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Effects of Antigravity Treadmill Training on Gait, Balance, and Fall Risk in Children With Diplegic Cerebral Palsy

EL-SHAMY SM
AM J PHYS MED REHABIL , 2017, vol. 96, n° 11, p. 809-815
Doc n°: 185963
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/PHM.0000000000000752
Descripteurs : DF22 - EXPLORATION EXAMENS BILANS - MARCHE, AJ23 - PARALYSIE CEREBRALE

The aim of this study was to investigate the effects of antigravity
treadmill training on gait, balance, and fall risk in children with diplegic
cerebral palsy. DESIGN: Thirty children with diplegic cerebral palsy were
selected for this randomized controlled study. They were randomly assigned to (1)
an experimental group that received antigravity treadmill training (20 mins/d, 3
d/wk) together with traditional physical therapy for 3 successive mos and (2) a
control group that received only traditional physical therapy program for the
same period. Outcomes included selected gait parameters, postural stability, and
fall risk. Outcomes were measured at baseline and after 3 mos of intervention.
RESULTS: Children in both groups showed significant improvements in the mean
values of all measured variables (P < 0.05), with significantly greater
improvements in the experimental group than the control group. The posttreatment
gait parameters (i.e., velocity, stride length, cadence, and percent of time
spent in double-limb support) were 0.74 m/sec, 119 steps/min, 0.75 m/sec, 0.65
sec, and 55.9% as well as 0.5 m, 125 steps/min, 0.6 m/sec, 0.49 sec, and 50.4%
for the experimental and control group, respectively. CONCLUSIONS: Antigravity
treadmill training may be a useful tool for improving gait parameters, balance,
and fall risk in children with diplegic cerebral palsy.

Langue : ANGLAIS

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