Learning ballet technique modulates the stretch reflex in students with cerebral palsy: case series

Autor: Citlali López-Ortiz, Maxine He, Deborah Gaebler-Spira, Mindy F. Levin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Neuroscience, Vol 25, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 1471-2202
DOI: 10.1186/s12868-024-00873-0
Popis: Abstract Background Cerebral palsy (CP) is considered the most prevalent developmental motor disorder in children. There is a need for training programs that enhance motor abilities and normalize function from an early age. Previous studies report improved motor outcomes in dance interventions for CP. Investigating the neurophysiological mechanisms underlying such improvements is necessary for efficient and safe intervention design. This study reports changes in stretch reflex responses as the primary neurophysiological motor outcome of a targeted ballet class intervention. Results A case series of participants with mixed spastic and dyskinetic CP (n = 4, mean age = 12.5 years, SD = 6.9S years, three female, one male) who learned ballet technique in a course of one-hour classes twice per week for six weeks is presented. Changes in stretch reflex responses and in clinical motor tests as secondary outcomes were observed after the course and at one-month follow-up. Quantitative measures of elbow or ankle stretch reflex were obtained using electromyography and electrogoniometry. The joint angle of the stretch reflex onset varied across velocities of stretch, and its variability decreased after the intervention. Within-subject tests of the central tendency of stretch reflex angle coefficients of variation and frequency distribution demonstrated significant changes (p-values
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