Effectiveness of lower-extremity functional training (lift) in young children with unilateral spastic cerebral palsy: a randomized controlled trial

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dc.creatorBhavini Krunalkumar Surana
dc.creatorClaudio Luis Ferre
dc.creatorAshley Dew
dc.creatorMarina de Brito Brandão
dc.creatorAndrew Michael Gordon
dc.creatorNoelle Moreau
dc.date.accessioned2022-04-05T13:16:55Z
dc.date.accessioned2025-09-09T01:28:26Z
dc.date.available2022-04-05T13:16:55Z
dc.date.issued2019
dc.description.sponsorshipOutra Agência
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1177%2F1545968319868719
dc.identifier.issn1552-6844
dc.identifier.urihttps://hdl.handle.net/1843/40779
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofNeurorehabilitation and Neural Repair
dc.rightsAcesso Aberto
dc.subjectParalisia cerebral
dc.subjectAprendizagem motora
dc.subjectForça muscular
dc.subjectTelemedicina
dc.subjectHemiplegia
dc.subjectMarcha
dc.subjectReabilitação neurológica
dc.subjectEquilibrio
dc.subjectTelerreabilitação
dc.subject.otherCerebral palsy
dc.subject.otherMotor learning
dc.subject.otherMuscle strength
dc.subject.otherTelemedicine
dc.subject.otherHemiplegia
dc.subject.otherGait
dc.subject.otherRehabilitation
dc.subject.otherBalance
dc.subject.otherTelerehabilitation
dc.titleEffectiveness of lower-extremity functional training (lift) in young children with unilateral spastic cerebral palsy: a randomized controlled trial
dc.typeArtigo de periódico
local.citation.epage872
local.citation.issue10
local.citation.spage862
local.citation.volume33
local.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.
local.identifier.orcidhttps://orcid.org/ 0000-0001-5192-0868
local.identifier.orcidhttps://orcid.org/ 0000-0002-8732-976X
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE TERAPIA OCUPACIONAL
local.publisher.initialsUFMG
local.url.externahttps://journals.sagepub.com/doi/10.1177/1545968319868719

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