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A Content Analysis of Physical Therapy for Postural Control and Mobility in Children with Spastic Diplegia: A Cross-sectional Study
J Korean Soc Phys Med 2018;13(2):75-87
Published online May 31, 2018;
© 2018 Korean Society of Physical Medicine.

Sung-Ho Yoo, PT⋅Duck-Won Oh, PT, PhD1†

Dept. of Physical Therapy, Daejeon Wellness Hospital
1Dept. of Physical Therapy, College of Health Science Cheongju University
Received March 27, 2018; Revised March 29, 2018; Accepted April 24, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PURPOSE: The purpose of this study was to describe and analyze the components of physical therapy interventions to enhance postural control and mobility in children with spastic diplegia.
METHODS: Thirsty-eight physical therapists working in rehabilitation settings volunteered to record the components of physical therapy interventions used during 894 treatment sessions for 179 children with spastic diplegia presenting with difficulties in postural control and mobility. Descriptive statistics were used to analyze the general characteristics of the therapists, the patients, and the frequency of the interventions. A one-way analysis of variance (ANOVA) and chi-square test were used to describe the components of the interventions and the goals of treatment.
RESULTS: In clinical practice, physical therapists primarily used methods including “Hands-on: facilitation” (n=1990, 36.47%) and “Hands-off: practice” (n=1355, 24.83%). Only 13.96% (n=762) of the interventions allowed patients to be independent or active outside of the treatment sessions. Interventions reflecting the therapeutic aims were performed for sitting (17.53%), standing (18.25%), and walking (27.39%).
CONCLUSION: Physical therapists mostly used “therapist-led” interventions to treat impaired postural control and mobility in children with spastic diplegia. Interventions to facilitate independent activity or practice outside the treatment sessions are infrequently used. These types of interventions were used regardless of the aims of treatment.
Keywords : Mobility, Physical therapy, Postural control, Spastic diplegia

May 2018, 13 (2)
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