Journal Club CEU Approval
Contact Hours: 1
AR | FL CE26-803266 | ID
Body weight supported treadmill training improves the regularity of the stepping kinematics in children with cerebral palsy
JC12Q3
On-demand
$10
On-demand
$10
Webinar Description
Kurz MJ, Stuberg W, Dejong SL (2011). Body weight supported treadmill training improves the regularity of the stepping kinematics in children with cerebral palsy. Developmental Neurorehabilitation 14(2):87-93. Summary by Nechama Karman, PT, MS, PCS Summary: Twelve children ages 8.7 + 4 years) with CP GMFCS level II-IV participated in 2 sessions/week of BWSTT for 12 weeks (24 sessions). Four of the children has spastic diplegia, 8 has spastic quadriplegia. Four were GMFCS level II (did not use assistive device to walk), and 8 used wheeled walker for community ambulation (GMFCS level III). All but 2 used articulating AFOs. BWSTT sessions were held twice a week for 12 weeks, using a Biodex BWS system suspended over a TM, beginning with 40% BWS in week 1, decreasing by 5% on alternate weeks, ending at 15% BWS. Intensity of training was based on HR during training, increasing walking speed each minute of training until 75% of age-adjusted heart rate was achieved; ending speed from each session became the starting speed at the subsequent session. Sessions included 20 minutes of treadmill walking time. Physical assistance was limited to a single person, and only for producing continuous alternating steps, via WS/upright posture at pelvis or at foot for transition to swing, clearance, foot placement. OUTCOME MEASURES were completed before and after a 12 week BWSTT program. 3-dimensional computerized gait analysis was performed walking over-ground using assistive mobility devices (walkers and AFOs). Reflective marker placement was on the dorsum of the base of the second toe, lateral malleolus and sacrum (midway between PSIS).They included: Regularity of stepping kinematics assessed with Fourier analysis methods. (lower harmonics indicates greater regularity; a sharp power spectrum composed of lower harmonics indicates a controlled, rhythmical stepping pattern). Preferred walking speed measured with instrumented (computerized) 3D gait analysis Step length measured with instrumented (computerized) 3D gait analysis Lower extremity anti-gravity muscle strength measured statically with handheld dynamometer, composite score: sum of strength measured in each leg/body weight. Hip extension: measured supine in 90° flexion Knee extension: measured in sitting, hip and knee each flexed 90° Ankle plantar flexion: measured in supine with hip and knee extended, ankle in neutral. GMFM section E score (walking, running and jumping) includes walking forward, backward, kicking ball, navigating stairs; reported as percentage of possible (72) points
CEU Information
Webinar Information
Contact Hours: 1
Price: $10
Instructor: Nechama Karman
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