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Training to enhance walking in children with cerebral palsy: are we missing the window of opportunity?
- Source :
-
Seminars in pediatric neurology [Semin Pediatr Neurol] 2013 Jun; Vol. 20 (2), pp. 106-15. - Publication Year :
- 2013
-
Abstract
- The objective of this paper is to (1) identify from the literature a potential critical period for the maturation of the corticospinal tract (CST) and (2) report pilot data on an intensive, activity-based therapy applied during this period, in children with lesions to the CST. The best estimate of the CST critical period for the legs is when the child is younger than 2 years of age. Previous interventions for walking in children with CST damage were mainly applied after this age. Our preliminary results with training children younger than 2 years showed improvements in walking that exceeded all previous reports. Further, we refined techniques for measuring motor and sensory pathways to and from the legs, so that changes can be measured at this young age. Previous activity-based therapies may have been applied too late in development. A randomized controlled trial is now underway to determine if intensive leg therapy improves the outcome of children with early stroke.<br /> (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Subjects :
- Cerebral Palsy physiopathology
Critical Period, Psychological
Evoked Potentials, Motor physiology
Evoked Potentials, Somatosensory physiology
Female
Humans
Infant
Male
Pilot Projects
Pyramidal Tracts physiology
Reflex, Stretch physiology
Transcranial Magnetic Stimulation
Treatment Outcome
Cerebral Palsy rehabilitation
Exercise Therapy methods
Pyramidal Tracts growth & development
Walking physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1558-0776
- Volume :
- 20
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Seminars in pediatric neurology
- Publication Type :
- Academic Journal
- Accession number :
- 23948685
- Full Text :
- https://doi.org/10.1016/j.spen.2013.06.011