Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 14 (6), 1005-1009
eCollection

Effects of Vojta Approach on Diaphragm Movement in Children With Spastic Cerebral Palsy

Affiliations

Effects of Vojta Approach on Diaphragm Movement in Children With Spastic Cerebral Palsy

Sun-Young Ha et al. J Exerc Rehabil.

Abstract

The purpose of this study was to examine the effects of Vojta approach on the gross motor function and diaphragm movement in children with spastic cerebral palsy (CP). Ten children with spastic CP were randomly assigned to a general physiotherapy group (trunk strengthening exercise and gait training) (n=5) and a Vojta approach group (n=5). Interventions were implemented for 30 min per time, 3 times a week for a total of 6 weeks. Ultrasonography was used to measure the areas of the diaphragm (during inspiration, expiration) before and after the interventions, the gross motor function measure (GMFM)-88 was used for evaluation of the gross motor function. In the results of this study, there was a significant difference between before and after GMFM-sitting in the experimental group (P<0.05), a significant difference in changes of inspiration between the two groups (P<0.05). Given these results, Vojta approach may be presented as an effective treatment method for improving sitting position and diaphragm movement during inspiration in children with spastic CP.

Keywords: Cerebral palsy; Diaphragm; Gross motor function; Vojta approach.

Conflict of interest statement

CONFLICT OF INTEREST No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Process of Vojta approach. The Vojta approach consisted of reflex turning 1 (A), reflex turning 2 (B), and reflex creeping (C). The intervention was continued for 30 min in total per time, 3 times a week, for 6 weeks. All step was provided by trained pediatric physiotherapist. Informed consent was obtained from the subjects’ parents for the publication.
Fig. 2
Fig. 2
Diaphragm area in inspiration (A) and expiration (B). We measured diaphragm area using ultrasound imaging system during inspiration and expiration each before and after intervention.

Similar articles

See all similar articles

References

    1. Brogren E, Hadders-Algra M, Forssberg H. Postural control in sitting children with cerebral palsy. Neurosci Biobehav Rev. 1998;22:591–596. - PubMed
    1. Ersöz M, Selçuk B, Gündüz R, Kurtaran A, Akyüz M. Decreased chest mobility in children with spastic cerebral palsy. Turk J Pediatr. 2006;48:344–350. - PubMed
    1. Frank C, Kobesova A, Kolar P. Dynamic neuromuscular stabilization & sports rehabilitation. Int J Sports Phys Ther. 2013;8:62–73. - PMC - PubMed
    1. Giannantonio C, Papacci P, Ciarniello R, Tesfagabir MG, Purcaro V, Cota F, Semeraro CM, Romagnoli C. Chest physiotherapy in preterm infants with lung diseases. Ital J Pediatr. 2010;36:65. - PMC - PubMed
    1. Ha SY, Sung YH. Effects of Vojta method on trunk stability in healthy individuals. J Exerc Rehabil. 2016;12:542–547. - PMC - PubMed
Feedback