Objective: To assess whether a slackline intervention program improves postural control in children/adolescents with spastic cerebral palsy (CP).
Design: Randomized controlled trial.
Setting: Patients' association.
Participants: Twenty-seven children/adolescents with spastic CP (9-16 years) were randomly assigned to a slackline intervention ( = 14, 13 ± 3 years) or control group ( = 13, 12 ± 2 years).
Intervention: Three slackline sessions per week (30 min/session) for 6 weeks.
Main Outcome Measures: The primary outcome was static posturography (center of pressure-CoP-parameters). The secondary outcomes were surface myoelectrical activity of the lower-limb muscles during the posturography test and jump performance (countermovement jump test and Abalakov test). Overall (RPE, >6-20 scale) rating of perceived exertion was recorded at the end of each intervention session.
Results: The intervention was perceived as "very light" (RPE = 7.6 ± 0.6). The intervention yielded significant benefits on static posturography (a significant group by time interaction on Xspeed, = 0.006) and jump performance (a significant group by time interaction on Abalakov test, = 0.015).
Conclusions: Slackline training improved static postural control and motor skills and was perceived as non-fatiguing in children/adolescents with spastic CP.
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http://dx.doi.org/10.3390/ijerph17228649 | DOI Listing |
Child Care Health Dev
January 2025
Laboratório de Neurologia e Pediatria (LANEP), Department of Health Science, Federal University of Santa Catarina, Araranguá, Santa Catarina, Brazil.
Aim: This study aimed to compare gross motor function between aquatic- and land-based exercises in children and adolescents with cerebral palsy (CP).
Methods: The authors conducted an electronic search of nine databases from their inception to 21 November 2024 (PROSPERO registration: CRD42020194121). Inclusion criteria were randomized controlled trials involving aquatic-based exercises for children and adolescents with CP, assessing gross motor function using standardized scales or tests.
Rev Paul Pediatr
February 2024
Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil.
Objective: To characterize the environmental factors of children and adolescents with Cerebral Palsy (CP) in the state of Minas Gerais (MG), Brazil.
Methods: This is a cross-sectional study involving 164 caregivers of children/adolescents with CP, aged 1-14 years. The Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS) were used to classify the participants' functioning, and environmental factors were evaluated by an on-line questionnaire that examined products and technologies, physical environment, services, and systems.
PLoS One
August 2023
Laboratory for Paediatric Motion Analysis and Biofeedback Rehabilitation, ALYN Helmsley Paediatric and Adolescent Rehabilitation Research Centre, Jerusalem, Israel.
Objective: To investigate longitudinal changes in selective motor control during gait (SMCg) in individuals with cerebral palsy (CP), and to assess if they are related to changes in gait deviations.
Method: Twenty-three children/adolescents with spastic CP (mean ± SD age = 9.0±2.
Genu recurvatum, or knee hyperextension, is a complex gait pattern with a variety of etiologies, and is often connected with knee weakness, lack of motor control, and spasticity. Because of the atypical forces placed on the soft tissues, early treatment or prevention of knee hyperextension may help prevent further degradation of the knee joint. In this study, we assessed the feasibility of a knee exoskeleton to mitigate hyperextension and increase swing range of motion in five children/adolescents who presented with unilateral genu recurvatum.
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