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One-Minute Walk Test in Children with Cerebral Palsy GMFCS Level 1 and 2: Reference Values to Identify Therapeutic Effects after Rehabilitation.
Developmental Neurorehabilitation ( IF 1.1 ) Pub Date : 2019-06-10 , DOI: 10.1080/17518423.2019.1625981
Kyriakos Martakis 1, 2, 3, 4 , Christina Stark 1 , Mirko Rehberg 1 , Oliver Semler 1 , Ibrahim Duran 2 , Eckhard Schoenau 1, 2
Affiliation  

Background: Children with cerebral palsy (CP) show age-driven development and individual fluctuations in walking capacity. Aim: 1. To precisely quantify 1MWT changes in children with CP, GMFCS level 1 and 2, generating 1MWT percentiles, depicting expected development over 6 months; 2. to assess the effect of a 6-month rehabilitation using whole-body vibration (WBV). Methods: Retrospective data analysis in 210 children with CP, GMFCS 1 and 2 who received standardized rehabilitation (DRKS00011331). 1MWT was assessed before (M0) and after treatment (M6), and at a 6-month follow-up (M12). Centiles were created using the lambda-mu-sigma method. Cohen's d was used to assess effect size. Results: We created 1MWT percentiles using data of all 210 children (M0 data). A small treatment effect size (d = 0.46) was found (M6 and M12 data). Conclusions: Using the generated centiles clinicians may monitor 1MWT changes over 6 months. Combining WBV and conventional physiotherapy may improve 1MWT in children with CP. Abbreviations: 1MWT: One-Minute Walk Test; 6MWT: Six-Minute Walk Test; CP: Cerebral palsy; ES: effect size; GMFCS: Gross Motor Function Classification System; GMFM-66: Gross Motor Function Measure 66; LOESS: Locally Estimated Scatterplot Smoothing; LMS: lambda-mu-sigma; SD: standard deviation; WBV: whole-body-vibration.

中文翻译:

脑性瘫痪GMFCS 1级和2级儿童的一分钟步行测试,用于识别康复后的治疗效果的参考值。

背景:脑性瘫痪(CP)儿童表现出年龄驱动的发育和步行能力的个体波动。目的:1.精确量化患有CP,GMFCS 1级和2级儿童的1MWT变化,产生1MWT百分位,描绘6个月的预期发展;2.使用全身振动(WBV)评估六个月康复的效果。方法:回顾性分析210例接受标准化康复治疗的CP,GMFCS 1和2的儿童(DRKS00011331)。在治疗前(M0)和治疗后(M6)以及6个月的随访(M12)评估了1MWT。使用lambda-mu-sigma方法创建分数。Cohen d用于评估效应量。结果:我们使用所有210个孩子的数据(M0数据)创建了1MWT百分位数。发现较小的治疗效果大小(d = 0.46)(M6和M12数据)。结论:使用生成的百分位数,临床医生可以监视6个月内1MWT的变化。WBV与常规理疗相结合可改善CP儿童的1MWT。缩写:1MWT:一分钟步行测试;6MWT:六分钟步行测试;CP:脑瘫;ES:效果大小;GMFCS:运动功能总分类系统;GMFM-66:运动功能总测值66;黄土:局部估计散点图平滑;LMS:lambda-mu-sigma;SD:标准偏差;WBV:全身振动。局部估计的散点图平滑;LMS:lambda-mu-sigma;SD:标准偏差;WBV:全身振动。局部估计的散点图平滑;LMS:lambda-mu-sigma;SD:标准偏差;WBV:全身振动。
更新日期:2020-04-23
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