Postural Perturbation Training

in Children with
Cerebral Palsy, Spastic Hemiplegia
Meredith Hogan
Kate Smulligan
Ashley Chandler
Rebecca Downey
Susan Hunt
Pete Smith
Andrea Whalen
Dr. Cheryl Footer, Faculty Advisor
Introduction
 Recent Research

Rosenbaum, 2002
Purpose
Multi-planar

Perturbation Training

Massed Practice

Gross Motor Function

 Subjects
I.
Level

Subject Age Gender GMFCS

1 3 M I
2 7 M II II.
Level

3 13 M I
Single Subject Design: A-B-A-A
GMFM
Outcomes
2 wk Baseline
A 5-Day Post
30-Day Post

Intervention
5 Day

B
Massed
Practice
Balance
Training
 Results/Discussion: GMFM-66
Child 1 Child 2
100 100

90 90

GMFM Score
GMFM Score

80 80

70 70
Child 3
60 60
100
50 50
Ba Ba Ba P Po Ba Ba Ba Po Po
se se se 90ost- st- s se se s s
5 30 e t-5 t-3
GMFM Score

1 2 3 1 2 3 0
80

70

60

50
Ba Ba Ba Po Po
se se se st- st-
1 2 3 5 30
 Results/Discussion: BOT-2
Child 2
50

40
BOT-2 Score

30
Child 3
20
50
10
40

BOT-2 Score
0
Ba Ba Ba Po Po 30
se se se st- st-
1 2 3 5 30
20

10

0
Ba Ba Ba Po Po
se se se s t-5 st
1 2 3 -3
0
Results/Discussion: DMA
Score
Baseline
1000 5-day
900 30-day
800
700
600
500
400
300
200
100
0
Ch

Ch

Ch
i

i
ld

ld

ld
1

3
 Cerebral
Palsy

Massed
Practice

Perturbation
Training

Clinical Relevance
Limitations
Future Research
Future Research
 Acknowledgements
• Dr. Cheryl Footer, Faculty Advisor
• Dr. Barbara Tschoepe
• SPARC Grant
• Our subjects and their families: Jamie,
Evan, Logan
 References
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