alexa Should Gait Outcomes be the Primary Focus in Pediatric Gait Rehabilitation? | Open Access Journals
ISSN: 2165-7025
Journal of Novel Physiotherapies
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Should Gait Outcomes be the Primary Focus in Pediatric Gait Rehabilitation?

Guilherme M Cesar*, Thad W Buster and Judith M Burnfield

Institute for Rehabilitation Science and Engineering, Madonna Rehabilitation Hospitals, Lincoln, NE, USA

Corresponding Author:
Guilherme M Cesar
Assistant Research Director of the Movement
and Neurosciences Center at the Institute for Rehabilitation Science
and Engineering, Madonna Rehabilitation Hospitals,USA
Tel: 14024134503
E-mail: [email protected]

Received Date: March 22, 2017; Accepted Date: March 30, 2017; Published Date: April 07, 2017

Citation: Cesar GM, Buster TW, Burnfield JM (2017) Should Gait Outcomes be the Primary Focus in Pediatric Gait Rehabilitation? J Nov Physiother 7:342. doi:10.4172/2165-7025.1000342

Copyright: © 2017 Cesar GM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Novel Physiotherapies

Short Communication

Many children with physical disabilities experience difficulty walking as fast and efficiently as desired. Impaired ambulatory capability leads to decreased engagement in physical activities, negatively impacting children’s musculoskeletal and cardiorespiratory fitness. Currently, inactivity in children with physical disabilities is a major factor contributing to secondary medical conditions, further hindering desired health outcomes and functional independence [1,2].

Although knowledge concerning gait rehabilitation for adults with disabilities has taken great strides with the advancement of therapeutic technology, such progress has not yet reached the pediatric literature. For example, gait rehabilitation with body weight-supported treadmill training has been largely substantiated with rigorous research designs (such as randomized controlled trials, RCTs) for adults with a wide range of neurologic impairments [3-5]. Evidence of this approach’s efficacy in children with disabilities is limited in quantity and diagnoses [6]. Robotic technology (e.g., Lokomat) has been increasingly scrutinized in RCTs with the adult population [7,8]; however, there are only a few pediatric RCTs studies currently underway [9,10]. A motor-assisted elliptical device (ICARE) has also led to improvements in walking for adults with disabilities [11,12], but pediatric literature with this technology is just starting to emerge [13-15].

While pediatric rehabilitation can lead to improvements in walking, it is still unclear what impact these gains have on promoting greater participation in life. Walking speed, a common gait variable targeted in most interventions, is a valid measure of functional status across all age groups and it is a known predictor for safe community ambulation and longevity in the elderly population [16]. Enhancing children’s capacity to walk faster or farther should lead to changes in daily engagement in activities, such as playing with friends and family, and participation in school activities. Increased ambulatory capacity and further participation in such settings are related to enhanced health status in children without disabilities and, very much so, in children with disabilities [17]. However, one point that still requires further exploration in the pediatric population is the impact of enhanced gait capacity measured in laboratory settings on life participation [18].

Even if walking quality (i.e., optimal joint motions) or quantity (distance walked) does not demonstrate notable gains following an intensive locomotor training program, it is probable that the child’s capacity to participate in community activities could still improve given gains in cardiorespiratory fitness. Mass repetition of stepping motions associated with high intensity levels of training provided by current gait rehabilitation protocols [3,11] could provide substantial challenge to the cardiorespiratory system, potentially increasing fitness levels. Since secondary medical complications associated with the cardiorespiratory system are unfortunately common in children with limited mobility [19], it is imperative that future pediatric interventions place a primary focus on improving cardiorespiratory fitness to enhance functional gait capacity.


Changes in participation in community and school activities, as well as independence in activities of daily living that emerge after gait training interventions are seldom quantified in current pediatric studies. If increasing gait capacity is the goal of a child’s intervention, what is the goal of increasing gait capacity? Moreover, what is the best strategy to achieve enhanced walking ability? Should improvements in quality of motion be secondary to enhancing cardiorespiratory fitness? These questions should provide a basis for future pediatric research. Furthermore, since enhanced function, independence, and wellbeing are ultimately the desired outcome of interventions, quantification of changes that occur outside the laboratory environment (i.e., in the community) should be well documented.


Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 172
  • [From(publication date):
    specialissue-2017 - Sep 24, 2017]
  • Breakdown by view type
  • HTML page views : 146
  • PDF downloads :26

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version