The Effect of Exercise Using a Sliding Rehabilitation Machine on the Gait Function of Children with Cerebral Palsy

Abstract

[Purpose] The purpose of the present study was to examine the effect of strength training using a sliding rehabilitation machine (SRM) on the gait function of cerebral palsy children. [Subjects and Methods] Thirteen children aged 6–18 years participated in the SRM training for 8 weeks (30 min/day, 2 times/week). The SRM is designed for the performance of a closed-kinetic chain exercise in which a tilt table is moved up and down using wheels on the table. Participants began in a position of flexion of the 3 lower joints (hips, knees, and ankles) on the SRM. In each exercise session, they extended and flexed the 3 joints. The level of exercise was set by changing the inclination of the tilt table. Functional gait ability was measured with the 6-minute walk test (6MWT), 10-m walk test (10MWT), and timed up-and-go test (TUG) before and after the training. Muscle strength was also measured using an isokinetic dynamometer. [Results] Nine of the thirteen children completed the entire study. The peak torques of the knee extensor and flexor group muscles significantly improved after training with the SRM. The total distance of the 6 MWT significantly increased after training. The times of the 10 MWT and the TUG significantly improved after training. The changes in muscle tone were also investigated using the MAS (Modified Ashworth Scale) and Tardieu scale, but no significant changes were found in muscle tone between the pre- and post-test measurements. [Conclusion] The findings demonstrate the effect of the SRM intervention which resulted in improved muscle strength and functional gait.

Spastik Serebral Palsili Çocuklarda Gövde Eğitiminin Gövde, Üst ve Alt Ekstremite Motor Fonksiyonları Üzerine Etkisi: Tabakalı Randomize Kontrollü Çalışma

“…In the literature, there are a few studies reporting their results about trunk-targeted training in children with CP. The interventions used in these studies were strengthening exercises, kinesio taping, electrical stimulation, and therapeutic horse riding/ hippo therapy methods which were generally combined with the NDT (19,20). This was the first randomized controlled trial analyzing the effects of individually structured trunk training on the motor functions of the trunk, upper and lower limbs of children with bilateral spastic CP.…”

Effects of interactive games on motor performance in children with spastic cerebral palsy

“…Moreover, one study demonstrates children with CP who play interactive videogames for 3 weeks show improvements in balance and motor performance 25 ) . Children with CP may have impaired postural balance, which contributes to gait abnormalities 26 , 27 ) . Furthermore, loaded sit-to-stand exercises improve basic motor abilities, functional muscle strength, and walking efficiency 28 , 29 , 30 ) .…”

Motor Function Improvement in Children with Ataxia Receiving Interval Rehabilitation, Including Vibration-Assisted Hometraining: A Retrospective Study

“…The 1MWT measures the distance patients are able to walk in 1 min, and was used to assess functional ability [12,15]. Patients were asked to walk as fast as possible on a marked plane level course for 1 min.…”