Low-Intensity vs High-Intensity Home-Based Treadmill Training and Walking Attainment in Young Children With Spastic Diplegic Cerebral Palsy
| Autor: | Chuan Zhou, Kristie Bjornson, Katrin Mattern-Baxter, Julia Looper |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Blinding medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Walk Test Walking law.invention Cerebral palsy 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Accelerometry medicine Spastic Humans Single-Blind Method Prospective Studies Rehabilitation business.industry Minimal clinically important difference Cerebral Palsy Infant Gross Motor Function Classification System medicine.disease Child development Exercise Therapy Motor Skills Child Preschool Physical therapy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 101(2) |
| ISSN: | 1532-821X |
| Popis: | Objective To compare the effect of low-intensity (LI) vs high-intensity (HI) treadmill training (TT) on walking attainment and overall walking activity in children with cerebral palsy (CP). Design Prospective, multisite, randomized controlled trial. Setting Homes of the participants. Participants Children with spastic diplegic CP, Gross Motor Function Classification System Level I and II, ages 14-32 months (N=19; male, n=8). Interventions The children were randomized to LI TT (2×/wk for 6wk) (n=10) and HI TT (10×/wk for 6wk) (n=9). The TT was carried out by the families with weekly instruction by the researchers. Main Outcome Measures Children were assessed at study onset, post intervention, and 1 and 4 months post intervention with the Gross Motor Function Measure Dimension D/E (GMFM D/E), average strides per day and percentage of time spent walking with accelerometers, the Peabody Developmental Motor Scales-2 (PDMS-2), Pediatric Evaluation of Disability Index Mobility Scale, timed 10-m and 1-minute walk test, and Functional Mobility Scale. Blinding was conducted for GMFM D/E and PDMS-2. Linear mixed effects regression models were applied to all outcomes. Results No significant between-group differences were found in any outcome measure at any of the time points. Children in the HI group did not show significant improvement immediately following the intervention in GMFM E (P=.061), while children in the LI group did (P=.003), but no statistically significant differences were detected over time (P=.71). Children in the HI group showed better walking independence on the Functional Mobility Scale at all postintervention assessments. Conclusions A twice-weekly dosage was equally effective in improving skills related to walking compared with a 10×/wk program and can be more readily implemented into clinical practice. |
| Databáze: | OpenAIRE |
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