Effectiveness of Rehabilitation Interventions to Improve Gait Speed in Children With Cerebral Palsy: Systematic Review and Meta-analysis.

Abstract:

BACKGROUND:Children with cerebral palsy (CP) have decreased gait speeds, which can negatively affect their community participation and quality of life. However, evidence for effective rehabilitation interventions to improve gait speed remains unclear. PURPOSE:The purpose of this study was to determine the effectiveness of interventions for improving gait speed in ambulatory children with CP. DATA SOURCES:MEDLINE/PubMed, CINAHL, ERIC, and PEDro were searched from inception through April 2014. STUDY SELECTION:The selected studies were randomized controlled trials or had experimental designs with a comparison group, included a physical therapy or rehabilitation intervention for children with CP, and reported gait speed as an outcome measure. DATA EXTRACTION:Methodological quality was assessed by PEDro scores. Means, standard deviations, and change scores for gait speed were extracted. General study information and dosing parameters (frequency, duration, intensity, and volume) of the intervention were recorded. DATA SYNTHESIS:Twenty-four studies were included. Three categories of interventions were identified: gait training (n=8), resistance training (n=9), and miscellaneous (n=7). Meta-analysis showed that gait training was effective in increasing gait speed, with a standardized effect size of 0.92 (95% confidence interval=0.19, 1.66; P=.01), whereas resistance training was shown to have a negligible effect (effect size=0.06; 95% confidence interval=-0.12, 0.25; P=.51). Effect sizes from negative to large were reported for studies in the miscellaneous category. LIMITATIONS:Gait speed was the only outcome measure analyzed. CONCLUSIONS:Gait training was the most effective intervention in improving gait speed for ambulatory children with CP. Strength training, even if properly dosed, was not shown to be effective in improving gait speed. Velocity training, electromyographic biofeedback training, and whole-body vibration were effective in improving gait speed in individual studies and warrant further investigation.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Moreau NG,Bodkin AW,Bjornson K,Hobbs A,Soileau M,Lahasky K

doi

10.2522/ptj.20150401

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1938-1954

issue

12

eissn

0031-9023

issn

1538-6724

pii

ptj.20150401

journal_volume

96

pub_type

杂志文章,meta分析,评审
  • Factors influencing information seeking by physical therapists providing stroke management.

    abstract:BACKGROUND:Searching and reading the research literature are essential activities for enhancing the use of research and optimizing the quality of physical therapist practice. OBJECTIVES:The objectives of this study were to identify practitioner, organization, and research characteristics that are associated with searc...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090081

    authors: Salbach NM,Guilcher SJ,Jaglal SB,Davis DA

    更新日期:2009-10-01 00:00:00

  • Combined clinical and home rehabilitation: case report of an integrated knowledge-to-action study in a Dutch rehabilitation stroke unit.

    abstract:BACKGROUND AND PURPOSE:There is growing awareness that the poor uptake of evidence in health care is not a knowledge-transfer problem but rather one of knowledge production. This issue calls for re-examination of the evidence produced and assumptions that underpin existing knowledge-to-action (KTA) activities. Accordin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130495

    authors: Nanninga CS,Postema K,Schönherr MC,van Twillert S,Lettinga AT

    更新日期:2015-04-01 00:00:00

  • BDNF Val66Met Polymorphism Is Related to Motor System Function After Stroke.

    abstract:BACKGROUND:The val(66)met polymorphism in brain-derived neurotrophic factor (BDNF) has been associated with poorer outcomes after stroke. The mechanism for this finding remains uncertain but might be related to the reduced motor system activation associated with this polymorphism in healthy people. OBJECTIVE:The curre...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150135

    authors: Kim DY,Quinlan EB,Gramer R,Cramer SC

    更新日期:2016-04-01 00:00:00

  • Effects of squat lift training and free weight muscle training on maximum lifting load and isolinetic peak torque of young adults without impairments.

    abstract:BACKGROUND AND PURPOSE:Manual lifting is a frequent cause of back injury, and there is no evidence as to which training mode can provide the best training effect for lifting performance and muscle force. The purpose of this study was to examine the effects of a squat lift training and a free weight muscle training prog...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Yeung SS,Ng GY

    更新日期:2000-06-01 00:00:00

  • Assessing mobility in older adults: the UAB Study of Aging Life-Space Assessment.

    abstract:BACKGROUND AND PURPOSE:The University of Alabama at Birmingham (UAB) Study of Aging Life-Space Assessment (LSA) is a relatively new instrument to measure mobility. The purpose of this report is to describe the relationships between LSA and traditional measures of physical function, sociodemographic characteristics, dep...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Peel C,Sawyer Baker P,Roth DL,Brown CJ,Brodner EV,Allman RM

    更新日期:2005-10-01 00:00:00

  • Comparison of corridor and treadmill walking in patients with severe chronic obstructive pulmonary disease.

    abstract::The maximal distance walked in a given time period is frequently used as a simple method to evaluate exercise tolerance in patients suffering from chronic obstructive pulmonary disease (COPD). Typically, patients walk on a treadmill or in a corridor at a self-paced speed. Little information is available about the diff...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.7.439

    authors: Swerts PM,Mostert R,Wouters EF

    更新日期:1990-07-01 00:00:00

  • Teaching human anatomy in physical therapy education in the United States: a survey.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine how human anatomy was being taught in physical therapy programs in the United States. SUBJECTS:Faculty in 103 physical therapy programs participated in the study. METHODS:A six-page questionnaire, which was mailed to 145 physical therapy programs, cont...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/74.8.720

    authors: Mattingly GE,Barnes CE

    更新日期:1994-08-01 00:00:00

  • Ketoprofen tissue permeation in swine following cathodic iontophoresis.

    abstract:BACKGROUND AND PURPOSE:Pharmacokinetic assessment of drug tissue permeation following iontophoresis is limited. The depth of ketoprofen tissue permeation following cathodic iontophoresis (4 mA, 40 minutes) and the stereoselectivity of drug delivery were examined in this study. SUBJECTS:Ketoprofen (750 mg) was iontopho...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Panus PC,Ferslew KE,Tober-Meyer B,Kao RL

    更新日期:1999-01-01 00:00:00

  • Cinematographic analysis of the passive straight-leg-raising test for hamstring muscle length.

    abstract::Cinematography was used to compare increases in the angle of straight leg raising in relation to the horizontal with increases in the angle of straight leg raising in relation to the pelvis during five minutes of passive straight leg raising. Cinematography was also used to monitor increases in the angle of the pelvis...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/62.9.1269

    authors: Bohannon RW

    更新日期:1982-09-01 00:00:00

  • Predictors and subsequent decisions of physical therapy and nursing students to work with geriatric clients: an application of the theory of reasoned action.

    abstract:BACKGROUND AND PURPOSE:In this study, the theory-based model of Ajzen and Fishbein was used to identify factors that influence physical therapist and registered nurse (RN) students' intentions toward working with elderly individuals. A follow-up identified actual job selection. SUBJECTS:Accredited physical therapist a...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/75.7.614

    authors: Dunkle SE,Hyde RS

    更新日期:1995-07-01 00:00:00

  • Spinal mobility in young children. A normative study.

    abstract::The purpose of this study was to collect values of back mobility on healthy children between the ages of 5 and 9 years. Normative values of back mobility have not been established for children under 10 years of age. Measurements of anterior and lateral spinal flexion were obtained from 282 children, using a standard f...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.11.1697

    authors: Haley SM,Tada WL,Carmichael EM

    更新日期:1986-11-01 00:00:00

  • Influence of a Short-Term Disability Awareness Program on Knowledge and Attitudes of School-Aged Children in Southern Belize: Results of a Community-University Partnership.

    abstract:Background:Little is known about the attitudes of children living in Central America toward people with disabilities or the effectiveness of a disability awareness program in influencing their knowledge and attitudes. Objective:The study objectives were to evaluate the effectiveness of a disability awareness program i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20160139

    authors: Magnusson DM,Cal F,Boissonnault JS

    更新日期:2017-04-01 00:00:00

  • Adding Physical Impairment to Risk Stratification Improved Outcome Prediction in Low Back Pain.

    abstract:OBJECTIVE:Identifying subgroups of low back pain (LBP) has the potential to improve prediction of clinical outcomes. Risk stratification is one such strategy that identifies similar characteristics indicative of a common clinical outcome trajectory. The purpose of this study was to determine if an empirically derived s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa179

    authors: Beneciuk JM,George SZ

    更新日期:2021-01-04 00:00:00

  • Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill.

    abstract:BACKGROUND:Acute care physical therapists contribute to the complex process of patient discharge planning. As physical therapists are experts at evaluating functional abilities and are able to incorporate various other factors relevant to discharge planning, it was expected that physical therapists' recommendations of ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090164

    authors: Smith BA,Fields CJ,Fernandez N

    更新日期:2010-05-01 00:00:00

  • Role-model concepts before and after the formal professional socialization period.

    abstract::Physical therapy students in baccalaureate-degree programs used a forced-choice Q sort of 49 characteristics of physical therapists to describe their concepts of a physical therapy role model at the beginning and again at the end of basic professional training. In ranking the items with the 10 highest mean values (mos...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.2.188

    authors: Jacobson BF

    更新日期:1980-02-01 00:00:00

  • Electrode placements for transcutaneous electrical nerve stimulation.

    abstract::Even though transcutaneous electrical nerve stimulation is gaining increasing acceptance as a noninvasive method of pain modulation, many professionals have not been adequately instructed in the many techniques involved in electrode placement. Alternative methods are presented that can be used when more commonly used ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.12.1455

    authors: Mannheimer JS

    更新日期:1978-12-01 00:00:00

  • Increasing the clinical utility of the BESTest, mini-BESTest, and brief-BESTest: normative values in Canadian adults who are healthy and aged 50 years or older.

    abstract:BACKGROUND:Balance is a composite ability requiring the integration of multiple systems. The Balance Evaluation Systems Test (BESTest) and 2 abbreviated versions (the Mini-BESTest and the Brief-BESTest) are balance assessment tools that target these systems. To date, no normative data exist for any version of the BESTe...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20130104

    authors: O'Hoski S,Winship B,Herridge L,Agha T,Brooks D,Beauchamp MK,Sibley KM

    更新日期:2014-03-01 00:00:00

  • Iontophoresis: applications in transdermal medication delivery.

    abstract::This article presents a review of the literature relating to iontophoresis. This technique has been used in physical therapy to introduce ionic medications through the skin, primarily for a local effect. Recently, there has been increased interest in using this technique for the transdermal delivery of medications, bo...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/75.6.554

    authors: Costello CT,Jeske AH

    更新日期:1995-06-01 00:00:00

  • An exercise and education program improves well-being of new mothers: a randomized controlled trial.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effect of a physical therapy exercise and health care education program on the psychological well-being of new mothers. DESIGN:This was a randomized controlled trial. PARTICIPANTS:Primiparous and multiparous English-speaking women ready for discharge from The An...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.2522/ptj.20090139

    authors: Norman E,Sherburn M,Osborne RH,Galea MP

    更新日期:2010-03-01 00:00:00

  • Effects of a functional therapy program on motor abilities of children with cerebral palsy.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference g...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/81.9.1534

    authors: Ketelaar M,Vermeer A,Hart H,van Petegem-van Beek E,Helders PJ

    更新日期:2001-09-01 00:00:00

  • Can some physical therapy and manual techniques generate potentially osteogenic levels of strain within mammalian bone?

    abstract:BACKGROUND AND PURPOSE:Although physical therapy techniques are used to alleviate pain and stiffness in joint injuries, whether these methods are capable of affecting bone is unknown. For example, can these techniques potentially influence bone formation or resorption? To begin exploring this possibility, this study in...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Wilson AW,Davies HM,Edwards GA,Grills BL

    更新日期:1999-10-01 00:00:00

  • Objectively Measured Physical Activity and Health-Related Physical Fitness in Secondary School-Aged Male Students With Autism Spectrum Disorders.

    abstract:BACKGROUND:Recent evidence suggests that childhood obesity is increasing in children with typical development (TD) and in children with autism spectrum disorders (ASD). The associations between physical activity (PA) levels and physical fitness components have not yet been objectively examined in this population but ma...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20140353

    authors: Pan CY,Tsai CL,Chu CH,Sung MC,Ma WY,Huang CY

    更新日期:2016-04-01 00:00:00

  • The motor unit. Anatomy and physiology.

    abstract::The physiological and anatomical properties of mammalian motor units are discussed, and the results of human and animal studies are compared. A physiological organization of motor units based on the mechanical properties of their associated muscle units is examined. It is concluded that such an organizing principle ha...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/62.12.1763

    authors: English AW,Wolf SL

    更新日期:1982-12-01 00:00:00

  • Accuracy and reliability of observational gait analysis data: judgments of push-off in gait after stroke.

    abstract:BACKGROUND AND PURPOSE:Physical therapists routinely observe gait in clinical practice. The purpose of this study was to determine the accuracy and reliability of observational assessments of push-off in gait after stroke. SUBJECTS:Eighteen physical therapists and 11 subjects with hemiplegia following a stroke partici...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:

    authors: McGinley JL,Goldie PA,Greenwood KM,Olney SJ

    更新日期:2003-02-01 00:00:00

  • Reliability, Validity, and Minimal Detectable Change of Four-Step Stair Climb Power Test in Community-Dwelling Older Adults.

    abstract:Background:Stair climb power is an important clinical measure of lower-extremity power. The stair climb power test (SCPT) was validated by requiring individuals to climb a full flight of stairs. A 4-step SCPT (4SCPT) would be more clinically feasible and easier to perform, yet its reliability and validity are unknown. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzx039

    authors: Ni M,Brown LG,Lawler D,Bean JF

    更新日期:2017-07-01 00:00:00

  • Biomechanical analysis of the knee: primary functions of elucidated by anatomy.

    abstract::Inasmuch as this special issue of the knee is dedicated to the clinician, the clinical approach to biomechanical analysis has been presented. Through the use of biomechanical analysis, the clinician can select positions of exercise that stress certain structures while minimizing stress to other structures. ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/60.12.1561

    authors: McLeod WD,Hunter S

    更新日期:1980-12-01 00:00:00

  • Association of body mass index with self-report and performance-based measures of balance and mobility.

    abstract:BACKGROUND:The incidence of obesity is increasing in older adults, with associated worsening in the burden of disability. Little is known about the impact of body mass index (BMI) on self-report and performance-based balance and mobility measures in older adults. OBJECTIVE:The purposes of this study were (1) to examin...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100214

    authors: Hergenroeder AL,Wert DM,Hile ES,Studenski SA,Brach JS

    更新日期:2011-08-01 00:00:00

  • Physical therapy management of patients through cross modality.

    abstract::Cross modality is a method for channeling therapeutic services from various health disciplines (modalities) through a single therapist who provides direct treatment and care. A pilot project at the University of Michigan's Institute for the Study of Mental Retardation and Related Disabilities tested this method in thr...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/56.6.676

    authors: Schafer DS

    更新日期:1976-06-01 00:00:00

  • Application of the locality rule and implications for malpractice actions against physical therapists.

    abstract::Physical therapists are becoming involved increasingly in malpractice actions. The number of such actions will likely increase as the profession moves towards specialized practice and practice without medical referral. This article is intended to clarify some of the major principles of negligence and malpractice law a...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/62.5.604

    authors: Fantaci ES

    更新日期:1982-05-01 00:00:00

  • Use of physical therapy services among middle-aged and older adults with multiple sclerosis.

    abstract:BACKGROUND:There is limited understanding of the utilization of and perceived need for physical therapy services among middle-aged and older adults with multiple sclerosis (MS). The resulting knowledge gap compromises efforts for physical therapy service planning for this population. OBJECTIVE:The purpose of this stud...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100072

    authors: Finlayson M,Plow M,Cho C

    更新日期:2010-11-01 00:00:00