The effect of training in an interactive dynamic stander on ankle dorsiflexion and gross motor function in children with cerebral palsy

Abstract Objective: To study the effect of active stretching of ankle plantarflexors using an interactive dynamic stander in children with cerebral palsy (CP). Methods: Six children in Gross Motor Function Classification System classes I-III, aged 4-10 years, trained intensive active dorsiflexion in...

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Bibliographic Details
Published in:Developmental neurorehabilitation 2014-12, Vol.17 (6), p.393-397
Main Authors: Curtis, Derek John, Bencke, Jesper, Mygind, Bente
Format: Article
Language:English
Subjects:
active stretching
Ankle
Ankle - physiopathology
Biomechanical Phenomena
cerebral palsy
Cerebral Palsy - rehabilitation
Child
Child, Preschool
Exercise Therapy
Female
Gait
gross motor function
Humans
Male
Motor Skills
Posture
range of motion
Rehabilitation - methods
rehabilitation device
Video Games
Walking
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Summary:Abstract Objective: To study the effect of active stretching of ankle plantarflexors using an interactive dynamic stander in children with cerebral palsy (CP). Methods: Six children in Gross Motor Function Classification System classes I-III, aged 4-10 years, trained intensive active dorsiflexion in an interactive dynamic stander using ankle movement to play custom computer games following a 10-week control period. Gross Motor Function Measure Item Set, gait performance and passive and active dorsiflexion with extended and flexed knee were chosen as outcome parameters. Results: Median active and passive ankle dorsiflexion increased significantly (5 and 10 degrees, respectively) with extended knee. There was a small but clinically significant increase in gross motor function. The intervention had no effect on temporospatial gait parameters. Conclusion: In spite of the low number of participants, these results may indicate that intensive active stretching in an interactive dynamic stander could be an effective new conservative clinical treatment of ankle plantarflexor contracture in children with CP.
ISSN:1751-8423
1751-8431
DOI:10.3109/17518423.2013.844738