Reference Centiles to Monitor the 6-minute-walk Test in Ambulant Children with Cerebral Palsy and Identification of Effects after Rehabilitation Utilizing Whole-body Vibration

K. Martakis*, C. Stark, M. Rehberg, O. Semler, I. Duran, E. Schoenau

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background Children with cerebral palsy present age-driven development in gross motor skills and walking capacity. Aims To precisely monitor the 6-minute walk test (6MWT) in children with CP, GMFCS levels 1 and 2 over 6 months and to assess the effect of a 6-month rehabilitation program including whole-body vibration. Methods Retrospective analysis of data of 157 children with CP who received standardized rehabilitation (DRKS00011331). 6MWT was assessed at the start (M0) and end of the training (M6), as well as at a 6-month follow-up (M12). Centiles were created using the lambda-mu-sigma (LMS) method. Results We created 6MWT percentiles using data of all 157 children (M0 data). A medium treatment effect size (Cohen's d = 0.69) was found (M6 and M12 data). Conclusions The generated centiles may help monitor 6MWT changes over 6 months. Combining WBV and conventional physiotherapy can significantly improve 6MWT in children with CP.
Original languageEnglish
Pages (from-to)45-55
Number of pages11
JournalDevelopmental Neurorehabilitation
Volume24
Issue number1
DOIs
Publication statusPublished - 2 Jan 2021

Keywords

  • 6-minute walk test
  • adolescents
  • capacity
  • centile curves
  • cerebral palsy
  • effect size
  • gross motor function
  • reference values
  • reliability
  • reproducibility
  • system
  • walk test
  • walking capacity
  • whole-body vibration
  • SYSTEM
  • Cerebral palsy
  • CAPACITY
  • WALK TEST
  • RELIABILITY
  • GROSS MOTOR FUNCTION
  • REPRODUCIBILITY
  • REFERENCE VALUES
  • ADOLESCENTS

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