A randomized controlled trial of web-based training to increase activity in children with cerebral palsy
Aim: To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP). Method: In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30...
| Main Authors: | , , |
|---|---|
| Format: | Journal Article |
| Published: |
Wiley-Blackwell Publishing Ltd.
2016
|
| Online Access: | http://hdl.handle.net/20.500.11937/47542 |
| _version_ | 1848757861025316864 |
|---|---|
| author | Mitchell, L. Ziviani, J. Boyd, Roslyn |
| author_facet | Mitchell, L. Ziviani, J. Boyd, Roslyn |
| author_sort | Mitchell, L. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aim: To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP). Method: In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per week, or usual care (waitlist control) for 20 weeks. Activity capacity was assessed using maximal repetitions of functional strength tasks and 6-minute walk test (6MWT); performance using 4-day ActiGraph GT3X+ accelerometer records at baseline and 20 weeks. Data were analysed by intention to treat comparing between groups using hierarchical linear modelling. Results: Participants were n=101, 52 males, mean age 11 years 3 months (SD 2y 4mo). Intervention participants completed a mean 32.4 hours (SD 17.2) of training, associated with significant improvements in functional strength (mean difference 19.3 repetitions; 95% confidence interval [CI] 10.8–27.7; <0.001) and 6MWT distance (mean difference 38.9m; 95% CI 12.3–51.9; <0.001) compared with the control group at 20 weeks, although not activity performance (>0.05). Interpretation: Training was effective at increasing functional strength and walking endurance in independently ambulant children with unilateral CP. This did not translate into improvements in activity performance. |
| first_indexed | 2025-11-14T09:34:49Z |
| format | Journal Article |
| id | curtin-20.500.11937-47542 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:34:49Z |
| publishDate | 2016 |
| publisher | Wiley-Blackwell Publishing Ltd. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-475422017-09-13T14:09:29Z A randomized controlled trial of web-based training to increase activity in children with cerebral palsy Mitchell, L. Ziviani, J. Boyd, Roslyn Aim: To determine the efficacy of web-based training on activity capacity and performance in children with unilateral cerebral palsy (CP). Method: In a matched-pairs randomized waitlist controlled trial, independently ambulant children and adolescents with unilateral CP were allocated to receive 30 minutes of training (intervention) 6 days per week, or usual care (waitlist control) for 20 weeks. Activity capacity was assessed using maximal repetitions of functional strength tasks and 6-minute walk test (6MWT); performance using 4-day ActiGraph GT3X+ accelerometer records at baseline and 20 weeks. Data were analysed by intention to treat comparing between groups using hierarchical linear modelling. Results: Participants were n=101, 52 males, mean age 11 years 3 months (SD 2y 4mo). Intervention participants completed a mean 32.4 hours (SD 17.2) of training, associated with significant improvements in functional strength (mean difference 19.3 repetitions; 95% confidence interval [CI] 10.8–27.7; <0.001) and 6MWT distance (mean difference 38.9m; 95% CI 12.3–51.9; <0.001) compared with the control group at 20 weeks, although not activity performance (>0.05). Interpretation: Training was effective at increasing functional strength and walking endurance in independently ambulant children with unilateral CP. This did not translate into improvements in activity performance. 2016 Journal Article http://hdl.handle.net/20.500.11937/47542 10.1111/dmcn.13065 Wiley-Blackwell Publishing Ltd. unknown |
| spellingShingle | Mitchell, L. Ziviani, J. Boyd, Roslyn A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title | A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title_full | A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title_fullStr | A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title_full_unstemmed | A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title_short | A randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| title_sort | randomized controlled trial of web-based training to increase activity in children with cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/47542 |