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http://dx.doi.org/10.18857/jkpt.2019.31.5.292

Effects of Backward Walking Training with Task Orientation on the Functional Gait of Children with Spastic Hemiplegia  

Choi, Ji Young (Department of Physical Therapy, Graduate School of Health Science, Cheongju University)
Son, Sung Min (Department of Physical Therapy, College of Health Science, Cheongju University)
Kim, Chang Ju (Department of Physical Therapy, College of Health Science, Cheongju University)
Publication Information
The Journal of Korean Physical Therapy / v.31, no.5, 2019 , pp. 292-297 More about this Journal
Abstract
Purpose: This study examined the effects of backward walking training with task orientation on the functional walking ability of children with cerebral palsy. Methods: This study was a single-blinded, randomized controlled trial with a crossover design conducted at a single rehabilitation facility with cross-over to the other intervention arm following a two-week break. For a total of 12 children with spastic hemiplegia cerebral palsy, the forward walking training group (n=6) underwent training three times a week for three weeks, 40 minutes a day, and the backward walking training group (n=6) was also trained under the same conditions. To identify the functional walking ability, variables, such as the walking speed, stride length, and step length, were measured using a walk analyzer (OptoGait, Microgate S.r.l, Italy). Results: Both groups showed significant increases in walking speed, stride length, and step length (p<0.01). The backward walking group showed more significant improvement in the walking speed from pre- to post-test (p<0.05). The gait characteristics were similar in the two groups (stride length and step length) but the walking speed in the backward walking group showed a mean difference between the positive effects higher than the forward walking group. Conclusion: Task-oriented backward walking training, which was conducted on the ground, may be a more effective treatment approach for improving the walking functions of spastic hemiplegia children than forward walk training.
Keywords
Backward walking; Gait; Task-orientation; Cerebral palsy;
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