Doctor of Physical Therapy (DPT)
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Background: Cerebral Palsy is one of the most common causes of motor disability in the U.S., but there is still a lack of consensus for best intervention strategies to improve function and gait efficiency.
Objective: Determine if ambulatory children with CP, exposed to a brief, high intensity training session, will: 1) experience changes in temporal-spatial gait characteristics 2) demonstrate increased gait speed and 3) demonstrate improved gait kinematics.
Design: Five participants walked at preferred and fast speeds over an instrumented walkway followed by a 15-minute intervention. After a short rest, post-intervention walking was completed.
Results: Ten dependent variables were extracted at each speed. A single subject statistical technique was used to examine pre-post characteristics. There were no significant differences identified for participant 1 and only minimal significant findings for participant 2. However, there were significant findings for several variables for participants 3-5 in both of the conditions, including greater stride velocity, reduced time in double limb support, and greater stride length.
Conclusion: Results suggest that a short bout of large amplitude training may cause immediate positive outcomes in some children with CP. Further investigation of intervention effects and presentation, including dose response and a more rigorous intervention protocol, is warranted.
Cerebral palsied children -- Rehabilitation; Cerebral palsy -- Exercise therapy; Cerebral palsy -- Physical therapy; Exercise therapy for children; Movement disorders in children -- Exercise therapy
Congenital, Hereditary, and Neonatal Diseases and Abnormalities | Kinesiology | Medicine and Health Sciences | Physical Therapy
University of Nevada, Las Vegas
Blahovec, Andrea; Kuiken, Andrea; Mears, Jillian; and Riggins, Heather, "Immediate Effects of High Intensity Training in Children with Cerebral Palsy GMFCS Levels I-III: A Pilot Study" (2012). UNLV Theses, Dissertations, Professional Papers, and Capstones. 1324.
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