Back geometry and mobility function changes in cerebral palsy children after backward walking training: arandomized controlled trial.
Study Goal
The researchers aimed to compare the effects of backward walking versus forward walking training on back geometry and mobility function in children with hemiparetic cerebral palsy.
Results Summary
Backward walking training significantly improved trunk imbalance, lateral deviation, pelvic tilting, pelvic torsion, surface motion, and dynamic gait index more than forward walking training. Both groups showed improvements, but backward walking yielded superior outcomes.
Population
Fifty-five children with hemiparetic cerebral palsy.
Effective Dosage
25 minutes per session, three days per week.
Duration
12 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
backward (BW) walking training combined with a conventional physical therapy program | decrease | trunk imbalance | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #1 |
backward (BW) walking training combined with a conventional physical therapy program | decrease | lateral deviation | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #2 |
backward (BW) walking training combined with a conventional physical therapy program | decrease | pelvic tilting | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #3 |
backward (BW) walking training combined with a conventional physical therapy program | decrease | pelvic torsion | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #4 |
backward (BW) walking training combined with a conventional physical therapy program | decrease | surface motion | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #5 |
backward (BW) walking training combined with a conventional physical therapy program | increase | dynamic gait index | children with hemiparetic cerebral palsy (CP) | - | improved significantly more than group A | #6 |
forward (FW) walking training combined with a conventional physical therapy program | increase | all measured variables | children with hemiparetic cerebral palsy (CP) | - | showed significant improvements | #7 |
backward (BW) walking training combined with a conventional physical therapy program | increase | all measured variables | children with hemiparetic cerebral palsy (CP) | - | showed significant improvements | #8 |
backward (BW) walking training | increase | back geometry | hemiparetic CP children | - | might be considered as an effective therapy modality for improving | #9 |
backward (BW) walking training | increase | mobility function | hemiparetic CP children | - | might be considered as an effective therapy modality for improving | #10 |
AIM: To compare the effects of backward (BW) and forward (FW) walking training on back geometry and mobility function in children with hemiparetic cerebral palsy (CP). METHODS: Fifty-five children with hemiparetic CP participated in this study. They were randomly assigned into two groups. For 12 weeks, both groups got a conventional physical therapy program three days/week. Groups A and B got a specifically developed FW walking training (25 minutes/session) and a specially designed BW walking training (25 minutes/session), respectively. RESULTS: The trunk imbalance, lateral deviation, pelvic tilting, pelvic torsion, surface motion, and dynamic gait index of group B improved significantly more than group A (p < .05). Both groups showed significant improvements in all measured variables (p < .05). CONCLUSION: BW walking training might be considered as an effective therapy modality for improving back geometry and mobility function in hemiparetic CP children compared with FW walking training combined with a typical program.