Category: Pediatric Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective : To evaluate the effect of applying a newly method, weight baring alignment training(WBAT), on correcting anterior pelvic tilt of children with cerebral palsy.
Design : The effect of weight baring alignment training on anterior pelvic tilt in children with cerebral palsy：a randomized controlled trial
Xinghai Hosiptal of Suzhou Industrial Park
Participants (or Animals, Specimens, Cadavers) :
Twenty-seven children with cerebral palsy and anterior pelvic tilt were recruited.
Interventions : All the 3 groups were given routine rehabilitation treatment. Group 1 was added to weight baring alignment training. Group 2 was added to muscle strength training. Group 3 was added to standing training.
Main Outcome Measure(s) : Before and immediately after the treatment, the subjects were assessed using the anterior superior iliac spine-posterior superior iliac spine angle(ASIS-PSIS angle), anterior-posterior angle(A-P angle) and distances of 1 min walk test.
Results : The WBAT group showed significant improvement in their ASIS-PSIS angle (（18.61±3.13）° ) , A-P angle (（23.31±3.81）° ) and distances of 1 min walk test (（26.81±12.61）m ) after the treatment, while the standing group had significant progress in their A-P angle(（24.48±4.33）° ), and the strengthening group had significant improvement in distances of 1 min walk test(（21.07±8.45）m) after the treatment. The WBAT group showed significantly better progress in terms of their ASIS-PSIS angle and distances of 1 min walk test than the other 2 groups.The WBAT was well tolerated and did not cause any severe adverse effects.
WBAT improves anterior pelvic tilt in children with cerebral palsy and the effects were prior to the strengthening and standing trainings.
Ying Hou– Deputy director, The Affiliated Suzhou of Nanjing Medical University, Suzhou, Jiangsu