PMID- 37038368
OWN - NLM
STAT- MEDLINE
DCOM- 20231004
LR  - 20231016
IS  - 1541-3144 (Electronic)
IS  - 0194-2638 (Linking)
VI  - 43
IP  - 6
DP  - 2023
TI  - Exploring Temporospatial Gait Asymmetry, Dynamic Balance, and Locomotor Capacity 
      After a 12-Week Split-Belt Treadmill Training in Adolescents with Unilateral 
      Cerebral Palsy: A Randomized Clinical Study.
PG  - 660-677
LID - 10.1080/01942638.2023.2196334 [doi]
AB  - AIM: To investigate the effects of a 12-week split-belt treadmill walking (Sb-TW) 
      practice using an error augmentation strategy on temporospatial gait asymmetries, 
      dynamic balance, and locomotor capacity in adolescents with unilateral cerebral 
      palsy (ULCP). METHODS: Fifty-two adolescents with ULCP (age: 10-16 years) were 
      randomized into either the Sb-TW group (n = 26; underwent repeated Sb-TW 
      practice, with exaggeration of the initial step-length asymmetry, three 
      times/week, for 12 sequential weeks) or control group (n = 26; received 
      equivalent dosages of traditional single-belt treadmill training). Step-length 
      and swing-time asymmetries, directional (LoS(directional)) and overall 
      (LoS(overall)) limits of stability, and locomotor capacity [6-minute walk test 
      (6-MWT), Timed Up and Down Stair test (TUDS), and 10-m Shuttle Run Test (10mSRT)] 
      were assessed pre- and post-intervention. RESULTS: The Sb-TW group demonstrated 
      more favorable changes in step-length asymmetry (p < .001, eta(2)(partial) = 0.27), 
      LoS(directional) [affected side direction (p = .033, eta(2)(partial) = 0.09), 
      forward direction (p = .004, eta(2)(partial) = 0.16), and backward direction 
      (p = .01, eta(2)(partial) = 0.12)], and LoS(overall) (p < .001, 
      eta(2)(partial) = 0.31) than the control group. Also, the Sb-TW group showed 
      significantly higher locomotor capacity [6-MWT (p < .001, eta(2)(partial) = 0.38), 
      TUDS (p = .032, eta(2)(partial) = 0.09), 10mSRT (p = .021, eta(2)(partial) = 0.10)] 
      as compared to the control group. CONCLUSION: The Sb-TW-induced adaptations can 
      be capitalized on for remediating spatial gait asymmetry, dynamic balance 
      deficits, and impaired locomotor performance in adolescents with ULCP.
FAU - Elnaggar, Ragab K
AU  - Elnaggar RK
AD  - Department of Physical Therapy and Health Rehabilitation, College of Applied 
      Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
AD  - Department of Physical Therapy for Pediatrics, Cairo University, Giza, Egypt.
FAU - Alhowimel, Ahmed
AU  - Alhowimel A
AD  - Department of Physical Therapy and Health Rehabilitation, College of Applied 
      Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
FAU - Alotaibi, Mazyad
AU  - Alotaibi M
AD  - Department of Physical Therapy and Health Rehabilitation, College of Applied 
      Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
FAU - Abdrabo, Mohamed S
AU  - Abdrabo MS
AD  - Department of Basic Sciences, Cairo University, Giza, Egypt.
AD  - Department of Medical Rehabilitation Sciences, College of Applied Medical 
      Sciences, Najran University, Najran, Saudi Arabia.
FAU - Elfakharany, Mahmoud S
AU  - Elfakharany MS
AD  - Department of Physical Therapy for Pediatrics, Cairo University, Giza, Egypt.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20230410
PL  - England
TA  - Phys Occup Ther Pediatr
JT  - Physical & occupational therapy in pediatrics
JID - 8109120
SB  - IM
MH  - Humans
MH  - Adolescent
MH  - Child
MH  - *Cerebral Palsy
MH  - Gait
MH  - Walking
MH  - Exercise Test
MH  - Exercise Therapy
OTO - NOTNLM
OT  - Cerebral palsy
OT  - gait asymmetry
OT  - gait training
OT  - motor learning
OT  - physical rehabilitation
OT  - postural control
EDAT- 2023/04/12 06:00
MHDA- 2023/10/04 06:44
CRDT- 2023/04/11 01:43
PHST- 2023/10/04 06:44 [medline]
PHST- 2023/04/12 06:00 [pubmed]
PHST- 2023/04/11 01:43 [entrez]
AID - 10.1080/01942638.2023.2196334 [doi]
PST - ppublish
SO  - Phys Occup Ther Pediatr. 2023;43(6):660-677. doi: 10.1080/01942638.2023.2196334. 
      Epub 2023 Apr 10.