Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations
This study aimed to evaluate the effect of treadmill training at different inclinations on balance, strength, flexibility, and gait parameters in children with cerebral palsy in addition to traditional physiotherapy applications. Forty-two participants with cerebral palsy aged 7–18 years and at Gros...
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Pamukkale University
2025-04-01
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| Series: | Pamukkale Spor Bilimleri Dergisi |
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| Online Access: | https://dergipark.org.tr/en/download/article-file/4313990 |
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| author | Neşe Toktaş Hande Şenol Mustafa Hapak Ahmet Alptekin Berna Ramanlı |
| author_facet | Neşe Toktaş Hande Şenol Mustafa Hapak Ahmet Alptekin Berna Ramanlı |
| author_sort | Neşe Toktaş |
| collection | DOAJ |
| description | This study aimed to evaluate the effect of treadmill training at different inclinations on balance, strength, flexibility, and gait parameters in children with cerebral palsy in addition to traditional physiotherapy applications. Forty-two participants with cerebral palsy aged 7–18 years and at Gross Motor Function Classification System level II were randomized into three groups: downhill walking, uphill walking, and walking with no incline. Balance, isometric strength, flexibility, and gait parameters were assessed at baseline (2nd week) and at 11th week. The groups were provided with treadmill training and conventional treatment. All groups showed improvement in balance. Isometric strength values showed improvement in knee flexion on the affected side for both downhill walking and uphill walking groups, as well as in knee extension force for the uphill walking and walking with no incline groups. In flexibility, hip flexion, hip extension, and ankle dorsiflexion improved in all groups, while knee flexion and ankle plantar flexion improved only in downhill walking and walking with no incline. The duration of the modified timed up-and-go test showed significant improvements in both the downhill walking and uphill walking groups. Treadmill training performed at different inclinations improved balance, isometric strength, flexibility, and gait parameters on both the affected and less affected sides. |
| format | Article |
| id | doaj-art-f6b84acba14e4df08a32b1a3bee6e749 |
| institution | Kabale University |
| issn | 1309-0356 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Pamukkale University |
| record_format | Article |
| series | Pamukkale Spor Bilimleri Dergisi |
| spelling | doaj-art-f6b84acba14e4df08a32b1a3bee6e7492025-08-20T03:48:52ZengPamukkale UniversityPamukkale Spor Bilimleri Dergisi1309-03562025-04-0116113315310.54141/psbd.1573314218Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable InclinationsNeşe Toktaş0https://orcid.org/0000-0002-3206-6536Hande Şenol1https://orcid.org/0000-0001-6395-7924Mustafa Hapak2https://orcid.org/0000-0002-4425-1229Ahmet Alptekin3https://orcid.org/0000-0002-5807-0699Berna Ramanlı4https://orcid.org/0000-0001-8324-3312AKDENIZ UNIVERSITYPAMUKKALE UNIVERSITYPAMUKKALE UNIVERSITYPAMUKKALE UNIVERSITYPAMUKKALE UNIVERSITYThis study aimed to evaluate the effect of treadmill training at different inclinations on balance, strength, flexibility, and gait parameters in children with cerebral palsy in addition to traditional physiotherapy applications. Forty-two participants with cerebral palsy aged 7–18 years and at Gross Motor Function Classification System level II were randomized into three groups: downhill walking, uphill walking, and walking with no incline. Balance, isometric strength, flexibility, and gait parameters were assessed at baseline (2nd week) and at 11th week. The groups were provided with treadmill training and conventional treatment. All groups showed improvement in balance. Isometric strength values showed improvement in knee flexion on the affected side for both downhill walking and uphill walking groups, as well as in knee extension force for the uphill walking and walking with no incline groups. In flexibility, hip flexion, hip extension, and ankle dorsiflexion improved in all groups, while knee flexion and ankle plantar flexion improved only in downhill walking and walking with no incline. The duration of the modified timed up-and-go test showed significant improvements in both the downhill walking and uphill walking groups. Treadmill training performed at different inclinations improved balance, isometric strength, flexibility, and gait parameters on both the affected and less affected sides.https://dergipark.org.tr/en/download/article-file/4313990downhill walkinggait analysisrange of motiontreadmill traininguphill walking |
| spellingShingle | Neşe Toktaş Hande Şenol Mustafa Hapak Ahmet Alptekin Berna Ramanlı Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations Pamukkale Spor Bilimleri Dergisi downhill walking gait analysis range of motion treadmill training uphill walking |
| title | Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations |
| title_full | Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations |
| title_fullStr | Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations |
| title_full_unstemmed | Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations |
| title_short | Enhancing Balance, Strength, Flexibility and Spatiotemporal Gait Parameters in Pediatric Cerebral Palsy: Treadmill Training at Variable Inclinations |
| title_sort | enhancing balance strength flexibility and spatiotemporal gait parameters in pediatric cerebral palsy treadmill training at variable inclinations |
| topic | downhill walking gait analysis range of motion treadmill training uphill walking |
| url | https://dergipark.org.tr/en/download/article-file/4313990 |
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