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Randomized Controlled Study of Home-Based Treadmill Training for Ambulatory Children With Spina Bifida.
MedLine Citation:
PMID:  21415263     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: . Many ambulatory children with spina bifida (SB) decline in their walking despite stable or even improved motor function. OBJECTIVE: . The authors evaluated the effects of a home-based treadmill training program on both ambulatory function and aerobic fitness. METHODS: . This randomized clinical trial of 34 ambulatory children with SB allocated 18 to supervised treadmill training for 12 weeks at home and 14 to usual care. Patients in home training exercised twice a week at an intensity of 66% of HR(peak) (peak heart rate) and gradually progressed from 70% to 140% of their individual walking speed. MAIN OUTCOME MEASURES: were obtained at baseline, after intervention, and 3 months postintervention. Ambulation was measured using the 6-minute walk test (6MWT), during which gross energy consumption (ECS(gross)) and energy cost were calculated. Maximal exercise capacity was measured using an incremental treadmill test. Both VO(2peak) and speed(peak) were recorded as outcome parameters. RESULTS: . After training, significant changes were seen between the groups for 6MWT (P = .002; d = 1.08), speed(peak) (P = .001; d = 1.14), VO(2peak) (P = .034; d = 0.78), and ECS(gross) (P = .004; d = 1.01). Long-term effects were recorded for 6MWT (P = .003; η = 0.34), speed(peak) (P = .003; η = 0.35), and ECS(gross) (P = .014; η = 0.29) but not for VO(2peak). CONCLUSION: . A home-based, progressive treadmill training program for ambulatory children with SB has a large long-term effect on ambulation, with a moderate short-term effect on VO(2peak).
Authors:
Janke F de Groot; Tim Takken; Marco van Brussel; Rob Gooskens; Marja Schoenmakers; Chantal Versteeg; Luc Vanhees; Paul Helders
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-17
Journal Detail:
Title:  Neurorehabilitation and neural repair     Volume:  -     ISSN:  1552-6844     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892086     Medline TA:  Neurorehabil Neural Repair     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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