Derek John Curtis1,2,3, Marjorie Woollacott4, Jesper Bencke1, Hanne Bloch Lauridsen1, Sandy Saavedra5, Thomas Bandholm2,6,7, Stig Sonne-Holm1,8. 1. a The Gait Analysis Laboratory, Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark. 2. b Physical Medicine & Rehabilitation Research-Copenhagen (PMR-C), Copenhagen, Denmark. 3. c Institute for Physical and Occupational Therapy, The Faculty of Health and Technology , Metropolitan University College , Copenhagen. 4. d Institute of Neuroscience, University of Oregon , Eugene , OR, USA. 5. e Department of Rehabilitation Sciences College of Education , Nursing & Health Professions, University of Hartford , Hartford , CT, USA. 6. f Department of Physical and Occupational Therapy , Hvidovre University Hospital , Copenhagen , Denmark. 7. g Clinical Research Centre, Hvidovre University Hospital , Copenhagen , Denmark. 8. h Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.
Abstract
PURPOSE: To determine whether segmental training is more effective in improving gross motor function in children and young people with moderate-to-severe cerebral palsy than conventional physiotherapy. METHODS:Twenty-eight participants were randomized to a segmental training or control group. Outcomes were Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), Segmental Assessment of Trunk Control (SATCo), and postural sway at baseline, at primary endpoint (6 months), and at follow-up (12 months). RESULTS: There were no significant differences in either GMFM, PEDI, or SATCo scores at primary endpoint or follow-up. There were significant reductions in anterior-posterior head angular sway and trunk sway in the segmental training group at primary endpoint but not at follow-up. CONCLUSION:Segmental training was not superior to usual care in improving GMFM. Improvements in head and trunk sway were greater in the segmental training group at primary endpoint but not at follow-up.
RCT Entities:
PURPOSE: To determine whether segmental training is more effective in improving gross motor function in children and young people with moderate-to-severe cerebral palsy than conventional physiotherapy. METHODS: Twenty-eight participants were randomized to a segmental training or control group. Outcomes were Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), Segmental Assessment of Trunk Control (SATCo), and postural sway at baseline, at primary endpoint (6 months), and at follow-up (12 months). RESULTS: There were no significant differences in either GMFM, PEDI, or SATCo scores at primary endpoint or follow-up. There were significant reductions in anterior-posterior head angular sway and trunk sway in the segmental training group at primary endpoint but not at follow-up. CONCLUSION: Segmental training was not superior to usual care in improving GMFM. Improvements in head and trunk sway were greater in the segmental training group at primary endpoint but not at follow-up.
Entities:
Keywords:
Cerebral palsy; motor skills; physical therapy modalities; postural balance
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