An Intensive Combination of Bobath Therapy and Core Stability Exercises Is More Effective In Improving the Sitting Balance of Cerebral Palsy Children
DOI:
https://doi.org/10.59653/ijmars.v1i03.282Keywords:
Bobath therapy, core stability exercises, sitting, Cerebral PalsyAbstract
This research is an experimental study with a pretest – post one group design which aims to analyze the effectiveness of intensive bobath therapy and core stability exercises on sitting balance in children with Cerebral Palsy. A total of 17 Cerebral Palsy children were given bobath therapy and core stability exercises for 10 weeks, with a dose: 1 time/day, 4 times a week with a treatment time of 60 minutes for each child. The research subjects were children suffering from Cerebral Palsy with the age criteria of 1 year sitting unbalanced. Carried out from February to July 2023. Sitting balance is measured using a sitting flat scale. The research subjects consisted of 13 men (76.47%) and 4 women (23.53%) with GMFCS categories III and IV. Average age of research subjects: 36.5758 ± 15.02504. The results of the statistical test using Wilcoxon obtained a p value = 0.001. Conclusion: Bobath therapy and core stability exercises are more effective in increasing sitting level scale scores in Cerebral Palsy children.
Downloads
References
Abd-Elfattah, Hanaa Mohsen et al. 2022a. “Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy.” Annals of Rehabilitation Medicine 46(1): 45–52.
———. 2022b. “Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy.” Annals of Rehabilitation Medicine 46(1): 21148.
Belizón-Bravo, Natalia et al. 2021. “Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review.” Children 8(11).
Besios, Thomas et al. 2018. “Effects of the Neurodevelopmental Treatment (NDT) on the Mobility of Children with Cerebral Palsy.” Open Journal of Therapy and Rehabilitation 06(04): 95–103.
Farjoun, Naama et al. 2022. “Essence of the Bobath Concept in the Treatment of Children with Cerebral Palsy. A Qualitative Study of the Experience of Spanish Therapists.” Physiotherapy Theory and Practice 38(1): 151–63. https://doi.org/10.1080/09593985.2020.1725943.
Fatih Tekin, Erdogan Kavlak∗, Ugur Cavlak and Filiz Altug. 2018. “Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on Postural Control and Balance in Cerebral Palsied Children.” Journal of Back and Musculoskeletal Rehabilitation 31(2): 397–403.
G. Arı and M. Kerem Günel, “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., vol. 08, no. 04, pp. 205–215, 2017, doi: 10.4236/ ijcm.2017.84020. 2017. “A Randomised Controlled Study to Investigate Effects of Bobath Based Trunk Control Training on Motor Function of Children with Spastic Bilateral Cerebral Palsy.” International Journal of Clinical Medicine 08(04): 205–15.
Guçhan Topcu, Zehra, and Hayriye Tomaç. 2020. “The Effectiveness of Massage for Children With Cerebral Palsy: A Systematic Review.” Advances in mind-body medicine 34(2): 4–13.
Horber, Veronka et al. 2020. “Severity of Cerebral Palsy-The Impact of Associated Impairments.” Neuropediatrics 51(2): 120–28.
Kallem Seyyar, Gulce, Bahar Aras, and Ozgen Aras. 2019. “Trunk Control and Functionality in Children with Spastic Cerebral Palsy.” Developmental Neurorehabilitation 22(2): 120–25. https://doi.org/10.1080/17518423.2018.1460879.
Kavlak, Erdogan, Ayse Unal, Fatih Tekin, And Filiz Altug. 2018. “Bobath Terapisinin Serebral Palside Denge Üzerindeki Etkisi.” Cukurova Medical Journal 43(4): 975–81.
Kim, Mi Ra, Byoung Hee Lee, and Dae Sung Park. 2016. “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 Physiotherapy Journal 34: 10–18. http://dx.doi.org/10.1016/j.hkpj.2015.09.036.
Lee, Kyeongjin. 2021. “The Relationship of Trunk Muscle Activation and Core Stability: A Biomechanical Analysis of Pilates-Based Stabilization Exercise.” International Journal of Environmental Research and Public Health 18(23).
Lee, Kyoung Hwan et al. 2017. “Efficacy of Intensive Neurodevelopmental Treatment for Children with Developmental Delay, with or without Cerebral Palsy.” Annals of Rehabilitation Medicine 41(1): 90–96.
Monica, Shilpa et al. 2021. “Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study.” Rehabilitation Research and Practice 2021.
Moura, Ricardo et al. 2017. “Mini-Mental State Exam for Children (MMC) in Children with Hemiplegic Cerebral Palsy.” Dementia e Neuropsychologia 11(3): 287–96.
Panhan, Ana C. et al. 2018. “Neuromuscular Efficiency of the Multifidus Muscle in Pilates Practitioners and Non-Practitioners.” Complementary Therapies in Medicine 40: 61–63.
Park, Eun Young, and Won Ho Kim. 2017. “Effect of Neurodevelopmental Treatment-Based Physical Therapy on the Change of Muscle Strength, Spasticity, and Gross Motor Function in Children with Spastic Cerebral Palsy.” Journal of Physical Therapy Science 29(6): 966–69.
dos Santos, Adriana Neves, Simoni Sayuri Serikawa, and Nelci Adriana Cicuto Ferreira Rocha. 2016. “Pilates Improves Lower Limbs Strength and Postural Control during Quite Standing in a Child with Hemiparetic Cerebral Palsy: A Case Report Study.” Developmental Neurorehabilitation 19(4): 226–30.
Sari, Icut Maya, Abdul Chalik Meidian, and Maidi Samekto. 2016. “Perbedaan Neuro Development Treatment ( Ndt ) Dan Pilates Terhadap Kesiembangan Duduk Pada Cerebral.” Jurnal Fisioterapi: 1–13.
Sharma, Raj, Jyoti Sharma, and Vikas Bharadwaj. 2018. “Evidence Based Review of Physiotherapy Management of Cerebral Palsy Patients.” International Journal of Physiotherapy and Research 6(5): 2864–81.
Shin, Ji Won, Gui Bin Song, and Jooyeon Ko. 2017. “The Effects of Neck and Trunk Stabilization Exercises on Cerebral Palsy Children’s Static and Dynamic Trunk Balance: Case Series.” Journal of Physical Therapy Science 29(4): 771–74.
Tekin, Fatih, Erdogan Kavlak, Ugur Cavlak, and Filiz Altug. 2018. “Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on Postural Control and Balance in Cerebral Palsied Children.” Journal of Back and Musculoskeletal Rehabilitation 31(2): 397–403.
Triandari, Listya et al. 2018. “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 and Fitness Journal 6(2): 31–37.
Tunde Gbonjubola, Yusuff, Daha Garba Muhammad, and Adekolurejo Tobi Elisha. 2021. “Physiotherapy Management of Children with Cerebral Palsy.” Adesh University Journal of Medical Sciences & Research 3(2): 64–68.
Vinolo-Gil, Maria Jesus et al. 2021. “Effects of the Combination of Music Therapy and Physiotherapy in the Improvement of Motor Function in Cerebral Palsy: A Challenge for Research.” Children 8(10).
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Suharto Anwar, Suriani Suriani, Asmawati Gasma

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).