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A randomized controlled trial of web-based training to increase activity in children with cerebral palsy.
- Source :
- Developmental Medicine & Child Neurology; Jul2016, Vol. 58 Issue 7, p767-773, 7p
- Publication Year :
- 2016
-
Abstract
- <bold>Aim: </bold>To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP).<bold>Method: </bold>In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per week, or usual care (waitlist control) for 20 weeks. Activity capacity was assessed using maximal repetitions of functional strength tasks and 6-minute walk test (6MWT); performance using 4-day ActiGraph GT3X+ accelerometer records at baseline and 20 weeks. Data were analysed by intention to treat comparing between groups using hierarchical linear modelling.<bold>Results: </bold>Participants were n=101, 52 males, mean age 11 years 3 months (SD 2y 4mo). Intervention participants completed a mean 32.4 hours (SD 17.2) of training, associated with significant improvements in functional strength (mean difference 19.3 repetitions; 95% confidence interval [CI] 10.8-27.7; p<0.001) and 6MWT distance (mean difference 38.9m; 95% CI 12.3-51.9; p<0.001) compared with the control group at 20 weeks, although not activity performance (p>0.05).<bold>Interpretation: </bold>Training was effective at increasing functional strength and walking endurance in independently ambulant children with unilateral CP. This did not translate into improvements in activity performance. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHILDREN with cerebral palsy
ONLINE education
WALKING
PHYSICAL fitness
PHYSICAL activity
RANDOMIZED controlled trials
CEREBRAL dominance
CEREBRAL palsy
COMPARATIVE studies
EXERCISE therapy
LONGITUDINAL method
RESEARCH methodology
MEDICAL cooperation
MOTOR ability
NONPARAMETRIC statistics
ONLINE information services
RESEARCH
EVALUATION research
ACCELEROMETRY
TREATMENT effectiveness
CASE-control method
Subjects
Details
- Language :
- English
- ISSN :
- 00121622
- Volume :
- 58
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Developmental Medicine & Child Neurology
- Publication Type :
- Academic Journal
- Accession number :
- 116171133
- Full Text :
- https://doi.org/10.1111/dmcn.13065