{
  "abstract": "Objective: Functional gait parameters of children with cerebral palsy (CP) are not systematically improved after conventional rehabilitation post-single-event multilevel surgery (SEMLS). To enhance functional outcomes in patients one year post-surgery, a new intensive rehabilitation phase called \"Activ'Marche\" was added to the usual protocol. This late intensive phase was expected to improve gait function and motor performance. Methods: Design: Quasi-experimental pre-post intervention study with 3-month follow-up.Setting\n\nIn-care rehabilitation center followed by home-based telerehabilitation.Participants\n\n23 adolescents with CP (age 12-19 years), classified as Gross Motor Function Classification System (GMFCS) levels I-II, one year after SEMLS.Intervention\n\n6-week intensive rehabilitation program consisting of 4 weeks of full-time in-care rehabilitation followed by 2 weeks of home-based telerehabilitation. The program combined high-intensity interval training, muscle strengthening, and functional gait training.Main measures\n\nActivity capacity was assessed by 6-Minute Walk test (6MWT), 10-Meter Walk test (10MWT) and Gait Deviation Index (GDI) computation using clinical gait analysis; activity performance was measured by Gross Motor Function Measure (GMFM) D/E score, and one week of actimetric recording, which also partially reflects participation. Quality of life was assessed by the Pediatric Quality of Life Inventory (PedsQL). Results: Significant improvements were observed in the 6MWT (+13%, p = 0.008), GMFM-66 dimensions D (+6.7%, p = 0.007) and E (+8.5%, p < 0.001), and 10MWT (+14,2%, p = 0.002), with gains maintained or enhanced at follow-up. Conclusions: This new intensive rehabilitation protocol significantly improves overall motor function and walking performance in adolescents with CP following SEMLS without affecting gait quality or quality of life.",
  "abstract_shown": true,
  "affiliations": [
    "Pôle Recherche & Innovation, Fondation Ellen Poidatz, Saint Fargeau Ponthierry, 77310 Saint-Fargeau-Ponthierry, France.",
    "Centre de Rééducation Fonctionnelle, Fondation Ellen Poidatz, Saint Fargeau Ponthierry, 77310 Saint-Fargeau-Ponthierry, France."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Farah Ayoubi",
      "orcid": "0000-0002-6659-285X"
    },
    {
      "affs": [
        1
      ],
      "name": "Karim Soualem"
    },
    {
      "affs": [
        1
      ],
      "name": "Magali Contrecivil"
    },
    {
      "affs": [
        1
      ],
      "name": "Florian Breton"
    },
    {
      "affs": [
        1
      ],
      "name": "Santhis Jabely Duchesne"
    },
    {
      "affs": [
        0
      ],
      "name": "Elodie Hinnekens"
    },
    {
      "affs": [
        1
      ],
      "name": "Lionel Lejeune"
    },
    {
      "affs": [
        1
      ],
      "name": "Sandrine Payan-Terral"
    },
    {
      "affs": [
        0
      ],
      "name": "Anne-Laure Guinet"
    },
    {
      "affs": [
        0
      ],
      "name": "Constance Amelon-Petit"
    },
    {
      "affs": [
        1
      ],
      "name": "Michel Bams"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Eric Desailly",
      "orcid": "0000-0003-3910-3755"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/2gz5qwxeqdryd.bib",
  "cited_by": 0,
  "doi": "10.3390/jcm15197398",
  "fulltext_url": "https://europepmc.org/articles/PMC13665396",
  "id": "2gz5qwxeqdryd",
  "issns": [
    "2077-0383"
  ],
  "landing_url": "https://europepmc.org/article/MED/42881860",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2738|Cerebral Palsy and Movement Disorders"
    ]
  ],
  "openalex": "W7214092645",
  "pdf_url": "https://europepmc.org/articles/PMC13665396?pdf=render",
  "pmcid": "PMC13665396",
  "pmid": "42881860",
  "published": "2026-09-23",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/2gz5qwxeqdryd.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:16Z",
      "native_id": "MED:42881860",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42881860"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2738|Cerebral Palsy and Movement Disorders",
      "subfield": "psychiatry"
    }
  ],
  "title": "Effects of an Intensive Gait Training Rehabilitation Protocol After Single Event Multilevel Surgery in Cerebral Palsy: Activ'Marche.",
  "title_text": "Effects of an Intensive Gait Training Rehabilitation Protocol After Single Event Multilevel Surgery in Cerebral Palsy: Activ'Marche.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:16Z",
  "url": "https://research.draconitic.com/paper/2gz5qwxeqdryd",
  "venue": "Journal of clinical medicine",
  "versions": []
}