Evaluation of Lower Body Positive Pressure Supported Treadmill Training for Children With Cerebral Palsy

Kurz, Max J.; Corr, Brad; Stuberg, Wayne; Volkman, Kathleen G.; Smith, Nina

doi:10.1097/pep.0b013e318227b737

Cited by 50 publications

(53 citation statements)

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“…In-place resistance to perturbation and forward, backward, and lateral responses to "push and release" (14)(15)(16)(17)(18) Sensory 29 All other materials were used in accordance with BESTest written standards. The stair height was 17 cm, and the obstacle (2 stacked shoe boxes) height was 25 cm.…”

Section: Sectionmentioning

confidence: 99%

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

et al. 2014

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Section: Sectionmentioning

confidence: 99%

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

et al. 2014

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“…In adults, the original, or Full-BESTest, has been shown to assist in identifying specific balance deficits [32] and in measuring changes in postural control before and after intervention [33]. In children, one preliminary study involving children with CP has supported the potential use of the Full-BESTest with paediatric populations [34]. However, there is a need to establish psychometric data and clinical utility for children with and without disabilities before more widespread use [26,28] [35].…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

et al. 2017

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This study evaluated the intra-rater, inter-rater and test-retest reproducibility of the FullBESTest and Mini-BESTest when assessing postural control in children. Thirty-four children aged 7-17 years participated in intra-rater and inter-rater evaluation, and 22 children repeated assessment six weeks later for evaluation of test-retest reliability.Postural control was assessed using the Full Balance Evaluation Systems Test (FullBESTest) and the short-form Mini-BESTest. Intra-rater, inter-rater and test-retest reproducibility were examined using video assessment. Test-retest reproducibility was also assessed in real-time. Reproducibility was examined by agreement and reliability statistics. Agreement was calculated using percentage of agreement, Limits of Agreement and Smallest Detectable Change. Reliability was calculated using Intra-class Correlation Coefficients. Results showed that the reliability of Total Scores was excellent for the Full-BESTest for all conditions (all ICCs>0.82), whereas the MiniBESTest ranged from fair to excellent (ICC=0.56 to 0.86). Percentage of Domain Scores with good-excellent reliability (ICCs>0.60) was slightly higher for the FullBESTest (66%) compared to the Mini-BESTest (59%). Smallest Detectable Change scores were good to excellent for the Full-BESTest (2% to 6%) and for the BESTest (5% to 10%) relative to total test scores. Both the Full-BESTest and MiniBESTest can discriminate postural control abilities within and between days in schoolaged children. The Full-BESTest has slightly better reproducibility and a broader range of items, which could be the most useful version for treatment planning. We propose minor modifications are recommended to improve reproducibility for children, and indicate the modified version by the title Kids-BESTest. Future psychometric research is recommended for specific paediatric clinical populations.

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“…For example, BWSTT can be used to assist children with Down syndrome to achieve their walking motor milestone sooner (Ulrich, D. A, Ulrich, B. D., Angulo-Kinzler, & Yun, 2001). Moreover, several studies have shown that BWSTT can result in improvements in the walking speed, walking endurance, and gross motor function of children with cerebral palsy (CP) (Cherng, Liu, Lau, & Hong, 2007;Dodd & Foley, 2007;Kurz, Corr, Stuberg, Volkman, & Smith, 2011a;Kurz, Stuberg, DeJong, 2011b;Kurz, Wilson, Corr, Volkman, 2012;Mattern-Baxter, Bellamy, & Mansoor, 2009). These encouraging results infer that supporting the body weight during treadmill training may be a task-specific therapeutic modality that provides essential afferent feedback for neural connections that govern a successful stepping pattern.…”

Section: Introductionmentioning

confidence: 95%

Overground Body-Weight-Supported Gait Training for Children and Youth with Neuromuscular Impairments

Kurz

Stuberg

DeJong

et al. 2013

Physical & Occupational Therapy In Pediatrics

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The aim of this investigation was to determine if body-weight-supported (BWS) overground gait training has the potential to improve the walking abilities of children and youth with childhood onset motor impairments and intellectual disabilities. Eight participants (mean age of 16.3 years) completed 12 weeks of BWS overground gait training that was performed two times a week. BWS was provided during the training sessions by an overhead harness system that rolls overground. There was a significant improvement in the preferred walking speed after the training (p < .01; pre = 0.51 ± 0.2 m/s; post = 0.67 ± 0.3 m/s; Cohen's d = 0.80) and cadence (p = .04; pre = 37 ± 7 steps/min; post = 43 ± 8 steps/min; Cohen's d = 0.94). Our results indicate that overground BWS gait training may be an effective treatment strategy for improving the preferred walking speed of children and youth with motor impairments.

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Evaluation of Lower Body Positive Pressure Supported Treadmill Training for Children With Cerebral Palsy

Abstract: It is feasible to use LBPPS treadmill training to improve the walking performance, balance, and strength of children with CP.

Cited by 50 publications

References 50 publications

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

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

Reproducibility of the Balance Evaluation Systems Test (BESTest) and the Mini-BESTest in school-aged children

Overground Body-Weight-Supported Gait Training for Children and Youth with Neuromuscular Impairments

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