Group-based progressive functional, high-intensity training in adolescents and young adults with unilateral cerebral palsy - a tool to improve gross motor function, endurance and gait? - a pilot study.
Michèle Widmer, Alice Minghetti, Jacqueline Romkes, Martin Keller, Ramon Gysin, Cornelia Neuhaus, Bastian Widmer, Morgan Sangeux, Elke Viehweger
{"title":"Group-based progressive functional, high-intensity training in adolescents and young adults with unilateral cerebral palsy - a tool to improve gross motor function, endurance and gait? - a pilot study.","authors":"Michèle Widmer, Alice Minghetti, Jacqueline Romkes, Martin Keller, Ramon Gysin, Cornelia Neuhaus, Bastian Widmer, Morgan Sangeux, Elke Viehweger","doi":"10.1080/17518423.2024.2398151","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study assessed the safety and effects of progressive functional high-intensity training in a group setting for adolescents with unilateral cerebral palsy (CP) on daily function indicators.</p><p><strong>Methods: </strong>Nine adolescents (mean age 16.9 years, GMFCS levels I-II) participated in 12 weeks of training (2x/week). Evaluations included 3D gait analysis, the 6-min walking test (6MWT), clinical exams, and the Gross Motor Function Measure-66 (GMFM-66).</p><p><strong>Results: </strong>No adverse events occurred, and GMFM-66 scores significantly improved (<i>p</i> = .031, Δ = 2.19%). Although increases in 6MWT (<i>p</i> = .09, Δ = 29.8 m) performance and propulsion ratio (<i>p</i> = .067, Δ = 5.4%) for the affected leg were observed, they were not statistically significant.</p><p><strong>Discussion: </strong>The study suggests that this training is safe and may enhance gross motor function, endurance, and gait asymmetry in unilateral CP. Future research should include upper limb evaluations and out-of-clinic motion analysis with wearable inertial measurement units (IMUs) to provide a more comprehensive assessment of functional movements.</p>","PeriodicalId":93976,"journal":{"name":"Developmental neurorehabilitation","volume":" ","pages":"235-242"},"PeriodicalIF":1.7000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Developmental neurorehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/17518423.2024.2398151","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/23 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This pilot study assessed the safety and effects of progressive functional high-intensity training in a group setting for adolescents with unilateral cerebral palsy (CP) on daily function indicators.
Methods: Nine adolescents (mean age 16.9 years, GMFCS levels I-II) participated in 12 weeks of training (2x/week). Evaluations included 3D gait analysis, the 6-min walking test (6MWT), clinical exams, and the Gross Motor Function Measure-66 (GMFM-66).
Results: No adverse events occurred, and GMFM-66 scores significantly improved (p = .031, Δ = 2.19%). Although increases in 6MWT (p = .09, Δ = 29.8 m) performance and propulsion ratio (p = .067, Δ = 5.4%) for the affected leg were observed, they were not statistically significant.
Discussion: The study suggests that this training is safe and may enhance gross motor function, endurance, and gait asymmetry in unilateral CP. Future research should include upper limb evaluations and out-of-clinic motion analysis with wearable inertial measurement units (IMUs) to provide a more comprehensive assessment of functional movements.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
