Poster Sessions - 2018 Research Day

Event Title

The Effects of a 6-Week Functional Training Program on Postural Control and Functional Mobility in an 11-year old Child with Cerebral Palsy- A Case Report.

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background and Purpose: Cerebral Palsy describes a group of developmental disorders of movement and posture, resulting in activity limitations. Recent literature has shown a shift from impairment-focused treatment to functional training targeted at the activities/participation level. However, there is limited research on the effectiveness of functional training and optimal treatment dosage for clinically significant functional improvements in children with cerebral palsy. Therefore, the purpose of this case report was to examine the effects of a functional training program consisting of 30-minute sessions once weekly for 6 weeks on changes in postural control and functional mobility in a child with cerebral palsy.

Case Description: The subject was an 11-year old girl with Gross Motor Function Classification Scale level II diplegic cerebral palsy and a hearing impairment. She received individualized functional training in a middle school setting, which focused on task-oriented dynamic balance and mobility tasks, once per week for 30-minute sessions for a total of 6 visits over a 6-week period. Postural control and functional mobility were assessed at initial visit and post 6-week intervention with the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), Trunk Control Measurement Scale (TCMS), Timed Up and Go (TUG), and Five Times Sit to Stand Test (FTSST).

Outcomes: Following the 6-week training period, the subject showed improvements in static/dynamic balance and functional mobility as evidenced by improved results on BOT-2, TCMS, TUG, and FTSST. There was a clinically significant improvement of 8 points on the TCMS and a minimal clinically important difference of -1.8 s on the TUG following treatment.

Discussion: The application of a functional training program conducted for 30 minutes once weekly for 6 weeks produced positive functional outcomes such as increased functional lower extremity strength and improved postural control during functional tasks in the school environment. These results support similar studies that found improvements in functional strength, mobility, and gait kinematics in children with cerebral palsy.

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

The Effects of a 6-Week Functional Training Program on Postural Control and Functional Mobility in an 11-year old Child with Cerebral Palsy- A Case Report.

Hall of Governors

Background and Purpose: Cerebral Palsy describes a group of developmental disorders of movement and posture, resulting in activity limitations. Recent literature has shown a shift from impairment-focused treatment to functional training targeted at the activities/participation level. However, there is limited research on the effectiveness of functional training and optimal treatment dosage for clinically significant functional improvements in children with cerebral palsy. Therefore, the purpose of this case report was to examine the effects of a functional training program consisting of 30-minute sessions once weekly for 6 weeks on changes in postural control and functional mobility in a child with cerebral palsy.

Case Description: The subject was an 11-year old girl with Gross Motor Function Classification Scale level II diplegic cerebral palsy and a hearing impairment. She received individualized functional training in a middle school setting, which focused on task-oriented dynamic balance and mobility tasks, once per week for 30-minute sessions for a total of 6 visits over a 6-week period. Postural control and functional mobility were assessed at initial visit and post 6-week intervention with the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), Trunk Control Measurement Scale (TCMS), Timed Up and Go (TUG), and Five Times Sit to Stand Test (FTSST).

Outcomes: Following the 6-week training period, the subject showed improvements in static/dynamic balance and functional mobility as evidenced by improved results on BOT-2, TCMS, TUG, and FTSST. There was a clinically significant improvement of 8 points on the TCMS and a minimal clinically important difference of -1.8 s on the TUG following treatment.

Discussion: The application of a functional training program conducted for 30 minutes once weekly for 6 weeks produced positive functional outcomes such as increased functional lower extremity strength and improved postural control during functional tasks in the school environment. These results support similar studies that found improvements in functional strength, mobility, and gait kinematics in children with cerebral palsy.