Trunk control and gross motor outcomes after body weight supported treadmill training in young children with severe cerebral palsy: a non-experimental case series

ABSTRACT Objective: To explore the impact of a body weight supported treadmill training (BWSTT) intervention on postural control and gross motor function in three young children with cerebral palsy (CP) classified as Gross Motor Function Classification System (GMFCS) levels IV or V. Method: Children (N = 3) between the ages of 2–3 years who were diagnosed with CP classified as GMFCS levels IV and V participated in BWSTT three times per week. The Segmental Assessment of Trunk Control (SATCo) and the gross motor function measure (GMFM-66) were assessed before and after the 6-week intervention. Results: Final testing revealed that all participants improved on the SATCo and GMFM. Conclusion: BWSTT is a viable intervention that may improve trunk control and gross motor outcomes in young children with severe CP. Further research is needed to explore the impact of BWSTT for young children classified as GMFCS levels IV and V.

[1]  S. Cope,et al.  The effects of dosage time and frequency on motor outcomes in children with cerebral palsy: A systematic review , 2017, Developmental neurorehabilitation.

[2]  L. Ballaz,et al.  Gross Motor Function Measure Evolution Ratio: Use as a Control for Natural Progression in Cerebral Palsy. , 2016, Archives of physical medicine and rehabilitation.

[3]  M. Woollacott,et al.  The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross‐sectional study , 2015, Developmental medicine and child neurology.

[4]  J. Odgaard-Jensen,et al.  Intensive training of motor function and functional skills among young children with cerebral palsy: a systematic review and meta-analysis , 2014, BMC Pediatrics.

[5]  L. Trasande,et al.  The Environment and Children’s Health Care in Northwest China , 2014, BMC Pediatrics.

[6]  D. Chow,et al.  Treadmill training with partial body weight support compared with conventional gait training for low-functioning children and adolescents with nonspastic cerebral palsy: A two-period crossover study , 2013, Prosthetics and orthotics international.

[7]  M. Hadders‐Algra,et al.  Treadmill interventions with partial body weight support in children under six years of age at risk of neuromotor delay: a report of a Cochrane systematic review and meta-analysis. , 2013, European journal of physical and rehabilitation medicine.

[8]  K. Desloovere,et al.  The evidence-base for basic physical therapy techniques targeting lower limb function in children with cerebral palsy: a systematic review using the International Classification of Functioning, Disability and Health as a conceptual framework. , 2012, Journal of rehabilitation medicine.

[9]  M. Yeargin-Allsopp,et al.  Cerebral palsy: classification and epidemiology. , 2009, Physical medicine and rehabilitation clinics of North America.

[10]  K. Dodd,et al.  A systematic review of the effectiveness of treadmill training for children with cerebral palsy , 2009, Disability and rehabilitation.

[11]  R. Cherng,et al.  Effect of Treadmill Training with Body Weight Support on Gait and Gross Motor Function in Children with Spastic Cerebral Palsy , 2007, American journal of physical medicine & rehabilitation.

[12]  Sarah Foley,et al.  Partial body‐weight‐supported treadmill training can improve walking in children with cerebral palsy: a clinical controlled trial , 2007, Developmental medicine and child neurology.

[13]  Shao Xiao-mei,et al.  Reliability and Validity of the GMFM-66 in 0- to 3-Year-Old Children with Cerebral Palsy , 2006, American journal of physical medicine & rehabilitation.

[14]  P. Raina,et al.  Prognosis for gross motor function in cerebral palsy: creation of motor development curves. , 2002, JAMA.

[15]  P. Raina,et al.  Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. , 2000, Physical therapy.

[16]  H Kern,et al.  Treadmill training with partial body weight support in nonambulatory patients with cerebral palsy. , 2000, Archives of physical medicine and rehabilitation.

[17]  R. Palisano,et al.  Development and reliability of a system to classify gross motor function in children with cerebral palsy , 1997, Developmental medicine and child neurology.

[18]  K. Mattern-Baxter Effects of a Group-Based Treadmill Program on Children With Neurodevelopmental Impairment Who Are Not Yet Ambulating , 2016, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[19]  M. Woollacott,et al.  Refinement, Reliability, and Validity of the Segmental Assessment of Trunk Control , 2010, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[20]  K. Mattern-Baxter,et al.  Effects of Intensive Locomotor Treadmill Training on Young Children with Cerebral Palsy , 2009, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[21]  K. Mattern-Baxter Effects of Partial Body Weight Supported Treadmill Training on Children with Cerebral Palsy , 2009, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[22]  J. Phillips,et al.  Endurance and Gait in Children With Cerebral Palsy After Intensive Body Weight-Supported Treadmill Training , 2007, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[23]  K. Pitetti,et al.  Effects of Traditional Treatment and Partial Body Weight Treadmill Training on the Motor Skills of Children With Spastic Cerebral Palsy: A Pilot Study , 2007, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.