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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/40779
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dc.creatorBhavini Krunalkumar Suranapt_BR
dc.creatorClaudio Luis Ferrept_BR
dc.creatorAshley Dewpt_BR
dc.creatorMarina de Brito Brandãopt_BR
dc.creatorAndrew Michael Gordonpt_BR
dc.creatorNoelle Moreaupt_BR
dc.date.accessioned2022-04-05T13:16:55Z-
dc.date.available2022-04-05T13:16:55Z-
dc.date.issued2019-
dc.citation.volume33pt_BR
dc.citation.issue10pt_BR
dc.citation.spage862pt_BR
dc.citation.epage872pt_BR
dc.identifier.doihttps://doi.org/10.1177%2F1545968319868719pt_BR
dc.identifier.issn1552-6844pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/40779-
dc.description.resumoBackground. Children with unilateral spastic cerebral palsy (USCP) have strength, coordination, and balance deficits affecting gross motor skills, such as walking, running, and jumping. However, there is a paucity of evidence for effective treatments for lower-extremity (LE) function in children with USCP. Objective. To determine the effectiveness of LE intensive functional training (LIFT) compared with an attention control group receiving upper-extremity bimanual training (Hand-Arm Bimanual Intensive Therapy [H-HABIT]). Methods. A total of 24 children with USCP were randomized to receive 90 hours of LIFT (5.8 [2.3] years) or an equivalent dosage of H-HABIT (5.1 [2.6] years) delivered 2 h/d, 5 d/wk for 9 weeks. Caregivers were trained to administer the intervention in the home setting. Progress and skill progression were monitored, and supervision was provided via weekly telerehabilitation. The primary outcome was the 1-minute walk test (1MWT). Secondary outcomes included self-selected and fast walking speeds, ABILOCO-kids, 30-s chair rise test, and single-leg stance. Results. LIFT showed greater improvement for the 1MWT (P = .017) and ABILOCO-kids (P = .008) compared with controls. The other secondary outcomes were not different between groups. Conclusions. The administration of LE intensive interventions in the home setting by caregivers was shown to be an effective and novel mode of delivery for improving gait capacity and performance. LIFT delivered in the home setting using telerehabilitation for monitoring resulted in improvements in ambulation distance and overall walking ability as compared to an intervention of equal intensity and duration that also controlled for the increased social interaction and attention between caregiver and child.pt_BR
dc.description.sponsorshipOutra Agênciapt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE TERAPIA OCUPACIONALpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofNeurorehabilitation and Neural Repairpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectCerebral palsypt_BR
dc.subjectMotor learningpt_BR
dc.subjectMuscle strengthpt_BR
dc.subjectTelemedicinept_BR
dc.subjectHemiplegiapt_BR
dc.subjectGaitpt_BR
dc.subjectRehabilitationpt_BR
dc.subjectBalancept_BR
dc.subjectTelerehabilitationpt_BR
dc.subject.otherParalisia cerebralpt_BR
dc.subject.otherAprendizagem motorapt_BR
dc.subject.otherForça muscularpt_BR
dc.subject.otherTelemedicinapt_BR
dc.subject.otherHemiplegiapt_BR
dc.subject.otherMarchapt_BR
dc.subject.otherReabilitação neurológicapt_BR
dc.subject.otherEquilibriopt_BR
dc.subject.otherTelerreabilitaçãopt_BR
dc.titleEffectiveness of lower-extremity functional training (lift) in young children with unilateral spastic cerebral palsy: a randomized controlled trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://journals.sagepub.com/doi/10.1177/1545968319868719pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-5192-0868pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0002-8732-976Xpt_BR
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