Therapeutic climbing: a possibility of intervention for children with cerebral palsy

Authors

  • Huayna Gabriel Barrios Koch Centro Universitário Adventista de São Paulo
  • Gabriela de Oliveira Peixoto
  • Rita Helena Duarte Dias Labronici Faculdade de Medicina do ABC - FMABC
  • Natália Cristina de Oliveira Vargas e Silva Centro Universitário Adventista de São Paulo
  • Fabio Marcon Alfieri Centro Universitário Adventista de São Paulo
  • Leslie Andrews Portes Centro Universitário Adventista de São Paulo

DOI:

https://doi.org/10.5935/0104-7795.20150008

Keywords:

Child, Cerebral Palsy, Physical Therapy Modalities

Abstract

Therapeutic climbing, an adaptation of sport climbing, can promote improvements in motor coordination, balance, and muscle endurance. Objective: The aim of this study was to evaluate the effects of this intervention on handgrip strength, postural control, functional mobility, and the spasticity control of children with cerebral palsy. Method: Case series study with 7 patients with a mean age of 9.6 ± 3.7 years, who took part in 1-hour sessions of therapeutic climbing twice a week. Results: After 19 sessions, there was an increase in handgrip strength of the right hand (p = 0.022) and improvement in static balance and gait (p = 0.007). Functional mobility also improved significantly (p = 0.014). The score on the Ashworth modified scale showed an efficient control of spasticity, although the difference has not reached statistical significance. Conclusion: Therapeutic climbing improved the handgrip strength, postural control, and functional mobility of patients.

Downloads

Download data is not yet available.

References

Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.

Pato TR, Pato TR, Souza DR, Leite HP. Epidemiologia da paralisia cerebral. Acta Fisiátr. 2002;9(2):71-6.

Blair E. Epidemiology of the cerebral palsies. Orthop Clin North Am. 2010;41(4):441-55. DOI: http://dx.doi.org/10.1016/j.ocl.2010.06.004

Capucho PY, Carnier SADC, Souza P, Castro DC, Finocchio AP, Oliveira DM, et al. Paralisia cerebral - membros inferiores: reabilitaçao. Acta Fisiatr 2012;19(2):114-22. DOI: http://dx.doi.org/10.5935/0104-7795.20120018

Arakaki VC, Cardoso MCC, Thinen NC, Imamura M, Battistella, LR. Paralisia cerebral - membros superiores: reabilitaçao. Acta Fisiatr 2012;19(2):123-9. DOI: http://dx.doi.org/10.5935/0104-7795.20120019

Kern C, Banik B, Bühlmeyer K, et al. Multiple sclerosis and therapeutic climbing: an interventional long term pilot study indicates beneficial effects. In: Hoppeler H, Reilly T, Tsolakidis E, Gfeller L, Klossner S, editors. Book of Abstracts. ECSS Lausanne 06: 11th annual Congress of the European College of Sports Science; 2006 Jul 5-8; Lausanne, Switzerland. Available from: European Database of Sport Science (EDSS).

Fleissner H, Sternat D, Seiwald S, Kapp G, Kauder B, Rauter R, et al. Therapeutic climbing improves independence, mobility and balance in geriatric patients. Euro J Ger. 2010;12(1):12-6.

Heitkamp HC, Wörner C, Horstmann T. Sport climbing with adolescents: effect on spine stabilising muscle strength. Sportverletz Sportschaden. 2005;19(1):28-32. DOI: http://dx.doi.org/10.1055/s-2005-857953

Buechter RB, Fechtelpeter D. Climbing for preventing and treating health problems: a systematic review of randomized controlled trials. Ger Med Sci. 2011;9:1-9.

Nobile G, Meyer-Heim A, Niederberger P, Hahn S, Padden B, Knecht B. Therapeutic climbing in pediatric rehabilitation: a prospective pilot study with children after traumatic brain injury or stroke. Swiss Med Wkly. 2006;136;(Supp151):22.

Heitkamp HC, Mayer F, Böhm S. Effects of a climbing course on spine muscles in comparison to isokinetic strength training. Akt Rheumatol 1999;24:40-6. DOI: http://dx.doi.org/10.1055/s-2008-1043545

Bellace JV, Healy D, Besser MP, Byron T, Hohman L. Validity of the Dexter Evaluation System's Jamar dynamometer attachment for assessment of hand grip strength in a normal population. J Hand Ther. 2000;13(1):46-51. DOI: http://dx.doi.org/10.1016/S0894-1130(00)80052-6

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94. DOI: http://dx.doi.org/10.1093/geronj/49.2.M85

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. DOI: http://dx.doi.org/10.1111/j.1532-5415.1991.tb01616.x

Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206-7.

Winter S, Hinkel M. Sicher nach oben. Klettern in der Schule. Munich: Bundesverband der Unfallkassen (German Social Accident Insurance); 1999.

Lazik D, Bernstädt W, Kittel R, Luther S. Therapeutisches Klettern. Stuttgart: Thieme; 2008.

Kleiner AFR, Saraiva PM, Batistela RA, Pietrobon RS, Gobbi LTB. Mobilidade funcional em indivíduos com paralisia cerebral espástica de acordo com o tipo e a idade. Rev Port Cien Desp. 2008;8(3):406-13.

Williams EN, Carroll SG, Reddihough DS, Phillips BA, Galea MP. Investigation of the timed 'up & go' test in children. Dev Med Child Neurol. 2005;47(8):518-24. DOI: http://dx.doi.org/10.1017/S0012162205001027

Butterfield SA, Loovis EM. Influence of age, sex, balance, and sport participation on development of throwing by children in grades K-8. Percept Mot Skills. 1993;76(2):459-64. DOI: http://dx.doi.org/10.2466/pms.1993.76.2.459

Mayo NE, Korner-Bitensky NA, Becker R. Recovery time of independent function post-stroke. Am J Phys Med Rehabil. 1991;70(1):5-12. DOI: http://dx.doi.org/10.1097/00002060-199102000-00003

Shepherd RB. Exercise and training to optimize functional motor performance in stroke: driving neural reorganization? Neural Plast. 2001;8(1-2):121-9. DOI: http://dx.doi.org/10.1155/NP.2001.121

Published

2015-03-09

Issue

Section

Original Article

How to Cite

1.
Koch HGB, Peixoto G de O, Labronici RHDD, Silva NC de OV e, Alfieri FM, Portes LA. Therapeutic climbing: a possibility of intervention for children with cerebral palsy. Acta Fisiátr. [Internet]. 2015 Mar. 9 [cited 2024 Jun. 20];22(1):30-3. Available from: https://journals.usp.br/actafisiatrica/article/view/103898