Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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The Effectiveness of Backward Gait Training on the Treadmill in Children With Spastic Diplegic Cerebral Palsy: A Pilot Study

트레드밀에서 뒤로걷기 훈련이 경직성 양하지 뇌성마비 아동의 보행에 미치는 영향: 사전 연구

  • Kim, Sung-Gyung (Dept. of Physical Therapy, General Graduate School, Catholic University of Daegu) ;
  • Ryu, Young-Uk (Dept. of Physical Therapy, Catholic University of Daegu) ;
  • Kim, Won-Ho (Dept. of Physical Therapy, Ulsan College)
  • 김성경 (대구가톨릭대학교 물리치료학과 일반대학원) ;
  • 류영욱 (대구가톨릭대학교 물리치료학과) ;
  • 김원호 (울산과학대학교 물리치료과)
  • Received : 2012.08.13
  • Accepted : 2012.09.03
  • Published : 2012.09.17
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Abstract

The aim of the current study was to assess the effectiveness of backward gait training on the treadmill in patients with spastic diplegic cerebral palsy (CP). Twelve patients with spastic diplegic CP participated in the study. An 8-week course of backward gait training was administered to the subjects for 3 days per week. Pre-intervention and post-intervention assessments of temporal-spatial gait parameters, the symmetry of the bilateral lower extremity weight bearing, and gross motor function were analyzed using motion analysis system, force plate, and Gross Motor Function Measurement (GMFM). There were significant improvements (p<.05) in the measures of both step length and right stance phase time. Joint kinematics showed increase in right hip abduction in initial contact and terminal swing, right hip external rotation and knee flexion in mid-swing, left ankle dorsiflexion in initial contact and terminal swing (p<.05). The symmetry of the bilateral lower extremity weight bearing and GMFM also significantly increased (p<.05). These findings indicate that backward gait training using a treadmill is beneficial for patients with spastic diplegic CP.

Keywords

References

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