Effect of simultaneous proprioceptive-visual feedback on gait of children with spastic diplegic cerebral palsy

摘要

Objective: to evaluate the effect of simultaneous proprioceptive - visual training on gait parameters in children withspastic diplegic cerebral palsy. Background: Feedback is a very crucial feature of motor control via motor learning. Thevisual and proprioceptive information are important regulatory mechanisms of motor control, functional activities andparticipation in daily activities in children with cerebral palsy. Method: gait parameters of 30 spastic diplegic children(age range 4-6 years) were evaluated before and after treatment by Tekscan’s Walkway Pressure system. They wererandomly and equally assigned into two groups (study and control). All children received regular therapeutic exerciseprogram for one hour. In control group walked for 30 minutes without feedback, while those in study group walked for 30minutes with proprioceptive-visual feedback. Duration of treatment was 3 times/week for 8 successive weeks. Results:There were significant differences after treatment in spatial parameters and temporal parameters of both groups withmore improvement in study group than control one, and insignificant difference in kinetic gait parameters. Conclusion: thesimultaneous proprioceptive - visual training might improve spatial and temporal gait parameters with no effect on kineticgait parameters of children with spastic diplegic cerebral palsy.