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Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities

BACKGROUND: Home-based training is becoming ever more important with increasing demands on the public health systems. We investigated whether individualized and supervised interactive home-based training delivered through the internet improves functional abilities in children with cerebral palsy (CP...

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Autores principales: Lorentzen, Jakob, Greve, Line Z., Kliim-Due, Mette, Rasmussen, Betina, Bilde, P. E., Nielsen, Jens B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438624/
https://www.ncbi.nlm.nih.gov/pubmed/25956055
http://dx.doi.org/10.1186/s12883-015-0334-0
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author Lorentzen, Jakob
Greve, Line Z.
Kliim-Due, Mette
Rasmussen, Betina
Bilde, P. E.
Nielsen, Jens B.
author_facet Lorentzen, Jakob
Greve, Line Z.
Kliim-Due, Mette
Rasmussen, Betina
Bilde, P. E.
Nielsen, Jens B.
author_sort Lorentzen, Jakob
collection PubMed
description BACKGROUND: Home-based training is becoming ever more important with increasing demands on the public health systems. We investigated whether individualized and supervised interactive home-based training delivered through the internet improves functional abilities in children with cerebral palsy (CP). METHODS: Thirty four children with CP (aged 9–16; mean age 10.9 ± 2.4 years) (GMFCS I-II; MACS I-II) were included in this non-randomized controlled clinical training study. 12 children (aged 7–16; mean age: 11.3+/−0.9 years) were allocated to a control group in which measurements were performed with 20 weeks interval without any intervening training. Daily activities, functional abilities of upper- and lower limbs, and balance were evaluated before, immediately after training and 12 weeks after training. The training consisted of 30 min daily home-based training for 20 weeks delivered through the internet. RESULTS: The training group on average completed 17 min daily training for the 20 week period (total of 40 h of training). The training group showed significant improvements of daily activities (AMPS), upper limb function (AHA) and functional tests of lower limbs (sit to stand, lateral step up, half knee to standing) after 20 weeks of training. No difference was found between the test after 20 weeks of training and the test 12 weeks after training. No significance was reached for balance after training. No difference was found for any parameter for the control group. CONCLUSIONS: Interactive home training of children with CP is an efficient way to deliver training, which can enable functional motor improvements and increased activity to perform daily activities. TRIAL REGISTRATION: ISRCTN13188513. Date of registration: 04/12/2014
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spelling pubmed-44386242015-05-21 Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities Lorentzen, Jakob Greve, Line Z. Kliim-Due, Mette Rasmussen, Betina Bilde, P. E. Nielsen, Jens B. BMC Neurol Research Article BACKGROUND: Home-based training is becoming ever more important with increasing demands on the public health systems. We investigated whether individualized and supervised interactive home-based training delivered through the internet improves functional abilities in children with cerebral palsy (CP). METHODS: Thirty four children with CP (aged 9–16; mean age 10.9 ± 2.4 years) (GMFCS I-II; MACS I-II) were included in this non-randomized controlled clinical training study. 12 children (aged 7–16; mean age: 11.3+/−0.9 years) were allocated to a control group in which measurements were performed with 20 weeks interval without any intervening training. Daily activities, functional abilities of upper- and lower limbs, and balance were evaluated before, immediately after training and 12 weeks after training. The training consisted of 30 min daily home-based training for 20 weeks delivered through the internet. RESULTS: The training group on average completed 17 min daily training for the 20 week period (total of 40 h of training). The training group showed significant improvements of daily activities (AMPS), upper limb function (AHA) and functional tests of lower limbs (sit to stand, lateral step up, half knee to standing) after 20 weeks of training. No difference was found between the test after 20 weeks of training and the test 12 weeks after training. No significance was reached for balance after training. No difference was found for any parameter for the control group. CONCLUSIONS: Interactive home training of children with CP is an efficient way to deliver training, which can enable functional motor improvements and increased activity to perform daily activities. TRIAL REGISTRATION: ISRCTN13188513. Date of registration: 04/12/2014 BioMed Central 2015-05-10 /pmc/articles/PMC4438624/ /pubmed/25956055 http://dx.doi.org/10.1186/s12883-015-0334-0 Text en © Lorentzen et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Lorentzen, Jakob
Greve, Line Z.
Kliim-Due, Mette
Rasmussen, Betina
Bilde, P. E.
Nielsen, Jens B.
Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title_full Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title_fullStr Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title_full_unstemmed Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title_short Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
title_sort twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4438624/
https://www.ncbi.nlm.nih.gov/pubmed/25956055
http://dx.doi.org/10.1186/s12883-015-0334-0
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