title: The functional effect of segmental trunk and head control training in moderate-to-severe cerebral palsy: A randomized controlled trial.
abstract: OBJECTIVE
  To determine whether segmental training is more effective in improving gross motor function in children and young people with moderate-to-severe cerebral palsy than conventional physiotherapy.
  
  
  METHODS
  Twenty-eight participants were randomized to a segmental training or control group. Outcomes were Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), Segmental Assessment of Trunk Control (SATCo), and postural sway at baseline, at primary endpoint (6 months), and at follow-up (12 months).
  
  
  RESULTS
  There were no significant differences in either GMFM, PEDI, or SATCo scores at primary endpoint or follow-up. There were significant reductions in anterior-posterior head angular sway and trunk sway in the segmental training group at primary endpoint but not at follow-up.
  
  
  CONCLUSIONS
  Segmental training was not superior to usual care in improving GMFM. Improvements in head and trunk sway were greater in the segmental training group at primary endpoint but not at follow-up.
authors.affiliation: a The Gait Analysis Laboratory, Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.|b Physical Medicine & Rehabilitation Research-Copenhagen (PMR-C), Copenhagen, Denmark.|c Institute for Physical and Occupational Therapy, The Faculty of Health and Technology , Metropolitan University College , Copenhagen.
authors.forename: Derek John
authors.initials: DJ
authors.lastname: Curtis
authors.affiliation: d Institute of Neuroscience, University of Oregon , Eugene , OR, USA.
authors.forename: Marjorie
authors.initials: M
authors.lastname: Woollacott
authors.affiliation: a The Gait Analysis Laboratory, Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.
authors.forename: Jesper
authors.initials: J
authors.lastname: Bencke
authors.affiliation: a The Gait Analysis Laboratory, Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.
authors.forename: Hanne Bloch
authors.initials: HB
authors.lastname: Lauridsen
authors.affiliation: e Department of Rehabilitation Sciences College of Education , Nursing & Health Professions, University of Hartford , Hartford , CT, USA.
authors.forename: Sandy
authors.initials: S
authors.lastname: Saavedra
authors.affiliation: b Physical Medicine & Rehabilitation Research-Copenhagen (PMR-C), Copenhagen, Denmark.|f Department of Physical and Occupational Therapy , Hvidovre University Hospital , Copenhagen , Denmark.|g Clinical Research Centre, Hvidovre University Hospital , Copenhagen , Denmark.
authors.forename: Thomas
authors.initials: T
authors.lastname: Bandholm
authors.affiliation: a The Gait Analysis Laboratory, Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.|h Department of Orthopedic Surgery , Hvidovre University Hospital , Copenhagen , Denmark.
authors.forename: Stig
authors.initials: S
authors.lastname: Sonne-Holm
mesh_terms: D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D019416:Head Movements; D006801:Humans; D008297:Male; D009048:Motor Skills; D000066530:Neurological Rehabilitation / Q000379:methods*; D011187:Posture
keywords: Cerebral palsy; motor skills; physical therapy modalities; postural balance