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Wearable Adaptive Resistance Training Improves Ankle Strength, Walking Efficiency and Mobility in Cerebral Palsy: A Pilot Clinical Trial.


ABSTRACT: Goal:To determine the efficacy of wearable adaptive resistance training for rapidly improving walking ability in children with cerebral palsy (CP).

Methods:Six children with spastic CP (five males, one female; mean age 14y 11mo; three hemiplegic, three diplegic; Gross Motor Function Classification System [GMFCS] levels I and II) underwent ten, 20-minute training sessions over four weeks with a wearable adaptive resistance device. Strength, speed, walking efficiency, timed up and go (TUG), and six-minute walk test (6MWT) were used to measure training outcomes.

Results:Participants showed increased average plantar flexor strength (17 ± 8%, p = 0.02), increased preferred walking speed on the treadmill (39 ± 25%, p = 0.04), improved metabolic cost of transport (33 ± 9%, p = 0.03), and enhanced performance on the timed up and go (11 ± 9%, p = 0.04) and six-minute walk test (13 ± 9%, p = 0.04).

Conclusions:The observed increase in preferred walking speed, reduction in metabolic cost of transport, and improved performance on clinical tests of mobility highlights the potentially transformative nature of this novel therapy; the rate at which this intervention elicited improved function was 3 - 6 times greater than what has been reported previously.

SUBMITTER: Conner BC 

PROVIDER: S-EPMC7694567 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Wearable Adaptive Resistance Training Improves Ankle Strength, Walking Efficiency and Mobility in Cerebral Palsy: A Pilot Clinical Trial.

Conner Benjamin C BC   Remec Nushka M NM   Orum Elizabeth K EK   Frank Emily M EM   Lerner Zachary F ZF  

IEEE open journal of engineering in medicine and biology 20201102


<h4>Goal</h4>To determine the efficacy of wearable adaptive resistance training for rapidly improving walking ability in children with cerebral palsy (CP).<h4>Methods</h4>Six children with spastic CP (five males, one female; mean age 14y 11mo; three hemiplegic, three diplegic; Gross Motor Function Classification System [GMFCS] levels I and II) underwent ten, 20-minute training sessions over four weeks with a wearable adaptive resistance device. Strength, speed, walking efficiency, timed up and g  ...[more]

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