EFFECTS OF CUEVAS MEDEK EXERCISES ON BALANCE AND POSTURE CONTROL IN CHILDREN WITH AUTISM SPECTRUM DISORDER
Main Article Content
Keywords
Autism Spectrum disorder, Autism, Balance, Cuevas Medek Exercises, Postural Ability, Postural Quality.
Abstract
Autism Spectrum Disorder affects individuals' social interaction, communication, and behavior. It affects individuals across their lifespan and is typically diagnosed in early childhood.
Objective: To find-out the effect of Cuevas Medek Exercises (CME) on the balance and posture control of children diagnosed with autism spectrum disorder
Methods: The study was single blinded randomized controlled design in which non-probability convenience sampling technique was utilized to recruit 32 ASD patients. Using lottery method, the participants were randomly divided in to two groups, the control group and treatment group. Pediatric balance scale and posture and postural ability scale was used to assess the balance and posture in autistic children. Data was analyzed by using SPSS v 26.
Results: The mean age of the children was 4.56±1.014 years. Independent sample t-test of PBS showed significant with a p-value of 0.002, thus accepting the alternate hypothesis i.e. Cuevas Medek exercises are effective in improving balance among autistic children. The mean value for PBS in treatment group was improved from 34.19±5.671 (pre-test) to 45.56±4.70 (post-test). However, Man-Whitney U test on PPAS showed that both the treatments were equally effective in improving postures in both groups i.e. treatment and control group, as p-value was greater than 0.05 for all the sub-scales of PPAS i.e. Standing, Sitting, Supine and Prone position.
Conclusion: From the results of the study, it was concluded that both the conventional treatment and Cuevas Medek exercises improved posture in patients with ASD. Cuevas Medek was not found to be superior to conventional treatment. However, Cuevas Medek exercises were more effective in improving balance in ASD then the conventional treatment.
References
2. Horlin C, Falkmer M, Parsons R, Albrecht MA, Falkmer TJPo. The cost of autism spectrum disorders. 2014;9(9):e106552.
3. Hirota T, King BHJJ. Autism spectrum disorder: A review. 2023;329(2):157-68.
4. Kallitsounaki A, Williams DMJJoA, Disorders D. Autism spectrum disorder and gender dysphoria/incongruence. A systematic literature review and meta-analysis. 2023;53(8):3103-17.
5. Li Q, Li Y, Liu B, Chen Q, Xing X, Xu G, et al. Prevalence of autism spectrum disorder among children and adolescents in the United States from 2019 to 2020. 2022;176(9):943-5.
6. Qiu S, Lu Y, Li Y, Shi J, Cui H, Gu Y, et al. Prevalence of autism spectrum disorder in Asia: A systematic review and meta-analysis. 2020;284:112679.
7. Rylaarsdam L, Guemez-Gamboa AJFicn. Genetic causes and modifiers of autism spectrum disorder. 2019;13:385.
8. Hodges H, Fealko C, Soares NJTp. Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. 2020;9(Suppl 1):S55.
9. Matsuzaki J, Kuschner ES, Blaskey L, Bloy L, Kim M, Ku M, et al. Abnormal auditory mismatch fields are associated with communication impairment in both verbal and minimally verbal/nonverbal children who have autism spectrum disorder. 2019;12(8):1225-35.
10. Obeid R, Brooks PJ, Powers KL, Gillespie-Lynch K, Lum JAJFip. Statistical learning in specific language impairment and autism spectrum disorder: A meta-analysis. 2016;7:205557.
11. Rodgers J, Glod M, Connolly B, McConachie HJJoa, disorders d. The relationship between anxiety and repetitive behaviours in autism spectrum disorder. 2012;42:2404-9.
12. Muskett A, Capriola-Hall N, Radtke SR, Factor R, Scarpa AJRiASD. Repetitive behaviors in Autism Spectrum Disorder: Associations with depression and anxiety symptoms. 2019;68:101449.
13. Wang LA, Petrulla V, Zampella CJ, Waller R, Schultz RTJPb. Gross motor impairment and its relation to social skills in autism spectrum disorder: A systematic review and two meta-analyses. 2022;148(3-4):273.
14. Zampella CJ, Wang LA, Haley M, Hutchinson AG, de Marchena AJCpr. Motor skill differences in autism spectrum disorder: A clinically focused review. 2021;23(10):64.
15. Novak I, Morgan CJHocn. High-risk follow-up: early intervention and rehabilitation. 2019;162:483-510.
16. Cuevas RJCCMEIC. Cuevas medek exercise. 2012.
17. Riquelme I, Cifuentes, L., Montoya, P., & Vaillant, M. Effectiveness of Cuevas Medek Exercise Program in the improvement of dynamic balance in children with cerebral palsy: A randomized controlled trial. Disability and Rehabilitation. 2013;35(21)(21):1811-8.
18. Riquelme I, Cifuentes, L., Montoya, P., & Vaillant, M. Cuevas Medek Exercise Program in the treatment of idiopathic scoliosis in adolescents: A randomized controlled trial. . Spine. 2016;41(3)(3):191-7.
19. Shabana MI, El Shennawy AM, El Dessouky TM, Sabry SAJTEJoO. Assessment of postural control system in autistic patients. 2012;28:44-8.
20. Cordeiro ESG, Aprígio LCS, Azoni CAS, Gazzola JMJRC. Postural balance in children with Autism Spectrum Disorders. 2021;23.
21. Mitroi SJPE, Sport, Journal K. Stimulation of triple extension tone and orthostatic balance in the child with cerebral palsy through exercises specific to Medek method. 2016;1(43):48-51.
22. Page P. Current concepts in muscle stretching for exercise and rehabilitation. International journal of sports physical therapy. 2012;7(1):109.
23. Milne N, Neustaeter A, Thomas H, Ritter M, Macdonald K. Review Protocol: EXPLORING THE EFFECTIVENESS OF CUEVAS MEDEK EXERCISES (CME) IN PAEDIATRIC POPULATIONS: A SYSTEMATIC SCOPING REVIEW. 2023.
24. Bartlett DJ, Palisano, R. J., & Wilmut, K. A systematic review of the effects of Cuevas Medek Exercises for children with cerebral palsy. Physical & Occupational Therapy in Pediatrics. 2017;37 (1):1.
25. Ferreira AD, Gerzson LR, de Almeida CS, Lopes GBJAdN-P. Cuevas Medek exercises a neurological rehabilitation for children, the effect in developmental hip dysplasia in a patient with cerebral palsy: case study. 2022;80(S 01):A056.
26. Ramires de Oliveira G, Fabris Vidal MJCCR. Developmental outcomes in a child with corpus callosum abnormalities and congenital heart disease after Cuevas Medek Exercises: A case report. 2021;9(8):e04637.
27. Travers BG, Mason AH, Mrotek LA, Ellertson A, Dean DC, Engel C, et al. Biofeedback-based, videogame balance training in autism. 2018;48:163-75.
28. Cheldavi H, Shakerian S, Boshehri SNS, Zarghami MJRiASD. The effects of balance training intervention on postural control of children with autism spectrum disorder: Role of sensory information. 2014;8(1):8-14.
29. Takeuchi N, Izumi S-IJSr, treatment. Rehabilitation with poststroke motor recovery: a review with a focus on neural plasticity. 2013;2013.
30. Bowdena M, Woodbury M, Duncan PJCON. Promoting neuroplasticity and recovery after stroke. 2013;26(1):37-42.
31. Morgan C, Novak I, Dale RC, Guzzetta A, Badawi NJBn. GAME (Goals-Activity-Motor Enrichment): protocol of a single blind randomised controlled trial of motor training, parent education and environmental enrichment for infants at high risk of cerebral palsy. 2014;14:1-9.