Effects of Lower Extremity Functional Training (LIFT) on Gross Motor Function and Gait in Children with Spastic Cerebral Palsy
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Abstract
Background: Children with spastic cerebral palsy face challenges in mobility due to impairments in gross motor function and gait. Lower Extremity Functional Training (LIFT) is posited as a potential intervention to ameliorate these difficulties.
Objective: This study aimed to evaluate the effectiveness of LIFT on enhancing gross motor function and gait in children with spastic cerebral palsy.
Methods: Employing a Randomized Controlled Trial design, the study recruited 22 participants and allocated them into intervention and control groups. Over six weeks, the intervention group received LIFT along with baseline treatment, while the control group received only baseline treatment. Outcomes were measured using the 2-minute Walk Test, Single Leg Stance Test, and Gross Motor Function Measure (GMFM).
Results: Post-intervention, the intervention group exhibited a statistically significant improvement in the Single Leg Stance Test (p=0.032). However, no significant differences were observed in the 2 Minute Walk Test (p=0.448) and GMFM (p=0.289) between the intervention and control groups. Within-group comparisons showed significant improvements from pre- to post-intervention in both the Single Leg Stance Test (p=0.006) and the 2 Minute Walk Test (p=0.012) for the intervention group, and in the 2 Minute Walk Test (p=0.003) and GMFM (p=0.004) for the control group.
Conclusion: While LIFT resulted in significant within-group improvements in single-leg balance, it did not demonstrate a significant advantage over baseline treatment alone in improving overall gait and gross motor function in children with spastic cerebral palsy. Further research with larger sample sizes and longer intervention durations may be necessary to ascertain the full impact of LIFT in this population.
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References
Bıyık KS, Günel MK, Akyüz EÜ. How does treadmill training contribute to botulinum toxin application plus routine physical therapy in ambulatory children with spastic bilateral cerebral palsy? A randomized controlled trial. Irish Journal of Medical Science (1971-). 2023;192(1):209-17.
Franki I, Bar-On L, Molenaers G, Van Campenhout A, Craenen K, Desloovere K, et al. Tone reduction and physical therapy: strengthening partners in treatment of children with spastic cerebral palsy. Neuropediatrics. 2020;51(02):089-104.
Mattern-Baxter K, Looper J, Zhou C, Bjornson K. Low-intensity vs high-intensity home-based treadmill training and walking attainment in young children with spastic diplegic cerebral palsy. Archives of physical medicine and rehabilitation. 2020;101(2):204-12.
Coffey C, Sheehan D, Faigenbaum AD, Healy S, Lloyd RS, Kinsella S. Effects of a school-based integrative neuromuscular training exercise intervention on physical fitness among children with autism spectrum disorder. European Journal of Adapted Physical Activity. 2023;16:11-.
Villa-González E, Faigenbaum AD. Resistance Training for Children and Adolescents. Resistance Training Methods: From Theory to Practice. 2022:321-42.
Nunes AC, Cattuzzo MT, Faigenbaum AD, Mortatti AL. Effects of integrative neuromuscular training and detraining on countermovement jump performance in youth volleyball players. The Journal of Strength & Conditioning Research. 2021;35(8):2242-7.
Chaudhari S, BV RS. A study to compare the effect of task oriented training versus functional progressive resistance exercise strength training on gross motor functions in spastic diplegics. Int J Physical Educ Sports Health. 2020;7(5):24-302020.
Khan SB. Effectiveness of task oriented physiotherapy along with conventional physiotherapy for patients with stroke: Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2019.
Dudoniene V, Adomaitytė A, Žlibinaitė L. Randomized controlled trial to compare conventional physiotherapy with task-oriented exercises after total hip replacement. Journal of Back and Musculoskeletal Rehabilitation. 2023(Preprint):1-9.
Rajkumar M. Effectiveness of task oriented Swiss ball training on trunk control and functional balance in patients with MCA stroke: KMCH College of Physiotherapy, Coimbatore; 2019.
Bekteshi S, Monbaliu E, McIntyre S, Saloojee G, Hilberink SR, Tatishvili N, et al. Towards functional improvement of motor disorders associated with cerebral palsy. The Lancet Neurology. 2023.
Kalariya Y, Kumar A, Ullah A, Umair A, Neha F, Madhurita F, et al. Integrative medicine approaches: bridging the gap between conventional and renal complementary therapies. Cureus. 2023;15(9).
Harniess PA, Gibbs D, Bezemer J, Purna Basu A. Parental engagement in early intervention for infants with cerebral palsy—A realist synthesis. Child: care, health and development. 2022;48(3):359-77.
Serban A, Gavan D, Pepine D, Dadarlat A, Tomoaia R, Mot S, et al. Mechanical valve thrombosis: current management and differences between guidelines. Trends in Cardiovascular Medicine. 2023.
Javvaji CK, Vagha JD, Meshram RJ, Taksande A, JAVVAJI CK. Assessment Scales in Cerebral Palsy: A Comprehensive Review of Tools and Applications. Cureus. 2023;15(10).
Anjum S, Mehmood Z, Idrees MQ. THE OUTCOME OF LOWER LIMB STRENGTH TRAINING IN CEREBRAL PALSY CHILDREN WITH SPASTIC DIPLEGIA. Khyber Medical University Journal. 2019;11(3):176-81.
Surana BK, Ferre CL, Dew AP, Brandao M, Gordon AM, Moreau NG. Effectiveness of lower-extremity functional training (LIFT) in young children with unilateral spastic cerebral palsy: A randomized controlled trial. Neurorehabilitation and Neural Repair. 2019;33(10):862-72.
Abd-Elfattah HM, Galal DOSM, Aly MIE, Aly SM, Elnegamy TE. Effect of pilates exercises on standing, walking, and balance in children with diplegic cerebral palsy. Annals of rehabilitation medicine. 2022;46(1):45.
Thamm A. Improving gait in cerebral palsy: effects of a combined strength, flexibility and gait training Intervention on lower limb gait kinematics and kinetics in children and young adults with spastic cerebral palsy. 2021.
Peltoniemi M. Effects of exercise intervention on gait kinematics and lower limb function of adolescents and young adults with cerebral palsy. 2019.
Jani P. Effect of intensive locomotor treadmill training on gait and endurance in ambulatory children with cerebral palsy. 2022.
Volpini M, Aquino M, Holanda AC, Emygdio E, Polese J. Clinical effects of assisted robotic gait training in walking distance, speed, and functionality are maintained over the long term in individuals with cerebral palsy: A systematic review and meta-analysis. Disability and Rehabilitation. 2022;44(19):5418-28.
McDermott MM, Guralnik JM, Tian L, Zhao L, Polonsky TS, Kibbe MR, et al. Comparing 6-minute walk versus treadmill walking distance as outcomes in randomized trials of peripheral artery disease. Journal of vascular surgery. 2020;71(3):988-1001.
Murdoch M, Window P, Morton C, O’Donohue R, Ballard E, Claus A. People at a persistent pain service can walk it, but some struggle to talk about it: Reliability, detectable difference and clinically important difference of the six‐minute walk test. Musculoskeletal Care. 2023;21(1):221-31.
Boissoneault C, Grimes T, Rose DK, Waters MF, Khanna A, Datta S, et al. Innovative long-dose neurorehabilitation for balance and mobility in chronic stroke: a preliminary case series. Brain sciences. 2020;10(8):555.
Katzman WB, Parimi N, Gladin A, Wong S, Lane NE. Long-term efficacy of treatment effects after a kyphosis exercise and posture training intervention in older community-dwelling adults: a cohort study. Journal of geriatric physical therapy (2001). 2021;44(3):127.
Talgeri AJ, Nayak A, Karnad SD, Jain P, Tedla JS, Reddy RS, et al. Effect of Trunk Targeted Interventions on Functional Outcomes in Children with Cerebral Palsy-A Systematic Review. Developmental Neurorehabilitation. 2023;26(3):193-205.
Lee N-Y, Lee E-J, Kwon H-Y. The effects of dual-task training on balance and gross motor function in children with spastic diplegia. Journal of exercise rehabilitation. 2021;17(1):21.
Cho H-J, Lee B-H. Effect of functional progressive resistance exercise on lower extremity structure, muscle tone, dynamic balance and functional ability in children with spastic cerebral palsy. Children. 2020;7(8):85.
Balzer J. Determining selective voluntary motor control of the lower extremity in children with cerebral palsy 2018.