Randomized controlled trial assessing participation and quality of life in a supported speed treadmill training exercise program vs. a strengthening program for children with cerebral palsy

Article type: Research Article

Authors: Gates, P.E. | Banks, D. | Johnston, T.E. | Campbell, S.R. | Gaughan, J.P. | Ross, S.A. | Engsberg, J.R. | Tucker, C.

Affiliations: Shriners Hospitals for Children®, Shreveport, LA, USA | University of the Sciences, Philadelphia, PA, USA | Temple University, Philadelphia, PA, USA | Maryville University, St. Louis, MO, USA | Washington University, St. Louis, MO, USA

Note: [] Corresponding author: Philip E. Gates, MD, 3100 Samford Ave., Shreveport, LA 71103, USA. Tel.: +1 318 222 5704; Fax: +1 318 226 3319; E-mail: [email protected]

Abstract: Objective: A multi-site Randomized-Controlled Trial compared a home-based Supported Speed Treadmill Training Exercise Program (SSTTEP) with a strengthening exercise program in children with cerebral palsy (CP) on the following categories; Participation, quality of life (QOL), self-concept, goal attainment, and satisfaction. Design: Twenty-six children with spastic cerebral palsy were assigned by site-based block randomization to the SSTTEP (n=14) or strengthening exercise (n=12) group. Both groups participated in a two week clinic-based induction period and continued the intervention at home for ten weeks. Data were collected at baseline, post-intervention (12 weeks), and follow-up (16 weeks). Assessments included the Canadian Occupational Performance Measure, Children's Assessment of Participation and Enjoyment Scale, Pediatric Quality of Life Cerebral Palsy Module, and Piers-Harris Children's Self-Concept Scale. Evaluators were blinded to group assignment at two sites. Results: Satisfaction and performance on individual goals, participation, and parent-reported QOL improved in both groups with improvement maintained for four weeks post intervention. Conclusion: The hypothesis that the SSTTEP group would have better outcomes than the exercise group was not supported. However, both groups showed that children with CP can make gains in participation, individual goals, and satisfaction following a 12-week intensive exercise intervention, and these findings persisted for four weeks post intervention.

Keywords: Partial body-weight supported treadmill-training (PBWSTT), spastic cerebral palsy, Canadian Occupational Performance Measure, Children's Assessment of Participation and Enjoyment Scale, Pediatric Quality of Life assessment, and Piers-Harris Children's Self-Concept Scale

DOI: 10.3233/PRM-2012-0199

Journal: Journal of Pediatric Rehabilitation Medicine, vol. 5, no. 2, pp. 75-88, 2012