Dance and Motor Therapy in the Physical Rehabilitation Program of Teenagers with Childhood Cerebral Palsy

Abstract

Aim: The purpose of the study was to prove the effectiveness of dance and movement therapy in the program of physical rehabilitation of teenagers having cerebral palsy and level III-IV of motor development. Materials and Methods: The following research methods were used during the study: theoretical analysis and generalization of scientific and methodological sources as to the research topic, pedagogical methods (pedagogical observation), clinical research methods: gross motor functions classification system (GMFCS), manual ability classification system (MACS), which is classification system of child’s ability to manipulate objects in everyday activities, muscle tone assessment scale – a modified Ashworth scale, synthesis of examination cards and dynamics of basic motor functions development of teenagers with cerebral palsy, and survey. Results: Research and implementation of dance and movement therapy method was taking place on the basis of the Rivne Training and Rehabilitation Center “Special Child” for two years. The study involved 5 children aged 12-14 years: four girls and one boy. The children studied according to auxiliary educational program of 4-6 years of study. All of the children were diagnosed with cerebral palsy, spastic tetraparesis, having level III-IV of motor development according to gross motor functions classification system (GMFCS), having level IV (the child performs a limited number of exercises in adaptive conditions) according to manual ability classification system (MACS). The basis for the formation of the goal of our rehabilitation program was the biopsychosocial model of rehabilitation, which is the basis of the International Classification of Functioning. The program of physical rehabilitation involved dance and movement therapy and provided two vectors: physical and social ones. Conclusions: The use of dance and movement therapy in the rehabilitation program contributed to the solution of the main tasks that ensured the formation of a harmonious, positive personality of teenagers with disabilities of level III-IV according to their motor development. The participation of the dance group in the cultural events of the school and the town contributed to the socialization of children with disabilities and the readiness of society to accept such persons as its important and necessary part. Parents were ready to cooperate as partners to achieve a positive result. Dance and movement therapy has improved the effectiveness of the physical therapy program as to all of the components of the International Classification of Functioning. This approach has created favorable conditions for a significant life quality improvement for both children and members of their families.