The functional effect of segmental trunk and head control training in moderate-to-severe cerebral palsy: A randomized controlled trial

Derek John Curtis, Marjorie Woollacott, Jesper Bencke, Hanne Bloch Lauridsen, Sandy Saavedra, Thomas Bandholm, Stig Sonne-Holm

4 Citations (Scopus)

Abstract

PURPOSE: To determine whether segmental training is more effective in improving gross motor function in children and young people with moderate-to-severe cerebral palsy than conventional physiotherapy.

METHODS: Twenty-eight participants were randomized to a segmental training or control group. Outcomes were Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), Segmental Assessment of Trunk Control (SATCo), and postural sway at baseline, at primary endpoint (6 months), and at follow-up (12 months).

RESULTS: There were no significant differences in either GMFM, PEDI, or SATCo scores at primary endpoint or follow-up. There were significant reductions in anterior-posterior head angular sway and trunk sway in the segmental training group at primary endpoint but not at follow-up.

CONCLUSION: Segmental training was not superior to usual care in improving GMFM. Improvements in head and trunk sway were greater in the segmental training group at primary endpoint but not at follow-up.

Original languageEnglish
JournalDevelopmental Neurorehabilitation
Volume21
Issue number2
Pages (from-to)91-100
Number of pages10
ISSN1751-8423
DOIs
Publication statusPublished - 17 Feb 2018

Keywords

  • Cerebral Palsy/rehabilitation
  • Child
  • Child, Preschool
  • Exercise Therapy/methods
  • Female
  • Head Movements
  • Humans
  • Male
  • Motor Skills
  • Neurological Rehabilitation/methods
  • Posture

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