Metode Bobath Exercises Efektif pada Keseimbangan Duduk dan Berdiri Anak Cerebral Palsy
Abstract
ABSTRACT
The main problem of this study is the impaired balance of sitting and standing in children with cerebral palsy due to damage to the brain during the growth and development of children which is non-progressive and causes limited balance in sitting and standing. This type of research is an experimental one group pretest - posttest design. The research subjects were 33 cerebral palsy patients aged 1-8 years who met the research criteria. Sitting balance was measured using a sitting level of scale and standing balance was measured using a pediatric balance scale and then analyzed using a paired test. The p value for sitting balance was p = 0.001 and standing balance p = 0.023, which means that there is a significant before and after treatment with bobath exercises. Thus, it is concluded that bobath exercises are effective in improving the balance of sitting and standing in children with cerebral palsy.
Keywords: Bobath Exercises, sitting, standing, cerebral palsy
ABSTRAK
Masalah utama penelitian ini adalah gangguan keseimbangan duduk dan berdiri anak cerebral palsy karena adanya kerusakan pada otak dalam masa tumbuh kembang anak yang sifatnya non progresif dan menyebabkan terbatasnya keseimbangan duduk dan berdiri. Jenis penelitian ini adalah eksperimen dengan desain one group pretest - posttest. Subyek penelitian adalah 33 pasien cerebral palsy yang berusia 1 – 8 tahun yang memenuhi kriteria penelitian. Keseimbangn duduk diukur dengan Level sitting of scale dan keseimbangan berdiri diukur dengan menggunakan pediatric balance scale kemudian dianalisis dengan uji paired test. Nilai p untuk keseimbangan duduk adalah p = 0,001 dan keseimbangan berdiri p= 0,023 yang berarti terdapat signifikan sebelum dan sesudah perlakuan bobath exercises. Dengan demikian disimpulkan bahwa bobath exercises efektif terhadap peningkatan keseimbangan duduk dan berdiri anak cerebral palsy.
Keywords: Bobath Exercises, duduk, berdiri, cerebral palsy
References
DAFTAR PUSTAKA
Belizón-Bravo N, Romero-Galisteo RP, Cano-Bravo F, Gonzalez-Medina G, Pinero-Pinto E, Luque-Moreno C. Effects of dynamic suit orthoses on the spatio-temporal gait parameters in children with cerebral palsy: A systematic review. Children. 2021;8(11). doi:10.3390/children8111016
Moura R, Andrade PMO, Fontes PLB, et al. Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy. Dement e Neuropsychol. 2017;11(3):287-296. doi:10.1590/1980-57642016dn11-030011
Kim MR, Lee BH, Park DS. Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II. Hong Kong Physiother J. 2016;34:10-18. doi:10.1016/j.hkpj. 2015.09.036
Abd-Elfattah HM, Galal DOSM, Aly MIE, Aly SM, Elnegamy TE. Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy. Ann Rehabil Med. 2022;46(1):45-52. doi:10.5535/arm.21148
Horber V, Fares A, Platt MJ, Arnaud C, Krägeloh-Mann I, Sellier E. Severity of Cerebral Palsy-The Impact of Associated Impairments. Neuropediatrics. 2020;51(2):120-128. doi:10.1055/s-0040-1701669
Tunde Gbonjubola Y, Garba Muhammad D, Tobi Elisha A. Physiotherapy management of children with cerebral palsy. Adesh Univ J Med Sci Res. 2021;3(2):64-68. doi:10.25259/aujmsr_29_2021
Vinolo-Gil MJ, Casado-Fernández E, Perez-Cabezas V, Gonzalez-Medina G, Martín-Vega FJ, Martín-Valero R. Effects of the combination of music therapy and physiotherapy in the improvement of motor function in cerebral palsy: A challenge for research. Children. 2021;8(10). doi:10.3390/ children8100868
Arı G, Kerem Günel M. A Randomised Controlled Study to Investigate Effects of Bobath Based Trunk Control Training on Motor Function of Children with Spastic Bilateral Cerebral Palsy. Int J Clin Med. 2017;08(04):205-215. doi:10.4236/ijcm.2017 .84020
Park SH, Son SM, Choi JY. Effect of posture control training using virtual reality program on sitting balance and trunk stability in children with cerebral palsy. NeuroRehabilitation. 2021;48(3):247-254. doi:10.3233/NRE-201642
Fatih Tekin, Erdogan Kavlak UC and FA. Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children. J Back Musculoskelet Rehabil. 2018;31(2):397-403. doi:10.3233/BMR-170813
Farjoun N, Mayston M, Florencio LL, Fernández-De-Las-Peñas C, Palacios-Ceña D. Essence of the Bobath concept in the treatment of children with cerebral palsy. A qualitative study of the experience of Spanish therapists. Physiother Theory Pract. 2022;38(1):151-163. doi:10.1080/ 09593985. 2020.1725943
Monica S, Nayak A, Joshua AM, et al. Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study. Rehabil Res Pract. 2021;2021. doi:10.1155/2021/9758640
Güçhan Topcu Z, Tomaç H. The Effectiveness of Massage for Children With Cerebral Palsy: A Systematic Review. Adv Mind Body Med. 2020;34(2):4-13.
Shin JW, Song G Bin, Ko J. The effects of neck and trunk stabilization exercises on cerebral palsy children’s static and dynamic trunk balance: Case series. J Phys Ther Sci. 2017;29(4):771-774. doi:10.1589/jpts.29.771
Besios T, Nikolaos A, Vassilios G, Giorgos M, Tzioumakis Y, Comoutos N. Effects of the Neurodevelopmental Treatment (NDT) on the Mobility of Children with Cerebral Palsy. Open J Ther Rehabil. 2018;06(04):95-103. doi:10.4236/ojtr.2018.64009
Kavlak E, Unal A, Tekin F, Altug F. Bobath terapisinin serebral palside denge üzerindeki etkisi. Cukurova Med J. 2018;43(4):975-981. doi:10.17826/cumj.375565
Trisnowiyanto B, Syatibi MM. Differences Influence of Aquatic Therapy and Neuro Developmental Treatment on the Motor Functional Development Ability of Children With Cerebral Palsy. J Keperawatan Dan Fisioter. 2020;2(2):165-171. doi:10.35451/ jkf.v2i2.413
Sari IM, Meidian AC, Samekto M. Perbedaan Neuro Development Treatment ( Ndt ) Dan Pilates Terhadap Kesiembangan Duduk Pada Cerebral. J Fisioter. Published online 2016:1-13.
Numanoğlu Akbaş A, Kerem Günel M. Effects of Trunk Training on Trunk, Upper and Lower Limb Motor Functions in Children with Spastic Cerebral Palsy: A Stratified Randomized Controlled Trial. Konuralp Tıp Derg. 2019;11:253-259. doi:10.18521/ ktd.453532
Triandari L, Tirtayasa K, Irfan M, Wihandani DM, Satriyasa BK, Sugijanto. Kombinasi Perceptual Motor Program Dan Neurodevelopmental Treatment Lebih Baik Daripada Treatment Dalam Meningkatkan Kemampuan Duduk the Combination of Perceptual Motor Program and Neurodevelopmental Treatment Was Better Than the Combination of Kinesiotap. Sport Fit J. 2018;6(2):31-37.
Franjoine MR, Darr N, Young B, McCoy SW, LaForme Fiss A. Examination of the effects of age, sex, and motor ability level on balance capabilities in children with cerebral palsy GMFCS levels I, II, III and typical development using the Pediatric Balance Scale. Dev Neurorehabil. 2022;25(2):115-124. doi:10.1080/ 17518423.2021 .1943033
Sharma R, Sharma J, Bharadwaj V. Evidence Based Review of Physiotherapy Management of Cerebral Palsy Patients. Int J Physiother Res. 2018;6(5):2864-2881. doi:10.16965/ijpr.2018.166
Labaf, Sina et al. 2015. “Effects of Neurodevelopmental Therapy on Gross Motor Function in Children with Cerebral Palsy.” Iranian Journal of Child Neurology 9(2): 36–41.
Dos Santos AN, Serikawa SS, Rocha NACF. Pilates improves lower limbs strength and postural control during quite standing in a child with hemiparetic cerebral palsy: A case report study. Dev Neurorehabil. 2016;19(4):226-230. doi:10.3109/ 17518423.2014. 947040
Wulandari, Rizky, I Weta, and Moh. Ali Imron. 2016. “Penambahan Latihan Hidroterapi Pada Terapi Bobath Lebih Meningkatkan Kecepatan Berjalan Pada Cerebral Palsy Spastik Diplegi.” Sport and Fitness Journal 4(1): 25–36
Trisnowiyanto, Bambang, and M Mudatsir Syatibi. 2020. “Differences Influence of Aquatic Therapy and Neuro Developmental Treatment on the Motor Functional Development Ability of Children With Cerebral Palsy.” Jurnal Keperawatan Dan Fisioterapi (Jkf) 2(2): 165–71
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