Immediate effect of maximal treadmill walking on muscle fatigue and postural stability in children with cerebral palsy

El-Nabie, Walaa A. Abd; Attia, Maha A.

doi:10.4103/bfpt.bfpt_26_18

Cited by 2 publications

(3 citation statements)

References 40 publications

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“…Poor posture and movement restrictions are among the main problems of children with cerebral palsy (CP) and they exhibit poor postural control (PC) which is maintaining the body position in space through postural stabilization and orientation. 1,2 In CP, however, PC deficiency is primarily caused by the brain damage, leading to balance and/or orientation problems. 3 Postural stability is essential in performing daily activities and requires the continuity of the vertical position of the body.…”

Section: Introductionmentioning

confidence: 99%

The effects of treadmill training on postural control and balance in children with spastic diplegic cerebral palsy: A cross-over controlled study

Özal¹,

Aksoy²,

Günel³

2023

NeuroAsia

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Background & Objective: Treadmill training (TT) is used for several targets as in walking speed and endurance in rehabilitation programs of children with cerebral palsy (CP). However, its effects on postural stability have not been fully explored. The aim of this study was to investigate the effects of unsupported TT on postural control (PC) parameters and balance in children with spastic diplegic CP. Methods: Twelve children with CP, level I-II according to Gross-Motor-Function-Classification- System (GMFCS) were included. Participants were divided into two groups using randomized-sampling method. The study was designed as a cross-over study. In the first phase, the first group underwent routine physiotherapy-rehabilitation program (PTR) 3 sessions/week, 45 minutes per session, for 12 weeks. In the second group, 20 minutes of TT starting with 0.5 km/h speed, was added to the same PTR (n=6). At the end of 12 week, 4-week-long wash-out period was given. After this 4 weeks period, both groups crossed-over for another 12 weeks at the second phase of therapy. All tests was applied at baseline and at end of the first and second phases. PC was evaluated with Balance-Master computerized posturography (Neurocom Inc.) which consisted of tests of modified-clinical-sensory- balance-interaction (MCSBT), weight-shifting-in-standing (WSST), limits-of-stability (LoST) and rhythmic-weight-shifting (RWST). Results: The two groups were similar in age, body composition, GMFCS Levels and spasticity levels before the treatment and after the wash-period (p>0,05). After TT, there were significant improvements in PC parameters, MCSBT: composite-balance-score (p=0.02), center of gravity alignment (p=0.02); WSST: symmetry (p=0.03); LoST: backward weight-shifting (p=0,02), end point reaching (p=0.02-0.04), maximum-orientation (p=0.02-0.04); RWST: direction- control (p=0.02-0.04), on-axis-velocity (p=0.02-0.04). Conclusion: Including TT in PTR treatment program can enhance PC and balance in children with CP.

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Section: Introductionmentioning

confidence: 99%

The effects of treadmill training on postural control and balance in children with spastic diplegic cerebral palsy: A cross-over controlled study

Özal¹,

Aksoy²,

Günel³

2023

NeuroAsia

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“…In CP; the clinical features include variable impairments of a wide range of severity that affect daily lives and that persist through the lifespan, 4 and postural control (PC) problems are key problems in children with CP and lead to balance and/or orientation inefficiency in children with CP. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

“…2,3 In CP; the clinical features include variable impairments of a wide range of severity that affect daily lives and that persist through the lifespan, 4 and postural control (PC) problems are key problems in children with CP and lead to balance and/or orientation inefficiency in children with CP. 5,6 PC is the ability to maintain control of the body's position in space for the dual purposes of postural stability and postural orientation. Postural stability, also described as balance, is the ability to maintain and regain the center of mass (CoM) within the base of support (BoS).…”

Section: Introductionmentioning

confidence: 99%

Postural Control Alterations in Children with Mild Forms of Spastic Cerebral Palsy

Özal¹,

Aksoy²,

Günel³

2022

PHMT

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Purpose To determine the postural control responses’ differences between children with mild spastic Cerebral Palsy (CP) and children who are typically developing (TD). Patients and Methods Children with spastic CP, Level I–II (n=20, mean age=9.42±4.59 years, 50% girls, 50% boys) and children with TD (N=20, mean age=9.65±3.03, 55% girls, 45% boys) were included in the study. All participants were evaluated with Computerized Dynamic Posturography, Sensory Organization Test (SOT). Results There were differences between children with spastic CP and children with TD in visual and composite balance score of SOT significantly (p<0.05); there were no differences at vestibular and somatosensory scores of SOT. Children with CP had more postural sway than children with TD ( p <0.05). Conclusion There were differences between children with mild CP and TD in terms of postural control responses.

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Immediate effect of maximal treadmill walking on muscle fatigue and postural stability in children with cerebral palsy

Cited by 2 publications

References 40 publications

The effects of treadmill training on postural control and balance in children with spastic diplegic cerebral palsy: A cross-over controlled study

The effects of treadmill training on postural control and balance in children with spastic diplegic cerebral palsy: A cross-over controlled study

Postural Control Alterations in Children with Mild Forms of Spastic Cerebral Palsy

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