None listed
Conditions
Brief summary
To investigate the change in endurance, walking speed and function after Partial Body Weight Supported Treadmill Training (PBWSTT) in children with Cerebral Palsy with Gross Motor Function Classification System (GMFCS) Level II and III. To compare the result obtained with the overground walking in children with CP. It is hypothesised that children in the treatment group (PBWSTT) will have greater endurance, walking speed and function. In Singapore there has been a dearth of study to investigate the effectiveness of Partial Body Weight Supported Treadmill Training (PBWSTT) in children with Cerebral Palsy, hence this study will allow the clinician to select appropriate intervention for children with Cerebral Palsy and as well as to investigate the evidence supporting Treadmill Training (TT) with PBWSTT.
Interventions
Partial Body Weight-Supported Treadmill Training (PBWSTT) in children. This is a method used in neurological rehabilitation of adults and children that provides task-specific gait training with multiple repetitions and active participation of the client, which has been demonstrated to enhance motor learning. Partial body weight is facilitated via the use of a harness. sessions will be administered 2xper week over an 8 week period, each session lasting up to 30 minutes. Sessions will be administered by the physiotherapists at the school where the study will take place. Participants will be encouraged to increase their duration and / or walking speed, and / or decrease the amount of body weight support over the duration of the 8 week study as deemed appropriate by the treating physiotherapist. The number of sessions and duration of each session will be recorded. In the event that a participant misses a session they will be provided with a catch up session in the next week.
Sponsors
Study design
Eligibility
Inclusion criteria
Students will be included with: (i) a diagnosis of CP and aged between 6 and 18 years. (ii) Gross Motor Function Classification System (GMFCS) Levels II (walks without assistive mobility devices but has limitations walking outdoor and in the community) and III (walks with assistive mobility devices but has limitations walking outdoors and in the community). (iii) an ability to follow verbal directions for standardized testing.
Exclusion criteria
Students will be excluded if they had: (i) visual impairment that could compromise the performance of the tasks. (ii) a concurrent medical condition such as severe cardio respiratory disease or uncontrolled epilepsy that will pose a risk to their safety during training. (iii) lower limb orthopaedic surgery or botulinum toxin injections in the 6 months.