Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial

Hanaa Mohsen,Omnya Samy

doi:10.2196/18232

Abstract

Background Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory). Objective The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP). Methods A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program. Results A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05). Conclusions Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP. Trial Registration ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658

Highlights

Cerebral palsy (CP) occurs as a result of prenatal or postnatal lesion in the developing brain of a fetus or infant, which mainly affects motor activity [1]
Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP
In children with spastic diplegia, abnormal muscle tone can lead to medial femoral torsion and compensatory external tibial torsion, which result in in-toing and crouch gait, thereby http://biomedeng.jmir.org/2020/1/e18232/

Summary

Introduction

Cerebral palsy (CP) occurs as a result of prenatal or postnatal lesion in the developing brain of a fetus or infant, which mainly affects motor activity [1]. As a result of irregular muscle activity or bone loading, secondary impairments can develop over time, such as shortened muscles, which limit the joint range of motion. Both primary and secondary impairments manifest in a pathological pattern of CP gait [2]. 1 (page number not for citation purposes) decreasing the stability during walking [3] This gait disorder decreases the base of support in the stance phase and increases crossing of the legs in the swing phase that increases the risk of falling and leads to functional balance problems [4]. Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory)

Methods

Results

Conclusion