Endurance and Gait in Children With Cerebral Palsy After Intensive Body Weight-Supported Treadmill Training

In Brief Purpose: This study was designed to investigate changes in endurance, functional gait, and balance after intensive body weight-supported treadmill training in children with CP who were ambulatory. Methods: Six school-aged children with CP (four boys, two girls; age range: six to 14 years) participated in an intensive program of body weight-supported treadmill training 30 minutes twice daily for two weeks. Results: Statistically significant improvement in walking velocity and energy expenditure were observed. Variability of individual outcomes was observed with some children showing positive changes, and others no change or a decline in performance. Four children showed minimal detectable changes in a positive direction on both an endurance measure and a functional gait measure. Each endurance and functional gait measure included at least one child with a positive minimal detectable change. Conclusion: Intensive body weight-supported treadmill training may be an effective intervention for some children with CP who are ambulatory. The results of the study show that intensive BWSTT may be an effective intervention to improve functional gait and endurance for some children with cerebral palsy who are ambulatory.