A randomized controlled trial of web-based training to increase activity in children with cerebral palsy

Mitchell, Louise E., Ziviani, Jenny and Boyd, Roslyn N. (2016) A randomized controlled trial of web-based training to increase activity in children with cerebral palsy. Developmental Medicine and Child Neurology, 58 7: 767-773. doi:10.1111/dmcn.13065


Author Mitchell, Louise E.
Ziviani, Jenny
Boyd, Roslyn N.
Title A randomized controlled trial of web-based training to increase activity in children with cerebral palsy
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2016-07-01
Year available 2016
Sub-type Article (original research)
DOI 10.1111/dmcn.13065
Open Access Status Not yet assessed
Volume 58
Issue 7
Start page 767
End page 773
Total pages 7
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Abstract AIM To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP).
Formatted abstract
Aim: To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP).

Method: In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per week, or usual care (waitlist control) for 20 weeks. Activity capacity was assessed using maximal repetitions of functional strength tasks and 6-minute walk test (6MWT); performance using 4-day ActiGraph GT3X+ accelerometer records at baseline and 20 weeks. Data were analysed by intention to treat comparing between groups using hierarchical linear modelling.

Results: Participants were n=101, 52 males, mean age 11 years 3 months (SD 2y 4mo). Intervention participants completed a mean 32.4 hours (SD 17.2) of training, associated with significant improvements in functional strength (mean difference 19.3 repetitions; 95% confidence interval [CI] 10.8–27.7; p<0.001) and 6MWT distance (mean difference 38.9m; 95% CI 12.3–51.9; p<0.001) compared with the control group at 20 weeks, although not activity performance (p>0.05).

Interpretation: Training was effective at increasing functional strength and walking endurance in independently ambulant children with unilateral CP. This did not translate into improvements in activity performance.
Keyword Clinical Neurology
Pediatrics
Neurosciences & Neurology
Pediatrics
Q-Index Code C1
Q-Index Status Provisional Code
Grant ID 1037220
Institutional Status UQ

 
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