Skip to content
DraconiticResearch
Search Sources API
197,768 studies31 sourcesUpdated 41 min ago
Peer-reviewedCC BYJournal of clinical medicine

Effects of an Intensive Gait Training Rehabilitation Protocol After Single Event Multilevel Surgery in Cerebral Palsy: Activ'Marche.

  • Farah Ayoubi1
  • Karim Soualem2
  • Magali Contrecivil2
  • Florian Breton2
  • Santhis Jabely Duchesne2
  • Elodie Hinnekens1
  • Lionel Lejeune2
  • Sandrine Payan-Terral2
  • Anne-Laure Guinet1
  • Constance Amelon-Petit1
  • Michel Bams2
  • Eric Desailly1,2
  1. 1Pôle Recherche & Innovation, Fondation Ellen Poidatz, Saint Fargeau Ponthierry, 77310 Saint-Fargeau-Ponthierry, France.
  2. 2Centre de Rééducation Fonctionnelle, Fondation Ellen Poidatz, Saint Fargeau Ponthierry, 77310 Saint-Fargeau-Ponthierry, France.
Read full textPDFDOICite

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

In-care rehabilitation center followed by home-based telerehabilitation.Participants

23 adolescents with CP (age 12-19 years), classified as Gross Motor Function Classification System (GMFCS) levels I-II, one year after SEMLS.Intervention

6-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

Activity 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.

Related

  1. Efficacy of phosphodiesterase-3 (PDE-3) inhibitors for the treatment of cerebral vasospasm in patients with aneurysmal subarachnoid haemorrhage (aSAH) admitted to the intensive care unit (ICU): a systematic review and meta-analysis protocol
    Mohammadi Maahtaab, Abubakr El Sheikh Idris, Breffni Smith +3
    BMJ OpenPeer-reviewedLicence not statedGeneral medicineCrossref
  2. Artificial Intelligence for developing a personalised functional profile and supporting upper-limb rehabilitation decision-making in children with unilateral Cerebral Palsy (AInCP): protocol for an observational study
    Giuseppina Sgandurra, Alexandra Kalkantzi, Elena Beani +54
    BMJ OpenPeer-reviewedLicence not statedGeneral medicineCrossref
  3. Rehabilitation programme for post-stroke lateropulsion including exoskeleton-assisted training: rationale and single-case experimental design protocol
    A Marquer, E Lhommée, J Soulard +7
    BMJ OpenPeer-reviewedLicence not statedGeneral medicineCrossref
  4. Moderate-intensity exercise versus high-intensity interval training to determine the optimal training intensity for walking rehabilitation in chronic stroke (HIT-Stroke Trial 2): a study protocol for a randomized controlled trial
    Christina Garrity, Darcy S. Reisman, Sandra A. Billinger +18
    TrialsPeer-reviewedCC BY-NC-ND 4.0Clinical trials & evidence synthesisCrossref
  5. Intensive Home-Based Motor Imagery Neurofeedback Training Using Mobile EEG to Assess Changes in Brain Activity and Motor Function in Stroke Survivors: A Multiple Baseline Design (MINTS Study Protocol)
    J. Decker, L. C. Bergmann, S. Rosemann +2
    medRxivPreprintCC BYFull textGeneral medicinemedRxiv

Cite

BibTeXRIS
BibTeX
@article{ayoubi2026effects,
  title = {{Effects of an Intensive Gait Training Rehabilitation Protocol After Single Event Multilevel Surgery in Cerebral Palsy: Activ'Marche.}},
  author = {Farah Ayoubi and Karim Soualem and Magali Contrecivil and Florian Breton and Santhis Jabely Duchesne and Elodie Hinnekens and Lionel Lejeune and Sandrine Payan-Terral and Anne-Laure Guinet and Constance Amelon-Petit and Michel Bams and Eric Desailly},
  journal = {Journal of clinical medicine},
  year = {2026},
  month = sep,
  doi = {10.3390/jcm15197398},
  url = {https://europepmc.org/article/MED/42881860},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Effects of an Intensive Gait Training Rehabilitation Protocol After Single Event Multilevel Surgery in Cerebral Palsy: Activ'Marche.
AU  - Farah Ayoubi
AU  - Karim Soualem
AU  - Magali Contrecivil
AU  - Florian Breton
AU  - Santhis Jabely Duchesne
AU  - Elodie Hinnekens
AU  - Lionel Lejeune
AU  - Sandrine Payan-Terral
AU  - Anne-Laure Guinet
AU  - Constance Amelon-Petit
AU  - Michel Bams
AU  - Eric Desailly
PY  - 2026
DA  - 2026/09/23
JO  - Journal of clinical medicine
DO  - 10.3390/jcm15197398
UR  - https://europepmc.org/article/MED/42881860
AB  - 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  In-care rehabilitation center followed by home-based telerehabilitation.Participants  23 adolescents with CP (age 12-19 years), classified as Gross Motor Function Classification System (GMFCS) levels I-II, one year after SEMLS.Intervention  6-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  Activity 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.
SN  - 2077-0383
ER  -