The impact of AlterG training on balance and structure of vestibulospinal tract in cerebral palsy children

Azizi, Sh.; Rasooli, Anita; Soleimani, Maryam; Irani, Ali; Shahrokhi, Amin

doi:10.1109/embc.2018.8512772

Cited by 6 publications

(18 citation statements)

References 16 publications

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“…and endurance. Some studies reported a significant effect of anti-gravity training mainly on gait speed [11,20,22,24,25,27,28,31], step length [11,20,28], cadence [11,20] and walking endurance [20,24,25,31]. Regarding walking endurance, Aras et al [20] observed a significant improvement after all three training modalities (AlterG, BWS and robotic training).…”

Section: Effect Of Anti-gravity Treadmill Training On Gait Parametersmentioning

confidence: 98%

“…Several studies explored the effects of anti-gravity training on balance control in children with locomotor impairments [11,18,19,[21][22][23][24][25]27,[29][30][31]. The findings of those studies are summarized in Table 2.…”

Section: Effect Of Anti-gravity Treadmill Training On Balancementioning

confidence: 99%

“…The findings of those studies are summarized in Table 2. Balance assessments included center of pressure (CoP) measurements (i.e., CoP sway, CoP velocity, etc) during static (standing) [21,29], and dynamic balance assessment using center of mass and center of pressure displacements [18,19,23,25] as well as clinical tests such as the BESTest, the Berg Balance Score (BBS) or Timed Up and Go (TUG) [22,24,25,27,30,31]. All included studies reported improvements in balance following anti-gravity training.…”

Section: Effect Of Anti-gravity Treadmill Training On Balancementioning

confidence: 99%

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Lower Body Positive Pressure Treadmill Training for Pediatric Gait Disorders: A Scoping Review

Cherni¹,

Gagné-Pelletier²,

Bouyer³

et al. 2021

Preprint

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The purpose of this scoping review was to examine the literature on the use of anti-gravity treadmill and its effects on lower limb motor functions in children and adolescents with locomotor impairments. Four databases (MEDLINE, CINAHL, Embase, Web of Science) were searched for articles from inception to August 2021. Inclusion criteria were: (1) experimental or quasi-experimental studies using the anti-gravity training as the primary intervention; (2) studies conducted in paediatricpediatric participants; (3) articles reporting outcomes related to the lower limb functions; and (4) studies published in French or English. Fifteen articles were included in the review. Studies included children and adolescents aged 4–18 years with locomotor impairments. The intervention duration was ranged from 2 and to 12 weeks, with 2-5 sessions per week. Included studies showed reported that anti-gravity training induces improvements in muscle strength, balance, spatiotemporal gait parameters, and walking endurance in children with locomotor impairments. This review provides relevant information about the modalities, outcomes and limits associated with the anti-gravity training protocol reported in the literature. Overall, the anti-gravity treadmill training could be viewed as a valuable training modality for children with cerebral palsy. However, more precise, and comprehensive description of anti-gravity rehabilitation protocols would be useful.

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Section: Effect Of Anti-gravity Treadmill Training On Gait Parametersmentioning

confidence: 98%

Section: Effect Of Anti-gravity Treadmill Training On Balancementioning

confidence: 99%

Section: Effect Of Anti-gravity Treadmill Training On Balancementioning

confidence: 99%

See 1 more Smart Citation

Lower Body Positive Pressure Treadmill Training for Pediatric Gait Disorders: A Scoping Review

Cherni¹,

Gagné-Pelletier²,

Bouyer³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…The VST is an extrapyramidal motor pathway to the spinal cord and controls balance [17,18]. The VST processes visual information and decides which movements are required to maintain/control balance of an upright posture [19,20]. Previous studies have reported that the PIVC is a core region of the vestibular cortex in the human brain [21,22].…”

Section: Introductionmentioning

confidence: 99%

“…DTI quantifies diffusion in multiple directions and enables functional connectivities and anatomical structures to be visualized [25][26][27]. Previous studies have reconstructed the vestibulospinal descending motor pathways and connectivity of PIVC in three dimensions [18,28], and others have reported on the locations and functions of the VST and PIVC [17,19,22]. However, few studies assessed relations between age-related VST and PIVC connectivity changes.…”

Section: Introductionmentioning

confidence: 99%

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Yeo

Kwon

Cho

2020

Behavioural Neurology

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Objective. We investigated the changes of the vestibulospinal tract (VST) and parietoinsular vestibular cortex (PIVC) using diffusion tensor imaging (DTI) and relation to balance between old and young healthy adults. Methods. This study recruited eleven old adults (6 males, 5 females; mean age 63.36±4.25 years) and 12 young adults (7 males, 5 females; mean age 28.42±4.40 years). The lateral and medial VST and PIVC were reconstructed using DTI. Fractional anisotropy (FA), mean diffusivity (MD), and tract volume were measured. The six-minute walk test (6-MWT), the timed up and go test (TUG), and the Berg balance scale (BBS) were conducted. Spatiotemporal parameters during tandem gait and values of sway during one-leg standing using the wearable sensors were measured. All parameters between two groups were analyzed by the Mann-Whitney U test and independent t-test. Results. Statistically significant decrease in old adults was detected in the tract volume of lateral (p=0.005) and medial VST (p≤0.001) and PIVC (p=0.020). A significant decrease in FA of lateral VST (p=0.044) and MD of medial VST (p=0.001) was seen in old adults. Stride length (p=0.003) and velocity (p=0.001) during tandem gait in old adults were significantly decreased. 6MWT (p≤0.001) showed significant decrease, while TUG (p≤0.001) showed significant increase in old adults. However, mean BSS (p=0.296) was nonsignificantly different. In eyes-open condition during one-leg standing, all parameters except for reciprocal compensatory index (RCI) values were significantly decreased in old adults. The RCI in the anteroposterior (AP) direction (p≤0.001) was increased in old adults; however, the mediolateral direction (p=0.301) was nonsignificantly different between the two groups. In eye-closed condition, the changes of ankle (p=0.031) and hip (p=0.004) sway and the center of mass in the AP direction (p=0.014) showed to be significantly higher in old adults than in young adults. Conclusion. The results suggested that there was a relationship between DTI parameters in the vestibular neural pathway and balance according to aging.

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Correlation between spasticity and corticospinal/corticoreticular tract status in stroke patients after early stage

et al. 2023

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We investigated the correlation between spasticity and the states of the corticospinal tract (CST) and corticoreticular tract (CRT) in stroke patients after early stage. Thirty-eight stroke patients and 26 healthy control subjects were recruited. The modified Ashworth scale (MAS) scale after the early stage (more than 1 month after onset) was used to determine the spasticity state of the stroke patients. Fractional anisotropy (FA), apparent diffusion coefficient (ADC), fiber number (FN), and ipsilesional/contra-lesional ratios for diffusion tensor tractography (DTT) parameters of the CST and CRT after the early stage were measured in both ipsi- and contra-lesional hemispheres. This study was conducted retrospectively. The FA and FN CST-ratios in the patient group were significantly lower than those of the control group (P < .05), except for the ADC CST-ratio (P > .05). Regarding the DTT parameters of the CRT-ratio, the patient group FN value was significantly lower than that of the control group (P < .05), whereas the FA and ADC CRT-ratios did not show significant differences between the patient and control groups (P > .05). MAS scores showed a strong positive correlation with the ADC CRT-ratio (P < .05) and a moderate negative correlation with the FN CRT-ratio (P < .05). We observed that the injury severities of the CST and CRT were related to spasticity severity in chronic stroke patients; moreover, compared to the CST, CRT status was more closely related to spasticity severity.

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The impact of AlterG training on balance and structure of vestibulospinal tract in cerebral palsy children

Cited by 6 publications

References 16 publications

Lower Body Positive Pressure Treadmill Training for Pediatric Gait Disorders: A Scoping Review

Lower Body Positive Pressure Treadmill Training for Pediatric Gait Disorders: A Scoping Review

Associations between Age-Related Changes in the Core Vestibular Projection Pathway and Balance Ability: A Diffusion Tensor Imaging Study

Correlation between spasticity and corticospinal/corticoreticular tract status in stroke patients after early stage

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