Effects of creative dance-based exercise on gait performance in adolescents with cerebral palsy

Abstract

The purpose of this study is to explore the feasibility and therapeutic potential of creative dance (CD) based exercise as a rehabilitation intervention for adolescents with cerebral palsy (CP). Participants were 10 adolescents with spastic CP (mean age, 17.5±2.12 years; Gross Motor Function Classification System levels I [n=3] and II [n=7]). Outcome measures included the Gross Motor Function Measure-88 (GMFM-88; dimensions D and E), spatiotemporal gait parameters, lower limb range of motion during walking, and body image, assessed using the Body Cathexis Scale (BCS). CD was provided in 2-hr classes, twice weekly, for 12 weeks, during which participants learned movement concepts and developed their own movement. All participants completed the intervention, with an attendance rate of 98% and high satisfaction rating. GMFM-88 dimensions D (<i>P</i>=0.01) and E (<i>P</i>=0.005); walking speed (<i>P</i>= 0.005), cadence (<i>P</i>=0.009), step (<i>P</i>=0.005), and stride length (<i>P</i>=0.005); and sagittal ranges of motions of hip (<i>P</i>=0.009) and ankle (<i>P</i>=0.03) during walking were significantly improved. The time of opposite foot off (<i>P</i>=0.028) and first double-limb support (<i>P</i>=0.028) significantly decreased, whereas the percentage of single-limb support time (<i>P</i>=0.02) increased. Additionally, BCS scores were significantly improved. In conclusions, CD-based exercise can improve gross motor function, gait performance, and body image in adolescents with CP.