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, 14 (6), 1005-1009

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


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

Sun-Young Ha et al. J Exerc Rehabil.


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.


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.

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