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Back geometry and mobility function changes in cerebral palsy children after backward walking training: arandomized
Amr Almaz Abdel-Aziem1, Heba Mohamed Youssr El-Basatiny2,3, Amira Husien Draz4
1Department of Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia.
Developmental Neurorehabilitation
|April 10, 2024
Summary
Backward walking training significantly improved back geometry and mobility in children with hemiparetic cerebral palsy (CP) more than forward walking. This suggests backward walking is a valuable therapy for CP.
Area of Science:
- Rehabilitation Medicine
- Pediatric Physical Therapy
- Neurology
Background:
- Hemiparetic cerebral palsy (CP) affects mobility and posture in children.
- Conventional physical therapy is standard care, but novel approaches are needed.
- Understanding the impact of different walking training methods on back geometry and function is crucial for improving outcomes in children with CP.
Purpose of the Study:
- To compare the efficacy of backward (BW) walking training versus forward (FW) walking training.
- To assess the effects on back geometry and mobility function in children with hemiparetic CP.
- To determine if BW walking offers superior benefits compared to FW walking when integrated into a standard physical therapy program.
Main Methods:
- Fifty-five children with hemiparetic CP were randomly assigned to two groups.
- Both groups received a conventional physical therapy program three days per week for 12 weeks.
- Group A received FW walking training (25 min/session), while Group B received BW walking training (25 min/session).
Main Results:
- Backward walking training group (Group B) demonstrated significantly greater improvements in trunk imbalance, lateral deviation, pelvic tilting, pelvic torsion, surface motion, and dynamic gait index compared to the forward walking group (Group A) (p < .05).
- Both training groups exhibited significant improvements across all measured variables (p < .05).
- BW walking training showed a statistically significant advantage over FW walking training in enhancing key functional and biomechanical parameters.
Conclusions:
- Backward walking training is a potentially more effective therapeutic modality for improving back geometry and mobility function in children with hemiparetic CP.
- BW walking training, when combined with a conventional program, may offer superior benefits compared to FW walking training.
- These findings support the consideration of BW walking training as a valuable intervention for this population.
