Transition Aged Individuals With Cerebral Palsy Have Larger Clinical Gains With Visual Performance Feedback During Power Training.
Brad Corr, Heidi Reelfs, Michael Trevarrow and 2 others
PMID 40980509WHAT IT FOUND
During 8-week leg power training, young people with cerebral palsy who received real-time speed feedback had larger gains in strength, leg power, and ability to change walking speed than those without feedback.
Key findings
01The visual feedback group improved one-repetition maximum by 70%, compared with 38% in the no visual feedback group (P = .026 for the group difference).
02The visual feedback group improved lower extremity power production by 45%, compared with an 8% change in the no visual feedback group (P = .009 for the group difference).
03The visual feedback group improved walking speed reserve by 41%, compared with a 13% reduction in the no visual feedback group (P = .039 for the group difference).
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was nonrandomized, and the lead author assigned participants to groups to balance GMFCS level and age, so selection differences could have influenced the results. Only 20 participants were included, and the groups were unbalanced (9 visual feedback, 11 no visual feedback) because recruitment was interrupted by the pandemic. Different physical therapists treated the two groups, so the effect of visual feedback cannot be separated from therapist delivery. The final statistical analysis was not performed by a blinded assessor. The groups had different baseline values shown in Table 1, although the analysis adjusted for baseline outcome. Participants had to have enough cognition to use the feedback and follow physical therapist instructions, and none were undergoing concurrent physical therapy, so the study does not show how the treatment works alongside other therapy. The supplied text does not report dropout or session attendance details.
Declared interests
The investigators reported no financial or nonfinancial disclosures related to this project.
The easy way to misread this
Do not conclude that visual feedback alone caused the gains. Both groups received 8 weeks of power training, and separate physical therapists treated the groups, so the feedback effect is mixed with therapist delivery. The groups were not randomly assigned.
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