Repeatability of net mechanical efficiency during stair climbing in children with cerebral palsy

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
S Bar-HaimMark Belokopytov

Abstract

To determine the smallest significant change in mechanical efficiency (MEnet) measured by a stair-climbing test. Duplicate stair-climbing tests (T1 and T2), with more than a 30-minute rest between, were performed by 51 children with diplegic cerebral palsy (CP) at levels II and III of Gross Motor Function Classification System (GMFCS) and 9 children with typical development, aged 5.5 to 13.0 years. The T2 versus T1 slope values of MEnet for CP and typical development did not significantly differ from 1.00. MEnet was significantly higher for GMFCS level II (7.0%) than level III (1.2%). The mean percentage of difference was 7.8% (T2 > T1) for the children with CP, with a 95% confidence interval of -39% to +54%. The 95% confidence interval for MEnet scores computed from the standard error of the mean (SEM) of the percentage of differences was 4.0 to 4.5 for CP. An increase of >13.4% in MEnet score (eg, mean increase from 4.0% to 4.5%) can indicate improved motor status resulting from interventions.

References

Aug 1, 1975·Developmental Medicine and Child Neurology·A Lundberg
Sep 1, 1966·Journal of Applied Physiology·R MargariaE Rovelli
Jul 13, 1996·BMJ : British Medical Journal·J M Bland, D G Altman
Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Jul 1, 1993·Developmental Medicine and Child Neurology·J Jones, J F McLaughlin
Nov 27, 1999·Gait & Posture·R L Waters, S Mulroy
Jun 1, 1995·Journal of Motor Behavior·K J HoltJ Hamill
Jun 1, 1987·Journal of Motor Behavior·W A Sparrow, V M Irizarry-Lopez
Sep 1, 2004·Gait & Posture·Simona Bar-HaimAlexander Frank
Dec 2, 2006·Journal of Motor Behavior·Brook Galna, William A Sparrow
Dec 23, 2006·Developmental Psychobiology·Celia L Moore
Jan 11, 2007·Developmental Medicine and Child Neurology·Merel-Anne BrehmJaap Harlaar

❮ Previous
Next ❯

Citations

Aug 13, 2014·Disability and Rehabilitation·Netta HarriesUNKNOWN MESF Project
Jun 26, 2010·Clinical Rehabilitation·Simona Bar-HaimUNKNOWN MERC project

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.