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KMID : 0357220190310050292
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Journal of Korean Society Physical Therapy
2019 Volume.31 No. 5 p.292 ~ p.297
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Effects of Backward Walking Training with Task Orientation on the Functional Gait of Children with Spastic Hemiplegia
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Choi Ji-Young
Son Sung-Min
Kim Chang-Ju
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Abstract
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Purpose: This study examined the effects of backward walking training with task orientation on the functional walking ability of children with cerebral palsy.
Methods: This study was a single-blinded, randomized controlled trial with a crossover design conducted at a single rehabilitation facility with cross-over to the other intervention arm following a two-week break. For a total of 12 children with spastic hemiplegia cerebral palsy, the forward walking training group (n=6) underwent training three times a week for three weeks, 40 minutes a day, and the backward walking training group (n=6) was also trained under the same conditions. To identify the functional walking ability, variables, such as the walking speed, stride length, and step length, were measured using a walk analyzer (OptoGait, Microgate S.r.l, Italy).
Results: Both groups showed significant increases in walking speed, stride length, and step length (p<0.01). The backward walking group showed more significant improvement in the walking speed from pre- to post-test (p<0.05). The gait characteristics were similar in the two groups (stride length and step length) but the walking speed in the backward walking group showed a mean difference between the positive effects higher than the forward walking group.
Conclusion: Task-oriented backward walking training, which was conducted on the ground, may be a more effective treatment approach for improving the walking functions of spastic hemiplegia children than forward walk training.
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KEYWORD
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Backward walking, Gait, Task-orientation, Cerebral palsy
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