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| Research article summary (published 30 Aug 2003): |
Effect of balance training on recovery of stability in children with cerebral palsy.
Full Abstract
This study examined the effect of massed practice in balance recovery of stability in six children (four males, two females; mean age 9 years 2 months, SD 2 years, range 7 years 5 months to 12 years 11 months) with cerebral palsy (CP). Four children were diagnosed with spastic diplegia (Gross Motor Function Classification System [GMFCS] level II) and two with spastic hemiplegia (GMFCS level I). A single-subject, multiple-baseline experimental design involving three pairs of children matched for diagnosis was used. A moveable forceplate system was used to test and train reactive balance control. Area per second (i.e. area covered by the center of pressure over a one second period) and time to stabilization from center of pressure measures were calculated following perturbations. The intervention phase consisted of massed practice on the moving platform (100 perturbations/day for 5 days). Analysis included hierarchical linear modeling and a repeated measures ANOVA. All children demonstrated a significant improvement in their ability to recover stability as demonstrated by reduced center of pressure area and time to stabilization following training. These improvements were still present 30 days following completion of training. Results suggest that postural control mechanisms in school-age children (7 to 13 years) with CP are modifiable.
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Author information
Author/s: Shumway-Cook, Anne (A); Hutchinson, Susan (S); Kartin, Deborah (D); Price, Robert (R); Woollacott, Marjorie (M);
Affiliation: Division of Physical Therapy, Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA 98195-6490, USA. ashumway(-atsign-)u.washington.edu
Grants: 1R01 NS38714 (Agency:United States NINDS) ; 6T18 MC 00007-15-01 (Agency:United States PHS)
Journal and publication information
Publication Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.
Journal: Developmental medicine and child neurology (Dev Med Child Neurol), published in England. (Language: eng)
Reference: 2003-Sep; vol 45 (issue 9) : pp 591-602
Dates: Created 2003/09/01; Completed 2003/10/09; Revised 2007/11/14;
PMID: 12948326, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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