Maintenance of Functional Gains Following a Goal-Directed and FES-Assisted Cycling Program for Children With Cerebral Palsy.

Autor:	Armstrong EL; School of Allied Health Sciences (Drs Armstrong, Horan, and Carty), Griffith University, Gold Coast, Queensland, Australia; Menzies Health Institute Queensland (Drs Armstrong, Horan, Ware, and Carty), Griffith University, Gold Coast, Queensland, Australia; The Queensland Cerebral Palsy and Rehabilitation Research Centre (Dr Armstrong and Boyd and Ms Kentish), Centre for Children's Health Research, Faculty of Medicine, The University of Queensland, Queensland, Australia; Queensland Paediatric Rehabilitation Service (Ms Kentish), Children's Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia; Griffith Centre of Biomedical and Rehabilitation Engineering (Dr Carty), Griffith University, Gold Coast, Queensland, Australia., Boyd RN, Horan SA, Kentish MJ, Ware RS, Carty CP
Jazyk:	angličtina
Zdroj:	Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association [Pediatr Phys Ther] 2022 Oct 01; Vol. 34 (4), pp. 480-487. Date of Electronic Publication: 2022 Sep 05.
DOI:	10.1097/PEP.0000000000000942
Abstrakt:	Purpose: This study investigated whether the functional improvements associated with functional electrical stimulation-assisted cycling, goal-directed training, and adapted cycling in children with cerebral palsy were maintained 8 weeks after the intervention ceased. Methods: The intervention (2 × 1-hour supervised sessions and 1-hour home program/week) ran for 8 weeks. Primary outcomes were the Gross Motor Function Measure (GMFM-88) and the Canadian Occupational Performance Measure (COPM). Secondary outcomes included the GMFM-66 and goal scores, 5 times sit-to-stand test (FTSTS), Participation and Environment Measure-Children and Youth (PEM-CY), Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT), and cycling power output (PO). Outcomes were assessed at baseline, 8 and 16 weeks. Results: Twenty children participated (mean age = 10 years 3 months; SD = 2 years 11 months; Gross Motor Function Classification System II = 5, III = 6, and IV = 9). Improvements were retained above baseline at 16 weeks on the GMFM and COPM. Improvements in cycling PO, PEDI-CAT scores, PEM-CY environmental barriers and FTSTS were also retained. Conclusion: Functional improvements in children with cerebral palsy were retained 8 weeks post-intervention. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2022 Academy of Pediatric Physical Therapy of the American Physical Therapy Association.)
Databáze:	MEDLINE
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