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Journal : Indonesian Journal of Global Health research

The Effect of Midline Exercise Therapy on Global Delayed Development Children’s Gross Motor Abdullah, Khabib; Swandari, Atik; Pane, Rita Vivera; Muzamil, Akhmad; Darajatun, Anik Muwarni
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4578

Abstract

Global delayed development (GDD) is a developmental disorder in children characterized by delays in gross motor development. Gross motor development is based on the development of an optimal midline position, and in GDD this does not happen. This reseaarch objective to determine the effect of midline exercise therapy on improving gross motor skills in children with GDD at Haji Hospital Surabaya. This is experimental research purposive sampling research on 15 GDD children at RSUD Haji Surabaya with a one-group pre and post-test design. Midline exercise therapy is carried out twice a week for 6 weeks consisting of relaxing the neck extensors, adjusting the position to the middle of the body, and cortical level exercises. Tool for measuring children's gross motor skills with GMFM (gross motor functional measurement) sector A/lying down with scale 0-51 measured pre and post treatment. Data analysis with univariate and bivariate SPSS. For the results 3 subjects were boy and 12 girl with an average age of 13.1 months. There was an increase in the mean GMFM score from 4.2 to 6 (paired t-test p=0.000) after 12 physiotherapy sessions.
The Impact of Abdominal Core Stability Exercise Therapy on Enhancing Sitting Balance and Hand Function in Cerebral Palsy Patients Abdullah, Khabib; Swandari, Atik; Sahla, Shabrina; Wijaya, Aji Sukma
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6266

Abstract

Cerebral palsy (CP) is a disorder of posture and movement control in children during growth and development. One of the problems in children with CP is impaired sitting balance which results in weakness of hand function such as holding and manipulating objects. Objective: to determine the effect of abdominal core stability exercise therapy on improving sitting balance and functional hand abilities of children with CP at YPCP Surabaya. Method: an experimental study with one treatment group, the study's population consisted of 20 children with cerebral palsy (CP) who were in the sitting training phase at YPCP Surabaya. Using purposive sampling with specific inclusion and exclusion criteria, 18 participants were selected from the group. The treatment was abdominal core stability exercise therapy consisting of myofascial release of back muscles, trunk mobilization, sitting upright on a bench with feet on the floor, and moving toys with both hands in an upright sitting position. Exercise therapy was carried out for 30 minutes 3x per week for 12 weeks. The measuring instrument for sitting balance was TCMS (trunk control measurement scale) and the hand function was Melbourne Assessment 2. Result: 18 children with CP in the sitting exercise phase (12 boys and 6 girls) with an average age of 4.1 ± 1 years. The mean static sitting balance increased from 2.7 to 14.1 (p=0.000), the mean dynamic sitting balance rose from 0.00 to 3.3 (p=0.000), the mean reactive balance increased from 0.0 to 0.5 (p=0.3) and the mean functional hand ability increased from 6 to 7.4 (p=0.001). Conclusion: Abdominal core stability exercise therapy improves static, dynamic sitting balance and functional hand ability in children with CP at YPCP Surabaya, but not reactive balance.