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To investigate the effects of a 12-week split-belt treadmill walking (Sb-TW) practice using an error augmentation strategy on temporospatial gait asymmetries, dynamic balance, and locomotor capacity in adolescents with unilateral cerebral palsy (ULCP). Fifty-two adolescents with ULCP (age: 10–16 years) were randomized into either the Sb-TW group ( n  = 26; underwent repeated Sb-TW practice, with exaggeration of the initial step-length asymmetry, three times/week, for 12 sequential weeks) or control group ( n  = 26; received equivalent dosages of traditional single-belt treadmill training). Step-length and swing-time asymmetries, directional (LoS directional ) and overall (LoS overall ) limits of stability, and locomotor capacity [6-minute walk test (6-MWT), Timed Up and Down Stair test (TUDS), and 10-m Shuttle Run Test (10mSRT)] were assessed pre- and post-intervention. The Sb-TW group demonstrated more favorable changes in step-length asymmetry ( p  &lt; .001,  η2partial  = 0.27), LoS directional  [affected side direction ( p  = .033,  η2partial  = 0.09), forward direction ( p  = .004,  η2partial  = 0.16), and backward direction ( p  = .01,  η2partial  = 0.12)], and LoS overall  ( p  &lt; .001,  η2partial  = 0.31) than the control group. Also, the Sb-TW group showed significantly higher locomotor capacity [6-MWT ( p  &lt; .001,  η2partial  = 0.38), TUDS ( p  = .032,  η2partial  = 0.09), 10mSRT ( p  = .021,  η2partial  = 0.10)] as compared to the control group. The Sb-TW-induced adaptations can be capitalized on for remediating spatial gait asymmetry, dynamic balance deficits, and impaired locomotor performance in adolescents with ULCP.

physical and occupational therapy in pediatrics

Exploring Temporospatial Gait Asymmetry, Dynamic Balance, and Locomotor Capacity After a 12-Week Split-Belt Treadmill Training in Adolescents with Unilateral Cerebral Palsy: A Randomized Clinical Study