Physiotherapy theory and practice · 2017
A home-based body weight supported treadmill training program for children with cerebral palsy: A case series.
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Kenyon Lisa K, Westman Marci, Hefferan Ashley, McCrary Peter, Baker Barbara J
Аннотация
BACKGROUND AND PURPOSE: Contemporary approaches to the treatment of cerebral palsy (CP) advocate a task-specific approach that emphasizes repetition and practice of specific tasks. Recent studies suggest that body-weight-supported treadmill training (BWSTT) programs may be beneficial in clinical settings. The purposes of this case series were to explore the outcomes and feasibility of a home-based BWSTT program for three children with CP.
CASE DESCRIPTION: Three children with CP at Gross Motor Function Classification System (GMFCS) Levels III or IV participated in this case series. Examination included the Functional Assessment Questionnaire (FAQ), the 10-meter walk test, the Gross Motor Function Measure (GMFM-66), and the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT). A harness system was used to conduct the BWSTT program over an 8-12 week period.
OUTCOMES: All of the families reported enjoying the BWSTT program and found the harness easy to use. Participant 2 increased from a 2 to a 4 on the FAQ, while Participant 3 increased from a 6 to a 7.
DISCUSSION: Two of the participants demonstrated post-intervention improvements in functional mobility. In addition to mobility outcomes, future research should explore the potential health benefits of a home-based BWSTT program.
CASE DESCRIPTION: Three children with CP at Gross Motor Function Classification System (GMFCS) Levels III or IV participated in this case series. Examination included the Functional Assessment Questionnaire (FAQ), the 10-meter walk test, the Gross Motor Function Measure (GMFM-66), and the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT). A harness system was used to conduct the BWSTT program over an 8-12 week period.
OUTCOMES: All of the families reported enjoying the BWSTT program and found the harness easy to use. Participant 2 increased from a 2 to a 4 on the FAQ, while Participant 3 increased from a 6 to a 7.
DISCUSSION: Two of the participants demonstrated post-intervention improvements in functional mobility. In addition to mobility outcomes, future research should explore the potential health benefits of a home-based BWSTT program.
Предметные рубрики MeSH
AdolescentAdolescent DevelopmentAge FactorsCerebral PalsyChild DevelopmentChild, PreschoolDependent AmbulationDisability EvaluationEquipment DesignExercise TherapyHome Care ServicesHumansMaleMobility LimitationMotor ActivityMuscle ContractionMuscle, SkeletalOrthotic DevicesPatient SatisfactionRecovery of FunctionSurveys and QuestionnairesTime FactorsTreatment OutcomeWalkingWeight-Bearing