Effects of home-based locomotor treadmill training on gross motor function in young children with cerebral palsy: a quasi-randomized controlled trial
| Autor: | Stefani McNeil, Katrin Mattern-Baxter, Jim K. Mansoor |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Walking Cerebral palsy law.invention Physical medicine and rehabilitation Randomized controlled trial law medicine Humans Treadmill Motor skill Rehabilitation Cerebral Palsy Infant Gross Motor Function Classification System medicine.disease Gait Home Care Services Motor Skills Child Preschool Physical therapy Female Psychology |
| Zdroj: | Archives of physical medicine and rehabilitation. 94(11) |
| ISSN: | 1532-821X |
| Popis: | To examine the effects of an intensive home-based program of treadmill training on motor skills related to walking in preambulatory children with cerebral palsy (CP).Quasi-randomized controlled trial.Homes of the participants.Children with CP (N=12) with Gross Motor Function Classification System levels I and II were assigned to the intervention group (n=6; mean age ± SD, 21.76±6.50mo) and control group (n=6; 21.25±6.07mo). All children were tested preintervention, postintervention, at a 1-month follow-up, and at a 4-month follow-up.All children received their weekly scheduled physical therapy sessions at their homes. In addition, children in the intervention group walked on a portable treadmill in their homes 6 times per week, twice daily for 10- to 20-minute sessions, for 6 weeks. The intervention was carried out by the children's parents with weekly supervision by a physical therapist.Gross Motor Function Measure-66 Dimensions D/E, Peabody Developmental Motor Scales-2 (PDMS-2), Pediatric Evaluation of Disability Inventory (PEDI), timed 10-m walk test (10MWT), and Functional Mobility Scale (FMS). The Friedman test and Mann-Whitney U test were conducted for within-group and between-group differences, respectively.There was a significant between-group treatment effect for the PDMS-2 at posttest (P=.01) and 1-month postintervention follow-up (P=.09), as well as for the PEDI at posttest (P=.01), the 1-month postintervention follow-up (P=.009), and the 4-month postintervention follow-up (P=.04). The FMS was significant at the posttest (P=.04).Home-based treadmill training accelerates the attainment of walking skills and decreases the amount of support used for walking in young children with CP. |
| Databáze: | OpenAIRE |
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