Six months guided exercise therapy improves motor abilities and white matter connectivity in children with cerebral palsy

Md Safwan Samsir, Rahimah Zakaria, Salmi Abdul Razak, Mohamed Saat Ismail, Mohd Zulkifli Abdul Rahim, Chia Shu Lin, Nik Mohammad Faez Nik Osman, Mohammad Afiq Asri, Nor Haslina Mohd, Asma Hayati Ahmad*

*此作品的通信作者

研究成果: Article同行評審

4 引文 斯高帕斯(Scopus)

摘要

Background: Diffusion magnetic resonance imaging (dMRI) provides the state of putative connectivity from lesioned areas to other brain areas and is potentially beneficial to monitor intervention outcomes. This study assessed the effect of a 6 months guided exercise therapy on motor abilities and white matter diffusivity in the brains of cerebral palsy (CP) children. Methods: This is a single arm pre- and post-test research design involving 10 spastic CP children, aged 8–18 years and whose Gross Motor Function Classification System Expanded and Revised (GMFCS-E & R) at least Level 21 with the ability to ambulate independently. They were recruited from Paediatric Neurology Clinic, Hospital Universiti Sains Malaysia (HUSM) from December 2015–December 2016. All participants underwent 6 months of therapist-guided exercise session comprising progressive strength training at a frequency of twice a week, 1 h duration per session. The effect of exercise on motor abilities was assessed using the Gross Motor Function Measures (GMFM)-88. Six out of the 10 children consented for dMRI. Probabilistic tractography of the corticospinal tract (CST) was performed to determine the connectivity index of the tracts pre-and post-intervention. Results: All the participants displayed statistically significant increment in GMFM- 88 scores pre- to post-exercise intervention. This improvement was concurrent with increased connectivity index in the CST of upper limbs and lower limbs in the brain of these children. Conclusion: Our findings demonstrated that 6 months guided exercise therapy improves motor abilities of CP children concurrent with strengthening the connectivities of the motor pathways in the brain.

原文English
頁(從 - 到)90-100
頁數11
期刊Malaysian Journal of Medical Sciences
27
發行號5
DOIs
出版狀態Published - 2020

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