The effects of a `home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury

Objectives: To evaluate the feasibility and the ability to recruit and retain children with severe traumatic brain injury or cerebral palsy, and their families, to a simple home-based exercise programme and to assess the immediate and short-term effects of such intervention on reducing impairment an...

Full description

Saved in:
Bibliographic Details
Published in:Clinical rehabilitation 2009-08, Vol.23 (8), p.714-724
Main Authors: Katz-Leurer, Michal, Rotem, Hemda, Keren, Ofer, Meyer, Shirley
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Brain injured children
Brain Injuries - physiopathology
Brain Injuries - rehabilitation
Cerebral palsy
Cerebral Palsy - physiopathology
Cerebral Palsy - rehabilitation
Child
Children & youth
Efficiency
Exercise
Exercise Test
Exercise Therapy
Families & family life
Feasibility Studies
Female
Home based
Humans
Male
Motor ability
Muscle Strength
Patient Compliance
Pediatrics
Physical Endurance
Physical therapy
Postural Balance
Rehabilitation
Self Care
Spasticity
Therapists
Traumatic brain injury
Walking
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives: To evaluate the feasibility and the ability to recruit and retain children with severe traumatic brain injury or cerebral palsy, and their families, to a simple home-based exercise programme and to assess the immediate and short-term effects of such intervention on reducing impairment and improving function. Study design: Randomized clinical trial. Participants: Twenty children aged 7—13 years, with traumatic brain injury (N = 10) or cerebral palsy (N = 10) who were independent ambulators. Five children from each group were randomly assigned to a control group — regular daily activities, or to an experimental group — regular daily activities plus a home-based task-oriented exercise programme of sit-to-stand and step-up exercise, for six weeks. Outcome measures: Feasibility: The number of participants who completed the programme protocol. Efficacy: Timed Up and Go Test and Functional Reach Test were used as functional balance tests. Maximal isometric strength was assessed by using a hand-held dynamometer; walking performance was assessed by the 10 m walk test, 2-minute walk test and Energy Expenditure Index. Results: Nine children completed all parts of the training programme. At the end of the intervention period an increase of 3—4 cm in the mean Functional Reach Test and a reduction of 1.6 ± 2.1 seconds in the Timed Up and Go Test were noted (P
ISSN:0269-2155
1477-0873
DOI:10.1177/0269215509335293