Early Intensive Leg Training to Enhance Walking in Children With Perinatal Stroke: Protocol for a Randomized Controlled Trial | Zendy

Caitlin Hurd | Zendy; Donna Livingstone | Zendy; Kelly Brunton | Zendy; Michelle Teves | Zendy; Ephrem Zewdie | Zendy; Allison Smith | Zendy; Patrick Ciechanski | Zendy; Monica A. Gorassini | Zendy; Adam Kirton | Zendy; ManJoe Watt | Zendy; John Andersen | Zendy; Jerome Y. Yager | Zendy; Jaynie F. Yang | Zendy

Open Access

Early Intensive Leg Training to Enhance Walking in Children With Perinatal Stroke: Protocol for a Randomized Controlled Trial

Author(s) -

Caitlin Hurd,

Donna Livingstone,

Kelly Brunton,

Michelle Teves,

Ephrem Zewdie,

Allison Smith,

Patrick Ciechanski,

Monica A. Gorassini,

Adam Kirton,

ManJoe Watt,

John Andersen,

Jerome Y. Yager,

Jaynie F. Yang

Publication year - 2017

Publication title -

physical therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.998

H-Index - 150

eISSN - 1538-6724

pISSN - 0031-9023

DOI - 10.1093/ptj/pzx045

Subject(s) - randomized controlled trial , medicine , physical medicine and rehabilitation , physical therapy , intensive care , stroke (engine) , hemiparesis , intervention (counseling) , transcranial magnetic stimulation , rehabilitation , surgery , stimulation , mechanical engineering , lesion , psychiatry , intensive care medicine , engineering

Development of motor pathways is modulated by activity in these pathways, when they are maturing (ie, critical period). Perinatal stroke injures motor pathways, including the corticospinal tracts, reducing their activity and impairing motor function. Current intervention for the lower limb emphasizes passive approaches (stretching, braces, botulinum toxin injections). The study hypothesis was that intensive, early, child-initiated activity during the critical period will enhance connectivity of motor pathways to the legs and improve motor function.

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