Endurance and Gait in Children With Cerebral Palsy After Intensive Body Weight-Supported Treadmill Training

Provost, Beth; Dieruf, Kathy; Burtner, Patricia A.; Phillips, John; Bernitsky-Beddingfield, Ann; Sullivan, Katherine J.; Bowen, Chantel A; Toser, Lesley

doi:10.1097/01.pep.0000249418.25913.a3

Cited by 111 publications

(72 citation statements)

References 36 publications

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“…The results of this study are consistent with Provost et al, who found significant improvement in velocity of walking and energy expenditure were observed and concluded that treadmill training may be an effective intervention for some ambulatory children with CP [16].…”

Section: Discussionsupporting

confidence: 82%

“…These results also make it necessary to include such approaches in daily therapeutic programs. Our results can be attributed to treadmill training providing opportunity to repetitively train the entire gait cycle and facilitate an improved gait pattern with an increased walking speed and distance [15,16]. Treadmill walking exercise has been associated with increased strength and decreases in energy expenditure [17].…”

Section: Discussionmentioning

confidence: 84%

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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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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 84%

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

Ameer¹,

Khallaf²

2017

IJPR

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“…The mobility of these children is often observationally evaluated using standardized scales, including the Physicians Rating Scale (PRS) [5][6][7] and the Gross Motor Function Measure (GMFM) 6,[8][9][10][11] , or by documentation of biomechanical variables, including spatiotemporal gait parameters 10,12,13 . Regardless of the method, the digital camera serves a tool in this process, enabling the performance of patients to be recorded for subsequent analysis.…”

Section: Introductionmentioning

confidence: 99%

Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: a validity study

Figueiredo¹,

Silva²,

Avelar³

et al. 2013

Braz. J. Phys. Ther.

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| Background: The optimization of gait performance is an important goal in the rehabilitation of children with cerebral palsy (CP) who present a prognosis associated with locomotion. Gait analysis using videos captured by digital cameras requires validation. Objective: To evaluate the validity of a method that involves the analysis of videos captured using a digital camera for quantifying the temporal parameters of gait in toddlers with normal motor development and children with CP. Method: Eleven toddlers with normal motor development and eight children with spastic hemiplegia who were able to walk without assistive devices were asked to walk through a space contained in the visual field of two instruments: a digital camera and a three-dimensional motion analysis system, Qualisys Pro-Reflex. The duration of the stance and swing phases of gait and of the entire gait cycle were calculated by analyzing videos captured by a digital camera and compared to those obtained by Qualisys Pro-Reflex, which is considered a highly accurate system. Results: The Intraclass Correlation Coefficient (ICC) demonstrated excellent agreement (ICC>0.90) between the two procedures for all measurements, except for the swing phase of the normal toddlers (ICC=0.35). The standard error of measurement was less than 0.02 seconds for all measures. Conclusions: The results reveal similarities between the two instruments, suggesting that digital cameras can be valid instruments for quantifying two temporal parameters of gait. This congruence is of clinical and scientific relevance and validates the use of digital cameras as a resource for helping the assessment and documentation of the therapeutic effects of interventions targeted at the gait of children with CP.Keywords: gait; toddlers; cerebral palsy; image processing; computer-assisted; rehabilitation. HOW TO CITE THIS ARTICLEFigueiredo PRP, Silva PLP, Avelar BS, Chagas PSC, Oliveira LCP, Mancini MC. Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: a validity study. Braz J Phys Ther. 2013 July-Aug; 17(4):359-366. http://dx

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“…All these studies reported positive results, and most of them recruited children with spastic CP. 4,8,9,[11][12][13]22 In a systematic review of seven PBWSTT studies on children with CP, five were conducted exclusively on spastic CP, and the strength of evidence was found to be weak. 23 Only two studies targeted at participants with nonspastic type of CP, but the findings were inconclusive.…”

mentioning

confidence: 99%

“…[1][2][3] Recent studies have directed interests in evaluating its effects on children with cerebral palsy (CP). 4,[8][9][10][11][12][13][14] CP is an umbrella term describing a group of permanent but nonprogressive defects or lesions of the brain that occurs during early childhood. 15 Although the condition is attributed to a nonprogressive encephalopathy, its secondary complications change over time causing activity limitations throughout the entire life span.…”

mentioning

confidence: 99%

Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy

Su¹,

Chung²,

Chow

2013

Prosthetics &Amp; Orthotics International

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IntroductionPartial body weight-supported treadmill training (PBWSTT) employs overhead suspension and harness to relieve part of body weight (BW) while walking on a treadmill machine. It allows task-specific and repetitive training 1 with postural support that promotes lower limb coordination 2 and minimizes compensatory movements. 3 With the body unweighting support, therapists can provide gait facilitation and correction in a safe environment even before the recipient has attained sufficient weight-bearing and postural control AbstractBackground: Partial body weight-supported treadmill training has been shown to be effective in gait training for patients with neurological disorders such as spinal cord injuries and stroke. Recent applications on children with cerebral palsy were reported, mostly on spastic cerebral palsy with single subject design. There is lack of evidence on the effectiveness of such training for nonspastic cerebral palsy, particularly those who are low functioning with limited intellectual capacity. Objectives: This study evaluated the effectiveness of partial body weight-supported treadmill training for improving gross motor skills among these clients. Study design: A two-period randomized crossover design with repeated measures. Methods: A crossover design following an A-B versus a B-A pattern was adopted. The two training periods consisted of 12-week partial body weight-supported treadmill training (Training A) and 12-week conventional gait training (Training B) with a 10-week washout in between. Ten school-age participants with nonspastic cerebral palsy and severe mental retardation were recruited. The Gross Motor Function Measure-66 was administered immediately before and after each training period. Results: Significant improvements in dimensions D and E of the Gross Motor Function Measure-66 and the Gross Motor Ability Estimator were obtained. Conclusions: Our findings revealed that the partial body weight-supported treadmill training was effective in improving gross motor skills for low-functioning children and adolescents with nonspastic cerebral palsy. Clinical relevanceOur preliminary findings demonstrated that partial body weight-supported treadmill training was a treatment of choice for improving gross motor functioning related to standing and ambulation for low-functioning children and adolescents with nonspastic cerebral palsy and limited intellectual capacity.

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Endurance and Gait in Children With Cerebral Palsy After Intensive Body Weight-Supported Treadmill Training

Abstract: Intensive body weight-supported treadmill training may be an effective intervention for some children with CP who are ambulatory.

Cited by 111 publications

References 36 publications

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

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

Assessment of gait in toddlers with normal motor development and in hemiplegic children with mild motor impairment: a validity study

Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy

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