Moderate Versus High-intensity Interval Training in Children With Diplegia.

Moderate Intensity Training Versus High Intensity Interval Training on Gait and Energy Expenditure in Children With Spastic Diplegia.

The aim is to compare the effects of moderate-intensity training and high-intensity interval training on gait, energy expenditure, and functional mobility in children with spastic diplegia. Methods: Thirty children with spastic diplegic cerebral palsy were allocated randomly into two groups (n=15 each). The group A and the group B. Assessment of functional mobility and energy expenditure and gait analysis for all children of both groups were assessed before and after the suggested period of treatment.

Methods: Thirty children with with spastic diplegic cerebral palsy were allocated randomly into two groups ( n= 15 each). The group A (received aerobic training with moderate intensity endurance training "MIET" by walking or running on a treadmill) and the group B (received aerobic training exercises in a form of high intensity interval training "HIT" by walking or running on a treadmill). Treatment was delivered for 20minutes, 3 times per week for two successive months. Assessment of functional mobility and energy expenditure using Timed Up and Go(TUG) test and Energy Expenditure Index Heart Rate(EEIHR) respectively, while gait analysis for both lower limb angles of (hips and Knees) assessment using 2d gait analysis by( Kinovea) software. All children of both groups assessed before and after the suggested period of treatment.

Inclusion Criteria:

1. Their age ranged from 3 to 5 years old
2. The degree of spasticity ranged from 1+ to 2 according to modified Ashworth scale
3. They were able to walk with limitations or holding on according to Gross Motor Function Classification System (II, III).
4. They were able to follow instructions and understand commands.
5. They were medically stable.

Exclusion criteria:

1. Children who had bone and tendon lengthening surgeries within the last 6 months.
2. Children with lung and heart diseases and disorders.
3. Children with fixed deformities in joints and bones of lower limbs.
4. Children performing different sorts of physical activities.
5. Children receiving any medications affecting muscle and mental function or antiepileptic drugs that affect the mental function.
6. Children with perceptual defects.
7. Children with any visual or sound-related issues.