Pacheco-da-Costa Soraya, Rodríguez-Costa Isabel, Abuín-Porras Vanesa, Asúnsolo-Del-Barco Ángel, Calvo-Fuente Victoria, Soto-Vidal Concepción
Neuromusculoskeletal Physical Therapy in Stages of Life Research Group (FINEMEV), Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Autovía A2, km 33,200, 28805 Alcalá de Henares, Spain.
Humanization in the Intervention of Physiotherapy for the Integral Attention to the People (HIPATIA), Department of Nursing and Physical Therapy, Faculty of Medicine and Health Sciences, Universidad de Alcalá, Autovía A2, km 33,200, 28805 Alcalá de Henares, Spain.
J Clin Med. 2025 Mar 24;14(7):2214. doi: 10.3390/jcm14072214.
People with cerebral palsy (CP) present with limitations in gait and functionality, with a great impact on participation. Physiotherapy interventions based on goal-directed training (GDT), treadmill gait training (TGT), and action observation treatment (AOT) showed to be effective for improving functionality, gait and balance in children and adolescents with CP. On the other hand, since COVID-19 lockdown, telecare has an increased role in physiotherapy interventions. The aim of this randomized controlled trial (RTC) is to analyze the effectiveness of a multimodal intervention that combines face-to-face PT sessions of GDT and TGT and online PT sessions of a family-centered education program, which includes AOT activities and is effective to improve participation, gross motor function, gait and balance in children and adolescents with CP. A single-blinded RCT is proposed for 48 children and adolescents with CP (6-17 years old) who will be randomly allocated into two groups: the experimental group will receive six weeks of a multimodal PT intervention with 12 face-to-face sessions (GDT and TGT) and 6 online sessions of a family-centered telecare EP, which includes AOT activities. Participants in the control group will carry on with their regular PT treatment plus the EP as the experimental group. The outcome variables of participation (CAPE); gait speed and endurance (10 mm/6 mm); gross motor function (GMFM-88-SP); and dynamic and static balance (PBS) will be collected at baseline, after group interventions and 12 weeks from baseline and will be compared following standard principles for RCTs. : The implementation of a multimodal PT intervention that combines face-to-face sessions of GDT and TGT and online sessions of a family-centered EP, which includes AOT activities, may be effective to improve participation, gross motor function, gait and balance in children and adolescents with CP. Trial registration: ClinicalTrials.gov with ID: NCT04778930.
脑瘫（CP）患者存在步态和功能受限的问题，对其参与能力有很大影响。基于目标导向训练（GDT）、跑步机步态训练（TGT）和动作观察治疗（AOT）的物理治疗干预已被证明对改善CP儿童和青少年的功能、步态和平衡有效。另一方面，自新冠疫情封锁以来，远程护理在物理治疗干预中的作用有所增加。这项随机对照试验（RTC）的目的是分析一种多模式干预的有效性，该干预结合了GDT和TGT的面对面物理治疗课程以及以家庭为中心的教育项目的在线物理治疗课程，该项目包括AOT活动，对改善CP儿童和青少年的参与能力、粗大运动功能、步态和平衡有效。拟对48名CP儿童和青少年（6 - 17岁）进行单盲RCT，他们将被随机分为两组：实验组将接受为期六周的多模式物理治疗干预，包括12次面对面课程（GDT和TGT）以及6次以家庭为中心的远程护理教育项目在线课程，其中包括AOT活动。对照组的参与者将继续他们常规的物理治疗，并接受与实验组相同的教育项目。将在基线、分组干预后以及基线后12周收集参与能力（CAPE）、步态速度和耐力（10米/6分钟）、粗大运动功能（GMFM - 88 - SP）以及动态和静态平衡（PBS）等结局变量，并按照RCT的标准原则进行比较。：实施一种结合GDT和TGT的面对面课程以及包含AOT活动的以家庭为中心的教育项目在线课程的多模式物理治疗干预，可能对改善CP儿童和青少年的参与能力、粗大运动功能、步态和平衡有效。试验注册：ClinicalTrials.gov，标识符：NCT04778930 。
