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A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study

Children with cerebral palsy (CP) have motor impairments that make it challenging for them to participate in standard physical activity (PA) interventions. There is a need to evaluate adapted PA interventions for this population. Dance can promote coordination, posture, muscle strength, motor learni...

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Autores principales: Lakes, Kimberley D., Sharp, Kelli, Grant-Beuttler, Marybeth, Neville, Ross, Haddad, Fadia, Sunico, Rachel, Ho, Daniel, Schneider, Melinda, Sawitz, Sofia, Paulsen, Janine, Caputo, Kim, Lu, Kim D., Aminian, Afshin, López-Ortiz, Citlali, Radom-Aizik, Shlomit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603155/
https://www.ncbi.nlm.nih.gov/pubmed/31294009
http://dx.doi.org/10.3389/fpubh.2019.00137
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author Lakes, Kimberley D.
Sharp, Kelli
Grant-Beuttler, Marybeth
Neville, Ross
Haddad, Fadia
Sunico, Rachel
Ho, Daniel
Schneider, Melinda
Sawitz, Sofia
Paulsen, Janine
Caputo, Kim
Lu, Kim D.
Aminian, Afshin
López-Ortiz, Citlali
Radom-Aizik, Shlomit
author_facet Lakes, Kimberley D.
Sharp, Kelli
Grant-Beuttler, Marybeth
Neville, Ross
Haddad, Fadia
Sunico, Rachel
Ho, Daniel
Schneider, Melinda
Sawitz, Sofia
Paulsen, Janine
Caputo, Kim
Lu, Kim D.
Aminian, Afshin
López-Ortiz, Citlali
Radom-Aizik, Shlomit
author_sort Lakes, Kimberley D.
collection PubMed
description Children with cerebral palsy (CP) have motor impairments that make it challenging for them to participate in standard physical activity (PA) interventions. There is a need to evaluate adapted PA interventions for this population. Dance can promote coordination, posture, muscle strength, motor learning, and executive functioning. This pilot study evaluated the feasibility and the effects of a new therapeutic ballet intervention specifically designed for children with CP. Methods: Eight children with CP (9–14 y/o; 75% female) participated in a 6-week therapeutic ballet intervention. Outcomes were measured in multiple domains, including body composition (DXA), muscle strength (hand-grip dynamometer), habitual physical activity, gait and selective motor control functions, and executive functioning. Follow-up assessments of habitual physical activity, gait, and executive functioning were completed 4 to 5 weeks post-intervention. Results: Five of the eight participants were overfat or obese based on DXA percentage of body fat. All participants were below the 50th percentile for their age and gender for bone density. Four participants showed a trend to improve hand-grip strength in one hand only, while one improved in both hands. There were significant improvements in gait across time points (pre, post, and follow-up), specifically in time of ambulation (X(pre) = 4.36, X(post) = 4.22, X(follow−up) = 3.72, d = 0.056, p = 0.02), and in step length (cm) on the right: X(pre) = 48.29, X(post) = 50.77, X(follow−up) = 52.11, d = 0.22, p = 0.027, and left stride: X(pre) = 96.29, X(post) = 102.20, X(follow−up) = 104.20, d = 0.30, p = 0.027, indicating gait changes in bilateral lower extremities. There was improvement in inhibitory control (d = 0.78; 95% Confidence Limit = ±0.71, p < 0.05) with large individual responses primarily among those above the mean at baseline. Conclusions: Therapeutic ballet may prove to be a useful intervention to promote physiological and cognitive functions in children with CP. Results demonstrated feasibility of the physical, physiological, and cognitive assessments and suggested improvements in participants' gait and inhibitory control with large individual responses. Modifications to personalize the intervention may be needed to optimize positive outcomes. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03681171
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spelling pubmed-66031552019-07-10 A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study Lakes, Kimberley D. Sharp, Kelli Grant-Beuttler, Marybeth Neville, Ross Haddad, Fadia Sunico, Rachel Ho, Daniel Schneider, Melinda Sawitz, Sofia Paulsen, Janine Caputo, Kim Lu, Kim D. Aminian, Afshin López-Ortiz, Citlali Radom-Aizik, Shlomit Front Public Health Public Health Children with cerebral palsy (CP) have motor impairments that make it challenging for them to participate in standard physical activity (PA) interventions. There is a need to evaluate adapted PA interventions for this population. Dance can promote coordination, posture, muscle strength, motor learning, and executive functioning. This pilot study evaluated the feasibility and the effects of a new therapeutic ballet intervention specifically designed for children with CP. Methods: Eight children with CP (9–14 y/o; 75% female) participated in a 6-week therapeutic ballet intervention. Outcomes were measured in multiple domains, including body composition (DXA), muscle strength (hand-grip dynamometer), habitual physical activity, gait and selective motor control functions, and executive functioning. Follow-up assessments of habitual physical activity, gait, and executive functioning were completed 4 to 5 weeks post-intervention. Results: Five of the eight participants were overfat or obese based on DXA percentage of body fat. All participants were below the 50th percentile for their age and gender for bone density. Four participants showed a trend to improve hand-grip strength in one hand only, while one improved in both hands. There were significant improvements in gait across time points (pre, post, and follow-up), specifically in time of ambulation (X(pre) = 4.36, X(post) = 4.22, X(follow−up) = 3.72, d = 0.056, p = 0.02), and in step length (cm) on the right: X(pre) = 48.29, X(post) = 50.77, X(follow−up) = 52.11, d = 0.22, p = 0.027, and left stride: X(pre) = 96.29, X(post) = 102.20, X(follow−up) = 104.20, d = 0.30, p = 0.027, indicating gait changes in bilateral lower extremities. There was improvement in inhibitory control (d = 0.78; 95% Confidence Limit = ±0.71, p < 0.05) with large individual responses primarily among those above the mean at baseline. Conclusions: Therapeutic ballet may prove to be a useful intervention to promote physiological and cognitive functions in children with CP. Results demonstrated feasibility of the physical, physiological, and cognitive assessments and suggested improvements in participants' gait and inhibitory control with large individual responses. Modifications to personalize the intervention may be needed to optimize positive outcomes. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03681171 Frontiers Media S.A. 2019-06-25 /pmc/articles/PMC6603155/ /pubmed/31294009 http://dx.doi.org/10.3389/fpubh.2019.00137 Text en Copyright © 2019 Lakes, Sharp, Grant-Beuttler, Neville, Haddad, Sunico, Ho, Schneider, Sawitz, Paulsen, Caputo, Lu, Aminian, López-Ortiz and Radom-Aizik. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Lakes, Kimberley D.
Sharp, Kelli
Grant-Beuttler, Marybeth
Neville, Ross
Haddad, Fadia
Sunico, Rachel
Ho, Daniel
Schneider, Melinda
Sawitz, Sofia
Paulsen, Janine
Caputo, Kim
Lu, Kim D.
Aminian, Afshin
López-Ortiz, Citlali
Radom-Aizik, Shlomit
A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title_full A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title_fullStr A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title_full_unstemmed A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title_short A Six Week Therapeutic Ballet Intervention Improved Gait and Inhibitory Control in Children With Cerebral Palsy—A Pilot Study
title_sort six week therapeutic ballet intervention improved gait and inhibitory control in children with cerebral palsy—a pilot study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603155/
https://www.ncbi.nlm.nih.gov/pubmed/31294009
http://dx.doi.org/10.3389/fpubh.2019.00137
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