gastrocnemius 6. Statistical analysis Ⅲ. Results 1. Trunk control 2. Pelvic movements 3. Structure of the medial gastrocnemius Ⅳ. Discussion Ⅴ. Conclusion References