Products, Education and Rehabilitation Solutions

      Neuromagnetic activity of the somatosensory cortices associated with body weight supported treadmill training in children with cerebral palsy.

      JC13Q1
      On-demand
      $10

      Webinar Description

      Kurz MJ, Wilson TW, Corr B, Volkman KG (2012) Neuromagnetic activity of the somatosensory cortices associated with body weight supported treadmill training in children with cerebral palsy.JNPT 2012;00:1-7 Summary by Nechama Karman, PT, MS, PCS Four children ages 13.7 + 2 years) with spastic diplegic CP and GMFCS level III-IV participated in 2 sessions/week of BWSTT for 6 weeks (12 sessions). Participant functional abilities varied in terms of walking ability and assistive devices used (3x rolling walker; 1x forearm crutches; 3 used AFOs; 1 primarily WC dependent), and surgical history . BWSTT sessions consisted of 30 minutes’ barefoot treadmill walking, beginning at 90% of each participant’s overground walking speed, and increased gradually to increase the number of steps practiced while maintaining stepping pattern, upright positioning of the LE and pushoff. Sessions were implemented by licensed physical therapists, who provided cues or assistance to maximize motor activity and control; Cues included assistance in pelvic stabilization, resistance to the dorsum of the foot in swing and stance, stepping cues to vary the pattern used, using a LiteGait BWS system suspended over a TM, beginning with adequate BWS to promote upright stepping (25-51%BWS) and decreasing over the intervention period in ¾ participants (final BWS range 10-44%). Intensity of training was based on HR during training, with required rest periods when HR exceeded 75% of age-adjusted maximum heart rate. Outcome measures: Were completed 1 week before and 1 week after a 6 week BWSTT program. Gait measures were performed walking over-ground barefoot, using assistive mobility devices (walkers, crutches). Measures included: MEG Brain Imaging: Change in source amplitude of early latency somatosensory cortical (neuromagnetic) responses to electrical stimulation following BWSTT. (lower # = indication of greater efficiency, as a lower number of neurons are firing collectively at the same time) Walking speed measured with 10 minute walk test (10mwt) at child’s fastest possible speed (best of 3 trials) Walking endurance measured with 6 minute walk test (6MWT) Lower extremity anti-gravity muscle strength measured statically with handheld dynamometer, normalized composite score: sum of strength measured in each leg/body weight. Highest score used for analysis (measured > 2x, scores within 1 pound)

      CEU Information

      Journal Club CEU Approval

      Contact Hours: 1

      AR | FL CE26-803266 | ID

      Webinar Information

      Contact Hours: 1

      Price: $10

      Instructor: Nechama Karman

      Extended Learning Package

      Unlimited Access to the Full Webinar Library, One full year of CEU - One low price

      ELP One

      $99

      Per Person

      Purchase

      ELP Six

      $295

      for group of 6

      Purchase

      ELP 12

      $395

      for facility

      Purchase

      ELP 3

      $59

      for 3 months

      Purchase

      Webinars are clinically relevant and consist of a variety of adult and pediatric topics presented by skilled instructors.
      Live - interact with the moderator and other therapists | On-Demand - watch at your convenience. 
      Course attendance certificates provided.  Choose a program that is right for you or your team.