Validity and Clinical Utility of Functional Assessments in Children With Cerebral Palsy

Chrysagis, Nikolaos; Skordilis, Emmanouil; Koutsouki, Dimitra

doi:10.1016/j.apmr.2013.10.025

Cited by 60 publications

(57 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Primary outcome measures included participant’s self-selected and fast overground walking velocity collected on a 10m instrumented walkway (GAITRite, CIR Systems Inc, Sparta, NJ) [25, 26] and averaged across 3 trials, and walking distance assessed through the 6-minute timed walk [27]. Secondary outcome measures included clinical assessments of motor function.…”

Section: Methodsmentioning

confidence: 99%

Robotic Resistance Treadmill Training Improves Locomotor Function in Children With Cerebral Palsy: A Randomized Controlled Pilot Study

Kim

Gaebler-Spira

et al. 2017

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

Objective To determine whether applying controlled resistance forces to the legs during the swing phase of gait may improve the efficacy of treadmill training compared to applying controlled assistance forces in children with cerebral palsy (CP). Design Randomized controlled study. Setting Research unit of rehabilitation hospital. Participants Children with spastic CP (n = 23, average age 10.6 years old, ranged from 6–14, GMFCS levels: I to IV). Interventions Participants were randomly assigned to receive controlled assistance (n=11) or resistance (n=12) loads applied to the legs at the ankle. Participants underwent robotic treadmill training 3 times a week for 6 weeks (18 sessions). A controlled swing assistance/resistance load was applied to both legs starting from toe-off to mid-swing phase of gait during training. Main outcome measures Outcome measures consisted of overground walking speed, 6 minute walking distance, and GMFM scores, and were assessed pre, post 6 weeks of training, and 8 weeks after the end of training. Results Following 6 weeks of treadmill training for participants from the resistance training group, fast walking speed and 6 minute walking distance significantly improved (18% and 30% increases, respectively), and 6 minute walking distance was still significantly greater than baseline (35% increase) 8 weeks after the end of training. In contrast, overground gait speed and 6 minute walking distance had no significant changes after robotic assistance training. Conclusion Results from the current study indicated that robotic resistance treadmill training is more effective than assistance training in improving locomotor function in children with CP.

show abstract

Section: Methodsmentioning

confidence: 99%

Robotic Resistance Treadmill Training Improves Locomotor Function in Children With Cerebral Palsy: A Randomized Controlled Pilot Study

Kim

Gaebler-Spira

et al. 2017

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

show abstract

“…In a cross-sectional study involving 35 children classified on Levels I, II and III of the GMFCS, Chrysagis et al (14) investigated the correlation and validation of different functional evaluation tests. The authors found a strong correlation between the Gross Motor Function…”

Section: Discussionmentioning

confidence: 99%

“…This widely used, easily understood assessment tool is valid and reliable for the evaluation of functional mobility in children with CP. (14) With the availability of trained professionals for the use of tDCSand virtual reality as a form of motor training, the present investigation employed the TUG test to evaluate the effects of the combined use of these therapeutic modalities on functional mobility in children with CP.…”

Section: Introductionmentioning

confidence: 99%

Effect of a single session of transcranial direct current stimulation combined with virtual reality training on functional mobility in children with cerebral palsy: A randomized, controlled, double-blind trial.

Ferreira¹,

Rezende²,

Dumont³

et al. 2014

mtprehabjournal

View full text Add to dashboard Cite

Introduction:Abnormal postural control in children with cerebral palsy (CP) exerts a negative impact on activities of daily living. The Timed UpandGo (TUG) test is a valid, reliable test for the evaluation of functional mobility in children with CP. Objective:The aim of the present study was to determine the effects of a single session of transcranial direct current stimulation (tDCS) over the primary motor cortex combined with mobility training using a virtual reality system on functional mobility in children with CP. Method: The sample was composed of 12 children with CP aged 4 to 12 years, who were randomly allocated to an experimental group (virtual reality training + active tDCS) and control group (virtual reality training + placebo tDCS). Evaluations involved the TUG test performed 20 minutes before the intervention as well as immediately after the intervention. The paired t-test was used for the intra-group comparisons and both the unpaired t-test and Levene's test were used for the intergroup comparisons, with a p-value < 0.05 indicative of statistical significance. Results: The data were expressed as mean and standard deviation. In the control group, the time needed to complete the TUG was 14.40 ± 5.79 s before the intervention 13.81 ± 5.18 s after the test (p=0.279). In the experimental group, the time needed to complete the TUG went from 15.73 ± 5.77 s before the test to 13.96 ± 5.48 s after the test(p=0.004). However, no statistically significant difference was found in the inter-group analysis (p=0.853). Conclusion: The findings suggest that tDCSfavors an increase in gait velocity in children with cerebral palsy. Keywords: cerebral palsy, child, physical therapy, cerebral cortex, electrical stimulation, functionality, Timed Up&Go, TUG. ResumoIntrodução: Controle postural anormal em crianças com paralisia cerebral (PC) exerce um impacto negativo sobre as atividades da vida diária. O teste cronometrado Timed Up and Go (TUG) é um teste válido e confiável para a avaliação da mobilidade funcional em crianças com PC. Objetivo: A finalidade do presente estudo foi determinar os efeitos de uma única sessão de estimulação transcraniana por corrente contínua (ETCC) sobre o córtex motor primário combinado com treinamento de mobilidade usando um sistema de realidade virtual sobre a mobilidade funcional em crianças com PC. Metódo: A amostra foi composta de 12 crianças com PC com idades entre 4 e 12 anos, que foram distribuídos aleatoriamente em um grupo experimental (treinamento de realidade virtual + ETCC ativa) e grupo controle (formação de realidade virtual + ETCC placebo). As avaliações envolveram a TUG realizadas 20 minutos antes da intervenção, bem como imediatamente após a intervenção. O teste t pareado foi utilizado para as comparações intra-grupo e foram utilizados tanto o teste t não pareado e teste de Levene para as comparações entre os grupos, com um valor de p <0,05 indicativo de significância estatística. Resultados: Os dados foram expressos em média e desvio padrão. No grupo controle, o tem...

show abstract

“…Based on impairment of spontaneous movement, trunk control and walking ability, the Gross Motor Function Classification System (GMFCS) has been developed and widely used for evaluating the severity of age-specific gross motor dysfunction in CP cases. [2][3][4] GMFCS grading has been shown to be reliable across observers and invariant with increasing age. 5 The GMFCS classifies gross motor function on a five-degree ordinal scale (level I represents the best gross motor abilities; level V the least function), with descriptions of skills provided for five age bands for each level: before the second birthday; age 2-4 years; age 4-6 years; age 6-12 years; adolescence.…”

Section: Introductionmentioning

confidence: 99%

The effects of motor and intellectual functions on the effectiveness of comprehensive rehabilitation in young children with cerebral palsy

Zhang

Jia

et al. 2014

J Int Med Res

View full text Add to dashboard Cite

show abstract

Validity and Clinical Utility of Functional Assessments in Children With Cerebral Palsy

Cited by 60 publications

References 35 publications

Robotic Resistance Treadmill Training Improves Locomotor Function in Children With Cerebral Palsy: A Randomized Controlled Pilot Study

Robotic Resistance Treadmill Training Improves Locomotor Function in Children With Cerebral Palsy: A Randomized Controlled Pilot Study

Effect of a single session of transcranial direct current stimulation combined with virtual reality training on functional mobility in children with cerebral palsy: A randomized, controlled, double-blind trial.

The effects of motor and intellectual functions on the effectiveness of comprehensive rehabilitation in young children with cerebral palsy

Contact Info

Product

Resources

About