Dual-task training effect on gait parameters in children with spastic diplegic cerebral palsy: Preliminary results of a self-controlled study.

Autor: Okur EO; Kutahya Health Sciences University, Faculty of Health Sciences, Department of Occupational Therapy, Kutahya, Turkey,. Electronic address: eda-ozge@hotmail.com., Arik MI; Kutahya Health Sciences University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kutahya, Turkey., Okur I; Kutahya Health Sciences University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kutahya, Turkey., Gokpinar HH; Kutahya Health Sciences University, Faculty of Medicine, Kutahya, Turkey., Gunel MK; Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Samanpazari, Ankara, Turkey.
Jazyk: angličtina
Zdroj: Gait & posture [Gait Posture] 2022 May; Vol. 94, pp. 45-50. Date of Electronic Publication: 2022 Feb 17.
DOI: 10.1016/j.gaitpost.2022.02.020
Abstrakt: Background: Children with cerebral palsy (CP) may have difficulties under dual-task conditions. Spatiotemporal gait parameters have deteriorated with concurrent tasks in children with CP. However, how dual-task training affects gait parameters in children with spastic diplegic CP has not been clarified.
Research Question: How does dual-task training program effect gait, functional skills, and health-related quality of life in children with spastic diplegic CP?
Methods: Eleven children with spastic diplegic CP (median age 11 y, range 7-16 y; 4 female; 7 male) Gross Motor Function Classification System level 1-2 and obtained 27 and higher scores from Modified Mini Mental Test included in the study. The study was planned as a self-controlled clinical research design. Children were recruited to conventional physiotherapy program for 8 weeks and dual-task training program added to conventional physiotherapy program for following 8 weeks. Children were evaluated at baseline, after conventional physiotherapy program, and after dual-task training program. Children's gait was evaluated with Zebris™ FDM-2 device and Edinburgh Visual Gait Score, functional mobility skills with 1 min Walk Test (1MWT), and health-related quality of life with the Pediatric Quality of Life Inventory (PedsQL) - CP module.
Results: The difference in step length, step time, stride time, cadence and gait speed of spatiotemporal parameters of gait during dual-task performance were found statistically significant in children with spastic diplegic CP, after dual-task training program (p < 0,05). After dual-task training, statistically significant gains were found in 1MWT, movement and balance subtitle of PedsQL-CP module Parent Form (p < 0,05).
Significance: Dual-task training program added to a conventional physiotherapy program provides more gains in terms of functionality of children with spastic diplegic CP will contribute to the improvement of the motor functional level.
(Copyright © 2022 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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