Related Experiment Video
Updated: Jan 23, 2026
07:20
Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
Published on: August 9, 2024
1.8K
Structured home-based exercise program for improving walking ability in ambulant children with cerebral palsy
Aishah Ahmad Fauzi1, Masyitah Mohammad Khayat1, Sakinah Sabirin1
1Department of Rehabilitation Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.
Journal of Pediatric Rehabilitation Medicine
|June 23, 2019
Summary
A structured home-based exercise program (SHEP) significantly improved walking speed and Gross Motor Function Measure-66 scores in children with cerebral palsy (CP). This intervention shows promise for enhancing mobility in young individuals with CP.
Area of Science:
- Pediatric Rehabilitation
- Neuromuscular Disorders
- Biomedical Engineering
Background:
- Cerebral palsy (CP) affects motor function, impacting walking ability in children.
- Home-based exercise programs offer a practical approach to rehabilitation for children with CP.
- Structured interventions are needed to improve functional mobility in pediatric CP populations.
Purpose of the Study:
- To evaluate the effectiveness of a structured home-based exercise program (SHEP) on walking ability in ambulant children with CP.
- To assess changes in walking speed, Gross Motor Function Measure-66 (GMFM-66), and Physiological Cost Index (PCI) following SHEP.
- To determine the short-term and medium-term outcomes of a home-based exercise intervention for pediatric CP.
Main Methods:
- A prospective multiple assessment baseline design was employed.
- Eleven children with CP (GMFCS I-III) participated in an 8-week SHEP.
- Walking speed, GMFM-66, and PCI were measured at baseline, during intervention, and at follow-up.
Main Results:
- SHEP led to a significant improvement in walking speed (p=0.01, Cohen's d=1.9).
- Large effect sizes were observed for GMFM-66 improvements during and after intervention (Cohen's d=1.039-1.054).
- No significant changes were found in Physiological Cost Index (PCI) (Cohen's d=0.39).
Conclusions:
- Structured home-based exercise programs are effective for improving walking ability in children with CP.
- SHEP can be a valuable adjunct to standard care for enhancing mobility in pediatric CP.
- This practical, home-based approach supports short-term functional gains in children with cerebral palsy.
Related Concept Videos
01:26Exercise Stress Test
1.2K
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
1.2K
01:27Exercise and Muscle Performance
2.3K
Exercise induces a range of adaptations in muscle tissue, depending on the type and duration of activity. Such physical training can be broadly categorized into two types: endurance exercises and resistance exercises.
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
Endurance exercises
Endurance exercises involve running, swimming, or cycling, which require repetitive movements with low force output. When a person engages in endurance exercise, a few noticeable changes occur in their skeletal muscles. For instance, the number of capillaries...
2.3K
01:17Exercise and Cardiac Output
1.8K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.8K
01:20Exercise and Cardiovascular Response
3.9K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
3.9K
02:07Improving Translational Accuracy
14.1K
Base complementarity between the three base pairs of mRNA codon and the tRNA anticodon is not a failsafe mechanism. Inaccuracies can range from a single mismatch to no correct base pairing at all. The free energy difference between the correct and nearly correct base pairs can be as small as 3 kcal/ mol. With complementarity being the only proofreading step, the estimated error frequency would be one wrong amino acid in every 100 amino acids incorporated. However, error frequencies observed in...
14.1K
02:07Improving Translational Accuracy
3.6K
3.6K