Document Detail


Treadmill training in moderate risk preterm infants promotes stepping quality-Results of a small randomised controlled trial.
MedLine Citation:
PMID:  24012586     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Infants at risk for neuromotor delay (NMD) are associated with premature birth and low birth weight. These infants frequently exhibit tone, posture, and movement abnormalities. Therefore, it is important to identify potential interventions to facilitate early motor development within this population. The purpose of this study was to examine the potential benefits of treadmill (TM) training in infants at risk for NMD. Furthermore, relationships between TM stepping performance and onset of walking have been suggested, and therefore, were also explored. Twenty-eight infants at moderate risk for NMD were randomly assigned to one of two groups: (1) TM training (experimental) (N=15) or (2) control (N=13). Infants in the experimental group were trained for 8min/day, five days/week from study entry until walking onset. Monthly, 5min of TM stepping performance were videotaped and analysed for infants in both groups to obtain frequency and quality of TM stepping. Groups were different in terms of TM stepping performance with experimental group displaying better stepping. However, they did not differ in age of walking onset (experimental=15.1 months, control=14.6 months). In both groups, frequency of TM stepping was significantly related to onset of walking. Findings suggest that TM training as implemented impact the quality of TM stepping, but did not significantly improve walking onset. Given the significant relationship between stepping and walking onset, the moderate affection of the population, the relative low intensity and lack of individualisation of the training, we suggest future research should further explore the impact of TM training on gait-related variables and include individualised, more intense, and prolonged training.
Authors:
R M Angulo-Barroso; C Tiernan; L C Chen; M Valentin-Gudiol; D Ulrich
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-9-3
Journal Detail:
Title:  Research in developmental disabilities     Volume:  34     ISSN:  1873-3379     ISO Abbreviation:  Res Dev Disabil     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-9-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709782     Medline TA:  Res Dev Disabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  3629-3638     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Health and Applied Sciences, INEFC University of Barcelona, Spain; Kinesiology, University of Michigan, Ann Arbor, MI, USA. Electronic address: rangulo@gencat.cat.
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