A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy

Background: We studied the effects of motor tasks using backward walking training on balance and gait functions of children with cerebral palsy. This was a single-blinded, randomized controlled trial with a crossover design conducted at a single facility. Methods: Among 12 children with cerebral pal...

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Main Authors: Ji-Young Choi, Sung-Min Son, Se-Hee Park
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/9/1191
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author Ji-Young Choi
Sung-Min Son
Se-Hee Park
author_facet Ji-Young Choi
Sung-Min Son
Se-Hee Park
author_sort Ji-Young Choi
collection DOAJ
description Background: We studied the effects of motor tasks using backward walking training on balance and gait functions of children with cerebral palsy. This was a single-blinded, randomized controlled trial with a crossover design conducted at a single facility. Methods: Among 12 children with cerebral palsy, the forward (FWG) (<i>n</i> = 6) and backward walking groups (BWG) (<i>n</i> = 6) underwent training three times a week for 4 weeks, 40 min a day. After a 6-week break, the crossover training was conducted. Functional walking variables were measured. Time-Up-and-Go (TUG) test, Figure-8 Walk Test (FW8T), and Pediatric Balance Scale (PBS) were used for measuring balance. Results: Both groups showed significant improvement in walking speed, stride length, and step length. The BWG demonstrated significant improvement in walking speed (<i>p</i> < 0.05) compared with the FWG. The TUG test, FW8T, and PBS showed significant improvement. After the 4-week intervention, both groups displayed a remarkable decrease in TUG duration and FW8T. Both groups also exhibited improvement in the PBS; more so in the BWG. Conclusions: Backward walking training with motor dual tasks could be a more effective interventional approach than forward walking training to improve balance and walking functions of children with spastic hemiplegia.
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spelling doaj.art-9e70420747c64070b73d0124c7d33bc52023-11-22T13:18:18ZengMDPI AGHealthcare2227-90322021-09-0199119110.3390/healthcare9091191A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral PalsyJi-Young Choi0Sung-Min Son1Se-Hee Park2Department of Physical Therapy, College of Health Science, Cheongju University, Cheongju 28503, KoreaDepartment of Physical Therapy, College of Health Science, Cheongju University, Cheongju 28503, KoreaDepartment of Physical Therapy, Graduate School of Health Science, Cheongju University, Cheongju 28503, KoreaBackground: We studied the effects of motor tasks using backward walking training on balance and gait functions of children with cerebral palsy. This was a single-blinded, randomized controlled trial with a crossover design conducted at a single facility. Methods: Among 12 children with cerebral palsy, the forward (FWG) (<i>n</i> = 6) and backward walking groups (BWG) (<i>n</i> = 6) underwent training three times a week for 4 weeks, 40 min a day. After a 6-week break, the crossover training was conducted. Functional walking variables were measured. Time-Up-and-Go (TUG) test, Figure-8 Walk Test (FW8T), and Pediatric Balance Scale (PBS) were used for measuring balance. Results: Both groups showed significant improvement in walking speed, stride length, and step length. The BWG demonstrated significant improvement in walking speed (<i>p</i> < 0.05) compared with the FWG. The TUG test, FW8T, and PBS showed significant improvement. After the 4-week intervention, both groups displayed a remarkable decrease in TUG duration and FW8T. Both groups also exhibited improvement in the PBS; more so in the BWG. Conclusions: Backward walking training with motor dual tasks could be a more effective interventional approach than forward walking training to improve balance and walking functions of children with spastic hemiplegia.https://www.mdpi.com/2227-9032/9/9/1191backward walkingbalancecerebral palsy
spellingShingle Ji-Young Choi
Sung-Min Son
Se-Hee Park
A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
Healthcare
backward walking
balance
cerebral palsy
title A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
title_full A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
title_fullStr A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
title_full_unstemmed A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
title_short A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy
title_sort backward walking training program to improve balance and mobility in children with cerebral palsy
topic backward walking
balance
cerebral palsy
url https://www.mdpi.com/2227-9032/9/9/1191
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