ผลการรักษาเด็กสมองพิการด้วยวิธีวอยตาต่อการเดิน
ผลการรักษาเด็กสมองพิการด้วยวิธีวอยตาต่อการเดิน
Keywords:
Vojta therapy, Gait, Cerebral palsyAbstract
Objectives: To evaluate the effect of Vojta therapy on gait in children with cerebral palsy
Study Design: Cohort study
Setting: Srisangwan School
Subjects: Cerebral palsy children aged 7-12 years old
Methods: Every child received 3 sessions of 30 minutes Vojta therapy per week for 8 weeks. Temporal spatial gait parameters were assessed with TailGaitTM device. Walking ability was assessed with Expanded Time Get-Up-and-Go test (ETGUG) and Six-Minute Walk test (6MWT). The assessment was done before therapy, 4th week, 8th week after therapy begin and 4th week after the therapy was stopped.
Results: Twenty children with mean age of 9.8 years old were recruited. Twelve of these (60%) are GMFCS level 4. The average 6MWT scores before therapy, 4th week, 8th week after therapy begin and 4th week after the therapy ended were 78.68, 96.6, 108.65 and 69.91 meters respectively. Double Support Time (DST) before therapy, 4 weeks, 8 weeks after therapy begin and 4th week after the therapy ended were 53.5, 48.15, 42.18 and 43.54 respectively. The differences of 6MWT and DST scores between before and after 8 weeks of Vojta therapy were statistically significant (P<0.05). The average 6MWT score after 4th week of no therapy was significantly lower than the score measured at the end of the 8th week therapy (P<0.05).
Conclusion: An 8-week Vojta therapy could increase distanceof the 6-Minute Walk Test and decrease double support time of school age children with cerebral palsy.
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