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Titre : | Effects of Home-Based Locomotor Treadmill Training on Gross Motor Function in Young Children With Cerebral Palsy: A Quasi-Randomized Controlled Trial (2013) |
Auteurs : | Katrin Mattern-Baxter ; Stefani McNeil ; Jim Mansoor |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/11, 2013) |
Article en page(s) : | pp. 2061-2067 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Paralysie cérébrale ; Rééducation et réadaptation |
Mots-clés: | Cerebral Palsy ; Gait ; Démarche ; Child ; Walking ; Marche à pied |
Résumé : |
Objective 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). Design Quasi-randomized controlled trial. Setting Homes of the participants. 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. Interventions 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. Main Outcome Measures 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. Results 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). Conclusions Home-based treadmill training accelerates the attainment of walking skills and decreases the amount of support used for walking in young children with CP. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |