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- Title
A Backward Walking Training Program to Improve Balance and Mobility in Children with Cerebral Palsy.
- Authors
Choi, Ji-Young; Son, Sung-Min; Park, Se-Hee
- Abstract
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) (n = 6) and backward walking groups (BWG) (n = 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 (p < 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.
- Subjects
CHILDREN with cerebral palsy; WALKING; WALKING speed; CROSSOVER trials; GAIT in humans
- Publication
Healthcare (2227-9032), 2021, Vol 9, Issue 9, p1191
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare9091191