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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.
Perbedaan Pengaruh Media Edukasi Terhadap Kepatuhan Orang Tua Anak Cerebral Palsy Untuk Melaksanakan Home Program Abdullah, Khabib; Amalia, Ichsanul; Wijaya, Aji Sukma
Jurnal Fisioterapi Terapan Indonesia
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Cerebral palsy (CP) is a condition of movement and function disorders in children that requires continuous physiotherapy. One factor in the successful development of children with CP is the existence of a home program/independent therapy carried out by parents at home. In providing the home program, physiotherapists at YPCP Surabaya gave leaflets to parents. However, this was less effective because it was easily damaged, so the home program media was replaced with video. The effectiveness of both in increasing parental compliance in carrying out the home program every day is not yet known. Objective: to find out the difference in parental compliance in carrying out a home program between using leaflet media or video media. Method: 20 parents of children with CP were randomly divided into leaflet groups and video groups, 10 people each. Each person is monitored for compliance in carrying out the home program for 1 week (7 days). Measurement of compliance with checklists every day. Results: parents in the video media group were more compliant in carrying out the home program than parents in the leaflet media group. Conclusion: video media is more effective in increasing the compliance of parents of children with CP in carrying out home programs compared to leaflet media.