Impact of Backward Gait Training on Mediolateral stability index in Children with Hemiparesis
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 8
Abstract
Background: Children with hemiplegia suffer from many problem such as difficulty in balance because of poor muscle control of the arm and leg on one side of the body and the trunk may also be affected. The importance of balance can be seen in every aspect of daily living as: walking up and down stairs, bending over to tie shoes or even in standing still. Backward walking (BW) may offer some benefits especially in balance and motor control ability beyond those experienced through forward walking (FW), and may be a potential intervention for prevention of falls. Objective: To investigate the impact of backward gait training using treadmill on Mediolateral stability index in hemiparetic C.P children Methods: In this study, thirty hemiparetic C.P children of both sexes were classified randomly into two groups of equal number 15 patients each, (A&B); Group (A) represents the control group; children in this group aged from 5 to 7 years, received regular physical therapy program based on neurodevelopmental approach used for rehabilitation of such patients. Group (B) represents the study group; children in this group aged from 5 to 7 years, received the same regular physical therapy program applied on the control group in addition to 20 min backward gait training using treadmill. The rehabilitation program was conducted for both groups three times per week over a period of six successive weeks. Mediolateral stability index was assessed by using Biodex stability system for both groups conducted before starting www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x Rania G.E.Abdou et al JMSCR Volume 2 Issue 8 August 2014 Page 2043 JMSCR Volume||2||Issue||8||Page 2042-2049||August-2014 2014 physical therapy program, after 3 weeks and 6 weeks of treatment. Results: The result of this study revealed no statistically significant difference between the two groups before treatment and after 3 weeks of treatment. After 6 weeks of treatment there was significant improvement in the two groups. The results also showed significant difference between the two groups after 6 weeks of treatment in favor of the study group Conclusion: These findings suggest that adding Backward Gait Training to the physiotherapy program improve Mediolateral stability index in Children with Hemiparesis. The outcomesof the study highlight the role of BW in improvement of balance in children with hemiparesis
Authors and Affiliations
Rania G. E. Abdou
Keywords
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