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Treadmill training for a child with spina bifida without functional ambulation.

Catie Christensen1, Linda Pax Lowes

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Summary

An 8-week individualized treadmill program improved walking ability in a child with myelomeningocele. Gains in the 2-minute walk test and Timed Up and Go were sustained at follow-up.

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Area of Science:

  • Pediatric physical therapy
  • Neurological rehabilitation
  • Motor development in children

Background:

  • Myelomeningocele often impairs ambulatory function in children.
  • Early intervention is crucial for maximizing functional mobility.
  • Treadmill training offers a controlled environment for gait rehabilitation.

Observation:

  • An individualized, progressive treadmill training program was implemented for an 8-week period.
  • Training parameters were adjusted based on heart rate and 2-minute walk test (2MWT) speed.
  • Outcome measures included the 2MWT, Timed Up and Go (TUG), and Pediatric Evaluation of Disability Index (PEDI).

Findings:

  • Significant improvements were observed in 2MWT (64.10%) and TUG (34.66%) post-intervention.
  • These improvements were largely maintained at a 6-week follow-up (2MWT: 58.97%, TUG: 34.24%).
  • The PEDI indicated no significant changes in functional mobility.

Implications:

  • Individualized treadmill training may enhance ambulatory skills in young children with myelomeningocele.
  • Further research with larger sample sizes is warranted to confirm these findings.
  • Optimal training parameters for this population require further investigation.