Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy

Research output: Contribution to journal › Journal article › Research › peer-review

Standard

Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy. / Lorentzen, Jakob; Kirk, Henrik; Fernandez-Lago, Helena; Frisk, Rasmus Feld; Nielsen, Nanna Scharff; Jorsal, Martin; Nielsen, Jens Bo.

In: Disability and Rehabilitation, Vol. 39, No. 10, 2017, p. 987-993.

Research output: Contribution to journal › Journal article › Research › peer-review

Harvard

Lorentzen, J, Kirk, H, Fernandez-Lago, H, Frisk, RF, Nielsen, NS, Jorsal, M & Nielsen, JB 2017, 'Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy', Disability and Rehabilitation, vol. 39, no. 10, pp. 987-993. https://doi.org/10.1080/09638288.2016.1174745

APA

Lorentzen, J., Kirk, H., Fernandez-Lago, H., Frisk, R. F., Nielsen, N. S., Jorsal, M., & Nielsen, J. B. (2017). Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy. Disability and Rehabilitation, 39(10), 987-993. https://doi.org/10.1080/09638288.2016.1174745

Vancouver

Lorentzen J, Kirk H, Fernandez-Lago H, Frisk RF, Nielsen NS, Jorsal M et al. Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy. Disability and Rehabilitation. 2017;39(10):987-993. https://doi.org/10.1080/09638288.2016.1174745

Author

Lorentzen, Jakob ; Kirk, Henrik ; Fernandez-Lago, Helena ; Frisk, Rasmus Feld ; Nielsen, Nanna Scharff ; Jorsal, Martin ; Nielsen, Jens Bo. / Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy. In: Disability and Rehabilitation. 2017 ; Vol. 39, No. 10. pp. 987-993.

Bibtex

@article{ea8edac75bb24251994ac31c9ad2a2b4,
title = "Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy",
abstract = "PURPOSE: We investigated if 30 min of daily treadmill training with an incline for 6 weeks would reduce ankle joint stiffness and improve active range of movement in adults with cerebral palsy (CP).METHODS: The study was designed as a randomized controlled clinical trial including 32 adults with CP (GMFCS 1-3) aged 38.1 SD 12 years. The training group (n = 16) performed uphill treadmill training at home daily for 30 min for 6 weeks in addition to their usual activities. Passive and reflex mediated stiffness and range of motion (ROM) of the ankle joint, kinematic and functional measures of gait were obtained before and after the intervention/control period. Intervention subjects trained 31.4 SD 10.1 days for 29.0 SD 2.3 min (total) 15.2 h.RESULTS: Passive ankle joint stiffness was reduced (F = 5.1; p = 0.031), maximal gait speed increased (F = 42.8, p < 0.001), amplitude of toe lift prior to heel strike increased (F = 5.3, p < 0.03) and ankle angle at heel strike was decreased (F = 12.5; p < 0.001) significant in the training group as compared to controls.CONCLUSION: Daily treadmill training with an incline for 6 weeks reduces ankle joint stiffness and increases active ROM during gait in adults with CP. Intensive gait training may thus be beneficial in preventing and reducing contractures and help to maintain functional gait ability in adults with CP. Implications for rehabilitation Uphill gait training is an effective way to reduce ankle joint stiffness in adult with contractures. 6 weeks of daily uphill gait training improves functional gait parameters such as gait speed and dorsal flexion during gait in adults with cerebral palsy.",
author = "Jakob Lorentzen and Henrik Kirk and Helena Fernandez-Lago and Frisk, {Rasmus Feld} and Nielsen, {Nanna Scharff} and Martin Jorsal and Nielsen, {Jens Bo}",
note = "CURIS 2017 NEXS 086",
year = "2017",
doi = "10.1080/09638288.2016.1174745",
language = "English",
volume = "39",
pages = "987--993",
journal = "Disability and Rehabilitation",
issn = "0963-8288",
publisher = "Taylor & Francis",
number = "10",

}

RIS

TY - JOUR

T1 - Treadmill training with an incline reduces ankle joint stiffness and improves active range of movement during gait in adults with cerebral palsy

AU - Lorentzen, Jakob

AU - Kirk, Henrik

AU - Fernandez-Lago, Helena

AU - Frisk, Rasmus Feld

AU - Nielsen, Nanna Scharff

AU - Jorsal, Martin

AU - Nielsen, Jens Bo

N1 - CURIS 2017 NEXS 086

PY - 2017

Y1 - 2017

N2 - PURPOSE: We investigated if 30 min of daily treadmill training with an incline for 6 weeks would reduce ankle joint stiffness and improve active range of movement in adults with cerebral palsy (CP).METHODS: The study was designed as a randomized controlled clinical trial including 32 adults with CP (GMFCS 1-3) aged 38.1 SD 12 years. The training group (n = 16) performed uphill treadmill training at home daily for 30 min for 6 weeks in addition to their usual activities. Passive and reflex mediated stiffness and range of motion (ROM) of the ankle joint, kinematic and functional measures of gait were obtained before and after the intervention/control period. Intervention subjects trained 31.4 SD 10.1 days for 29.0 SD 2.3 min (total) 15.2 h.RESULTS: Passive ankle joint stiffness was reduced (F = 5.1; p = 0.031), maximal gait speed increased (F = 42.8, p < 0.001), amplitude of toe lift prior to heel strike increased (F = 5.3, p < 0.03) and ankle angle at heel strike was decreased (F = 12.5; p < 0.001) significant in the training group as compared to controls.CONCLUSION: Daily treadmill training with an incline for 6 weeks reduces ankle joint stiffness and increases active ROM during gait in adults with CP. Intensive gait training may thus be beneficial in preventing and reducing contractures and help to maintain functional gait ability in adults with CP. Implications for rehabilitation Uphill gait training is an effective way to reduce ankle joint stiffness in adult with contractures. 6 weeks of daily uphill gait training improves functional gait parameters such as gait speed and dorsal flexion during gait in adults with cerebral palsy.

AB - PURPOSE: We investigated if 30 min of daily treadmill training with an incline for 6 weeks would reduce ankle joint stiffness and improve active range of movement in adults with cerebral palsy (CP).METHODS: The study was designed as a randomized controlled clinical trial including 32 adults with CP (GMFCS 1-3) aged 38.1 SD 12 years. The training group (n = 16) performed uphill treadmill training at home daily for 30 min for 6 weeks in addition to their usual activities. Passive and reflex mediated stiffness and range of motion (ROM) of the ankle joint, kinematic and functional measures of gait were obtained before and after the intervention/control period. Intervention subjects trained 31.4 SD 10.1 days for 29.0 SD 2.3 min (total) 15.2 h.RESULTS: Passive ankle joint stiffness was reduced (F = 5.1; p = 0.031), maximal gait speed increased (F = 42.8, p < 0.001), amplitude of toe lift prior to heel strike increased (F = 5.3, p < 0.03) and ankle angle at heel strike was decreased (F = 12.5; p < 0.001) significant in the training group as compared to controls.CONCLUSION: Daily treadmill training with an incline for 6 weeks reduces ankle joint stiffness and increases active ROM during gait in adults with CP. Intensive gait training may thus be beneficial in preventing and reducing contractures and help to maintain functional gait ability in adults with CP. Implications for rehabilitation Uphill gait training is an effective way to reduce ankle joint stiffness in adult with contractures. 6 weeks of daily uphill gait training improves functional gait parameters such as gait speed and dorsal flexion during gait in adults with cerebral palsy.

U2 - 10.1080/09638288.2016.1174745

DO - 10.1080/09638288.2016.1174745

M3 - Journal article

C2 - 27237772

VL - 39

SP - 987

EP - 993

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 10

ER -

ID: 161916510