Effect of Dohsa-hou psycho-rehabilitation method on the gross motor activity of children aged 12-4 years old with spastic cerebral palsy: A randomized double-blinded clinical trial

authors:

avatar Hossein Alibakhshi ORCID , avatar Aliakbar Pahlevanian ORCID , avatar Karim Ayoubi ORCID , * , avatar Mina Sadat Mirshoja , avatar Hossein Alibakhshi ORCID , avatar Masoomeh Salmani ORCID

Koomesh: Vol.24, issue 3; 300-305
published online: September 06, 2022
article type: Research Article
received: June 09, 2020
accepted: November 06, 2021

how to cite: Alibakhshi H, Pahlevanian A, Ayoubi K, Mirshoja M S, Alibakhshi H, et al. Effect of Dohsa-hou psycho-rehabilitation method on the gross motor activity of children aged 12-4 years old with spastic cerebral palsy: A randomized double-blinded clinical trial. koomesh. 2022;24(3):e152738. 

Abstract

Introduction: There are various methods for managing and treating motor problems in children with cerebral palsy, which their  effectiveness can be measured in muscle tone, gross motor skills, and voluntary movements. Among these intervention methods, Dohsa-Hou treatment approach was designed to affect the motor function of children with cerebral palsy. This study aimed to evaluate the effect of this approach specifically on gross motor function in children with spastic cerebral palsy. Materials and Methods: In this double-blind randomized clinical trial, 24 children with spastic cerebral palsy (aged 4 to 14 years) were randomly assigned to experimental (n=12) and control (n=12) groups. The experimental group received a combination of Dohsa-Hou psycho-motor relaxation therapy with routine occupational therapy interventions and the control group received only routine occupational therapy interventions. Dohsa-Hou method was performed in 16 sessions twice a week for 45 minutes. The gross motor performance scale version 66 was used for the assesement gross motor function, and the Ashworth Muscle Tone Scale was used for measuring muscle spasticity. Results: Based on pre-intervention evaluations, it was found that children in the experimental and control groups did not differ in any of the variables, but after the intervention, the rate of change in the experimental group was significantly higher than the control group in controlling motor function (P=0.001) and in measuring muscle tone (P=0.001). Conclusion: The findings of this study indicated that the use of Dohsa-Hou method could be effective in promoting gross motor function and modulating muscle tone in children with spastic cerebral palsy aged 4-12 years. Therefore, the use of Dohsa-Hou method can be considered a therapeutic protocol to improve motor function and increase the physical ability of children with cerebral palsy.

References

  • 1.

    Donnelly C, Parkes J, McDowell B, Duffy C. Lifestyle limitations of children and young people with severe cerebral palsy: a population study protocol. J Adv Nurs 2008; 61: 557-569.

  • 2.

    Olama KA. Endurance exercises versus treadmill training in improving muscle strength and functional activities in hemiparetic cerebral palsy. Egy J Med Hum Genet 2011; 12: 193-199.

  • 3.

    Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, et al. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol 2005; 47: 571-576.

  • 4.

    Dambi JM, Jelsma J. The impact of hospital-based and community based models of cerebral palsy rehabilitation: a quasi-experimental study. BMC Pediatr 2014; 14: 1.

  • 5.

    Joghataei M, Kazem M. Assessment the level of community needs in welfare services on the whole country. Tehran Univ Soc Welfar Rehab Sci 1990. (Persian).

  • 6.

    Gunel MK, Mutlu A, Tarsuslu T, Livanelioglu A. Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy. Eur J Pediatr 2009; 168: 477-485.

  • 7.

    Ahmadizadeh Z, Mokhlesin M, Rasolzadeh M, Yaghobi M, Nobariyan F. Relationship between sensory processing and motor skills in children with cerebral palsy. Koomesh 2016; 18: 295-301. (Persian).

  • 8.

    Alriksson-Schmidt AI, Jeglinsky I, Jonsdottir G, Kedir Seid A, Klevberg G, Buschmann E, Jahnsen R. Living life with cerebral palsy? A description of the social safety nets for individuals with cerebral palsy in the Nordic countries. Scand J Public Health 2020; 49: 653-665.

  • 9.

    Schneck CM, O'Brien SP. Assessment and Treatment of Educational Performance. Case-Smith's Occupational Therapy for Children and Adolescents-E-Book. 2019 Sep 26:374.

  • 10.

    Mackey AH, Walt SE, Stott NS. Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics. Arch Phys Med Rehab 2006; 87: 207-215.

  • 11.

    stensj S, Carlberg EB, Vllestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol 2004; 46: 580-589.##https://doi.org/10.1017/S0012162204000994.

  • 12.

    Moster D, Wilcox AJ, Vollset SE, Markestad T, Lie RT. Cerebral palsy among term and postterm births. JAMA 2010; 304: 976-982.

  • 13.

    Davis E, Shelly A, Waters E, Boyd R, Cook K, Davern M. The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers. Child Care Health Dev 2010; 36: 63-73.

  • 14.

    Ahmadizadeh Z, Kamran F, Kasbi F, Nourouzi R, Mokhlesin M. Quality of life and its related factors in Iranian mothers' with a mentally retarded child. Koomesh 2018; 20: 719-724. (Persian).

  • 15.

    Jones MW, Morgan E, Shelton JE, Thorogood C. Cerebral palsy: introduction and diagnosis (part I). J Pediatr Health Care 2007; 21: 146-152.

  • 16.

    Law MC, Darrah J, Pollock N, Wilson B, Russell DJ, Walter SD, et al. Focus on function: a cluster, randomized controlled trial comparing childversus contextfocused intervention for young children with cerebral palsy. Dev Med Child Neurol 2011; 53: 621-629.

  • 17.

    Yazdkhasti F, Shahbazi M. The effect of Dohsa-hou psychic rehabilitation on reduction of attention deficit hyperactivity Disorder and increase of social skills among students with ADHD age 6 to 11. Journal of research in rehabilitation sciences. 2012 Dec 3;8 (5):877-887.

  • 18.

    Dadkhah A. Use of Dohsa-hou, a Japanese psychorehabilitative program, to guide motor activity of young adults with cerebral palsy. Perceptual and motor skills. 1998 Feb;86 (1):243-149.

  • 19.

    Naruse G. Psychological rehabilitation of cerebral palsy-I: On relaxation behavior. Japa J Educ Soc Psychol 1967; 8: 47-77.

  • 20.

    Poursadoughi A, Dadkhah A, Pourmohamadreza-Tajrishi M, Biglarian A. Psycho-rehabilitation method (Dohsa-Hou) and quality of life in children with cerebral palsy. Iran Rehab J 2015; 13: 28-33. (Persian).

  • 21.

    Dalvand H, Dehghan L, Feyzi A, Amirsalari S, Shamsaei M. Efficacy of adeli suit therapy in 4-8 year old children with spastic CP with normal intelligence quota. Trauma Monthly. 2009 Jan;2008(040, Winter):303-307.

  • 22.

    Russell D, Rosenbaum P, Avery L, Lane M. Gross motor function measure (GMFM-66 and GMFM-88) user's manual. London, United Kingdom: MacKeith Press 2002.

  • 23.

    Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987; 67: 206-207.

  • 24.

    Meseguer-Henarejos AB, Sanchez-Meca J, Lopez-Pina JA, Carles-Hernandez R. Inter-and intra-rater reliability of the Modified Ashworth Scale: a systematic review and meta-analysis. Eur J Phys Rehab Med 2017; 54: 576-590.

  • 25.

    Dadkhah A. The effect of psychorehabilitation program on children with physical and mental disability. Arch Rehab 2007; 8: 57-62.

  • 26.

    Khosro Shahi B. Investigate the effect of perceptual-motor exercises with gross and fine motor skills in students with cerebral palsy. Neuropsychology 2017; 3: 25-39. (Persian).

  • 27.

    Ahlin K, Himmelmann K, Hagberg G, Kacerovsky M, Cobo T, Wennerholm UB, Jacobsson B. Cerebral palsy and perinatal infection in children born at term. Obstet Gynecol 2013; 122: 41-49.

  • 28.

    Stuifbergen AK, Becker H. Health promotion practices in women with multiple sclerosis: increasing quality and years of healthy life. Phys Med Rehab Clin 2001; 12: 9-22.

  • 29.

    Koudouni A, Orologas A. Greek MS society Day center contribution of aerobic exercise to the improvement of quality of life in persons suffering from multiple sclerosis. Ann Neurol 1996; 39: 432-441.

  • 30.

    Himmelmann K, Uvebrant P. The panorama of cerebral palsy in Sweden. XI. Changing patterns in the birthyear period 2003-2006. Acta Paediatr 2014; 103: 618-624.

  • 31.

    Ahmadizadeh Z, Rassafiani M, Khalili MA, Mirmohammadkhani M. Factors associated with quality of life in mothers of children with cerebral palsy in Iran. Hong Kong J Occup Ther 2015; 25: 15-22.##.