A comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trial

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dc.contributor.authorCollange Grecco, Luanda Andre
dc.contributor.authorZanon, Nelci [UNIFESP]
dc.contributor.authorMalosa Sampaio, Luciana Maria
dc.contributor.authorOliveira, Claudia Santos
dc.contributor.institutionUniv Nine July
dc.contributor.institutionCtr Pediat Neurosurg CENEPE
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:32:06Z
dc.date.available2016-01-24T14:32:06Z
dc.date.issued2013-08-01
dc.description.abstractObjective: Compare the effects of treadmill training and training with overground walking (both without partial weight support) on motor skills in children with cerebral palsy.Design: Randomized controlled clinical trial.Setting: Physical therapy clinics.Subjects: Thirty-six children with cerebral palsy (levels I-III of the Gross Motor Functional Classification System) randomly divided into two intervention groups.Interventions: Experimental group (17 children) submitted to treadmill training without partial weight support. Overground walking group (18 children) submitted to gait training on a fixed surface (ground). Training was performed for seven consecutive weeks (two sessions per week), with four subsequent weeks of follow-up.Results: Both groups demonstrated improvements on the 6-minute walk test (experimental group from 227.4 SD 49.4 to 377.2 SD 93.0; overground walking group from 222.6 SD 42.6 to 268.0 SD 45.0), timed up-and-go test (experimental group from 14.3 SD 2.9 to 7.8 SD 2.2; overground walking group from 12.8 SD 2.2 to 10.5 SD 2.5), Pediatric Evaluation Disability Inventory (experimental group from 128.0 SD 19.9 to 139.0 SD 18.4; overground walking group from 120.8 SD 19.0 to 125.8 SD 12.2), Gross Motor Function Measure-88 (experimental group from 81.6 SD 8.7 to 93.0 SD 5.7; overground walking group from 77.3 SD 7.0 to 80.8 SD 7.2), Berg Balance Scale (experimental group from 34.9 SD 8.5 to 46.7 SD 7.6; overground walking group from 31.9 SD 7.0 to 35.7 SD 6.8) after treatment. the experimental group demonstrated greater improvements than the overground walking group both after treatment and during follow up (p < 0.05).Conclusion: Treadmill training proved more effective than training with overground walking regarding functional mobility, functional performance, gross motor function and functional balance in children with cerebral palsy.en
dc.description.affiliationUniv Nine July, São Paulo, Brazil
dc.description.affiliationCtr Pediat Neurosurg CENEPE, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent686-696
dc.identifierhttp://dx.doi.org/10.1177/0269215513476721
dc.identifier.citationClinical Rehabilitation. London: Sage Publications Ltd, v. 27, n. 8, p. 686-696, 2013.
dc.identifier.doi10.1177/0269215513476721
dc.identifier.issn0269-2155
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/36631
dc.identifier.wosWOS:000321564500004
dc.language.isoeng
dc.publisherSage Publications Ltd
dc.relation.ispartofClinical Rehabilitation
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.uk.sagepub.com/aboutus/openaccess.htm
dc.subjectCerebral palsyen
dc.subjectgaiten
dc.subjectphysiotherapyen
dc.subjectChildrenen
dc.titleA comparison of treadmill training and overground walking in ambulant children with cerebral palsy: randomized controlled clinical trialen
dc.typeinfo:eu-repo/semantics/article
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