Effect of treadmill gait training on static and functional balance in children with cerebral palsy: a randomized controlled trial

Grecco, Luanda André Collange; Tomita, Sandra M.; Christovão, Thaluanna Calil Lourenço; Pasini, Hugo; Sampaio, Luciana Maria Malosá; Oliveira, Cláudia Santos

doi:10.1590/s1413-35552012005000066

Cited by 54 publications

(47 citation statements)

References 29 publications

(43 reference statements)

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“…Balance deficit resulting in frequent falls is one of the most limiting aspects of CP13 , 26 , 27. Regarding oscillations of the CoP, two important findings were identified in the present study: 1) the similarity in the results with and without visual restriction; and 2) although a small number of participants were classified at level III of the GMFCS (three per group), the effects apparently involved these children, who require gait-assistance devices.…”

Section: Discussionmentioning

confidence: 99%

Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study

Grecco¹,

Duarte²,

Zanon³

et al. 2014

Braz. J. Phys. Ther.

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Background: Transcranial direct-current stimulation (tDCS) has been widely studied with the aim of enhancing local synaptic efficacy and modulating the electrical activity of the cortex in patients with neurological disorders. Objective: The purpose of the present study was to determine the effect of a single session of tDCS regarding immediate changes in spatiotemporal gait and oscillations of the center of pressure (30 seconds) in children with cerebral palsy (CP). Method:A randomized controlled trial with a blinded evaluator was conducted involving 20 children with CP between six and ten years of age. Gait and balance were evaluated three times: Evaluation 1 (before the stimulation), Evaluation 2 (immediately after stimulation), and Evaluation 3 (20 minutes after the stimulation). The protocol consisted of a 20-minute session of tDCS applied to the primary motor cortex at an intensity of 1 mA. The participants were randomly allocated to two groups: experimental group - anodal stimulation of the primary motor cortex; and control group - placebo transcranial stimulation. Results: Significant reductions were found in the experimental group regarding oscillations during standing in the anteroposterior and mediolateral directions with eyes open and eyes closed in comparison with the control group (p<0.05). In the intra-group analysis, the experimental group exhibited significant improvements in gait velocity, cadence, and oscillation in the center of pressure during standing (p<0.05). No significant differences were found in the control group among the different evaluations. Conclusion: A single session of tDCS applied to the primary motor cortex promotes positive changes in static balance and gait velocity in children with cerebral palsy.

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Section: Discussionmentioning

confidence: 99%

Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study

Grecco¹,

Duarte²,

Zanon³

et al. 2014

Braz. J. Phys. Ther.

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“…Stabilometric analysis is one of the most reliable ways to assess static balance and provides valid information on the oscillation of the center of pressure3 ) . This assessment was included in the present case due to the fact that postural stability is a well-defined prerequisite for motor development in children.…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies have demonstrated the positive effects of treadmill training in children with gait impairment1, 3, 4 ) . Despite the small amount of evidence regarding the use of treadmill training on children under six years of age, systematic reviews have reported encouraging results, with improvements in gait velocity, muscle strength and gross motor function1 ) .…”

Section: Introductionmentioning

confidence: 99%

Transcranial Direct Current Stimulation Combined with Treadmill Gait Training in Delayed Neuro-psychomotor Development

et al. 2014

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[Purpose] The aim of the present study was to describe the results of transcranial direct current stimulation combined with treadmill training in a child with delayed neuro-psychomotor development. [Subject and Methods] Transcranial direct current stimulation (intensity: 1 mA) was applied over the primary motor cortex for 20 minutes during simultaneous treadmill training (2.5 km/h) in ten sessions. [Results] Clinically significant improvement was found in motor development (fine motor subscale, 23 to 25; gross motor subscale, 32 to 41). Reductions in mean oscillation of the center of pressure were found in the anteroposterior (239.2 to 146.5 mm) and mediolateral (177.4 to 149.2 mm) directions. Increases occurred in cadence (106 to 123 steps/minute), step length (0.16 to 0.23 m), step width (0.09 to 0.14 m) and gait velocity with support (0.3 to 0.7 m/s). [Conclusion] After treatment, the child was able to initiate the standing position for the first time and walk without support.

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“…Sixty to eighty percent maximal tolerance reached on the initial treadmill test was used for the training sessions. Walking speed was at 60% maximal speed in the first and terminal five minutes of each session and at 80% maximal speed for the other 20 minutes [14] (Figure 1). data was compared between groups by t-test (P 0.05).…”

Section: Methodsmentioning

confidence: 99%

Effect of Treadmill Gait Training on Diplegic Children Swing Phase Gait Parameters

Ameer¹,

Khallaf²

2017

IJPR

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Background: Swing phase of walking is considered as one of the most affected phase of gait in diplegic children. This study aimed at studying the effect of task oriented intervention on the Kinetic and kinematic parameters during swing phase of spastic diplegic children. Materials and Methods:Twenty diplegic children were selected and distributed into two equal groups. Control group received a traditional treatment and an experimental group treated with traditional treatment and treadmill gait training. Gait analysis was done by 3-dimensional motion analysis system with 10 infrared cameras and two force platforms.Results: Cadence, walking speed, step length, stride length, maximum knee flexion angle, maximum ankle dorsiflexion angle, maximum knee flexion moment and maximum ankle dorsiflex moment showed statistically significant improvement in both groups at Pd" 0.05. Single limb support time showed non-significant improvements in both groups at Pd" 0.05. Conclusion:The results indicated that the use of task oriented training in the form of treadmill gait training and the conventional physical therapy treatment improve spatiotemporal parameters, knee flexion angle and ankle dorsiflexion moment and decrease the knee flexion moment in swing phase.

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Effect of treadmill gait training on static and functional balance in children with cerebral palsy: a randomized controlled trial

Cited by 54 publications

References 29 publications

Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study

Effect of a single session of transcranial direct-current stimulation on balance and spatiotemporal gait variables in children with cerebral palsy: A randomized sham-controlled study

Transcranial Direct Current Stimulation Combined with Treadmill Gait Training in Delayed Neuro-psychomotor Development

Effect of Treadmill Gait Training on Diplegic Children Swing Phase Gait Parameters

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