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Table 4 Summary of tests performed

From: To be active through indoor-climbing: an exploratory feasibility study in a group of children with cerebral palsy and typically developing children

 

CPpre; post

CP pre → post

TDpre;post

TD pre → post

Climbing performance

 Route fractiona

0.6(0.23)- > 0.89(0.25)(N = 11)

Z = 4.77, p = 3.7.10−6***

0.74(0.19)- > 0.94(0.13)(N = 4)

Z = 1.81p = 0.127

 Speeda (m/min)

2.2(0.9)- > 2.9(1.0)(N = 11)

Z = 1.43, p = 0.28

3.9(1.3)- > 5.6(2.0)(N = 4)

Z = 2.86, p = 0.0084**

 Errorsa (#) (Hands / Feet)

2.6(0–9)/4.6(0–8)- > 7.4(0–14)/8.5(0–22)(N = 11)

Z = 3.299, p = 0.0019** / Z = 2.20, p = 0.054o

0.25(0–4/0.5(0–3)- > 0.0(0)/0.0(0)(N = 4)

Z = −0.043, p = 0.999 / Z = −0.09, p = 0.995

Functional tests

 Sit-to-stand (#)

20.2(4.6)- > 23.5(5.8)(N = 11)

Z = 3.072, p = 0.0083**

29.0(4.5)- > 30.7(4.5)(N = 6)

Z = 1.044, p = 0.723

 Romberg (open / closed)

613(550)- > 504(445)(N = 11)

Z = −1.35, p = 0.509 / z = −0.467, p = 0.979

408(119)- > 754(553)(N = 6)

Z = 0.295, p = 0.996 / Z = 1.917, p = 0.191

Physiological tests

 Hand strength (least / most)

158(58)/114(55)->

167(51)/128(60)(N = 11)

Z = 1.067, p = 0.708 / Z = 1.715, p = 0.283

216(82)/195(68)->

227(69)/201(58)(N = 6)

Z = 0.745, p = 0.895 / Z = 0.208, p = 0.999

 Pinch strength (least / most)

34.8(6.3)/29.4(8.7)->

37.5(7.0)/32.2(8.3)(N = 11)

Z = 1.165, p = 0.639 / Z = 1.009, p = 0.746

43.1(12.0)/40.9(12.2)->

47.3(14.9)/43.1(14.7)(N = 6)

Z = 1.263, p = 0.569 / Z = 0.441, p = 0.983

 RFD 0–30 ms (least / most)

59.2(58.6)/50.6(64.4)->

79.6(68.6)/54.5(68.6)(N = 11)

Z = 1.797 p = 0.242 / Z = 0.714,p = 0.908

69.3(49.0)/41.6(13.3)->

72.6(29.6)/54.2(25.4)(N = 6)

Z = 0.003, p = 1.0 / Z = 1.493, p = 0.412

 RFD 0–50 ms (least / most)

79.0(63.7)/80.0(79.4)->

109.1(76.6)/90.6(84.8)(N = 11)

Z = 2.317, p = 0.0752o / Z = 1.045, p = 0.723

99.7(66.4)/72.1(28.0)->

113.6(45.6)/79.6(29.3)(N = 6)

Z = 0.584, p = 0.953 / Z = 0.269, p = 0.997

 RFD 0–100 ms (least / most)

110.9(53.1)/109.5(78.5)->

154.4(56.5)/123.3(76.8)(N = 11)

Z = 2.939, p = 0.0174* / Z = 0.872, p = 0.830

147.5(87.6)/132.3(57.9)->

171.6(70.9)/133.4(47.5)(N = 6)

Z = 0.989, p = 0.759 / Z = −0.208, p = 0.999

 RFD 0–200 ms (least / most)

105.6(36.4)/91.9(45.4)->

133.9(18.7)-101.4(40.5)(N = 11)

Z = 2.309, p = 0.0768o / Z = 0.733, p = 0.900

133.2(53.9)/123.4(54.6)->

145.4(60.3)/135.6(49.1)(N = 6)

Z = 0.595, p = 0.9498 / Z = 0.527, p = 0.967

Coherence

 Finger pinch (FDI-APB)

-1.73(0.84)- > −0.89(0.91)(N = 10- > 11)

Z = 2.81, p = 0.0184*

−1.58(0.63)- > −1.49(0.83)(N = 6)

Z = 0.239, p = 0.993

 Ankle Dorsiflexion (TA-TA)

-0.96(0.88)- > −0.57(0.98)(N = 11)

Z = 1.951, p = 0.0994o

−1.10(0.45)- > −0.91(0.82)(N = 6)

Z = 0.644, p = 0.7964

Ankle joint

 Stiffnessb

4.57(1.86) - > 4.08(1.82)(N = 11)

Z = −1.002, p = 0.533

5.05(1.80)- > 5.17(1.18)(N = 5)

Z = 0.379, p = 0.913

 ROMb

62.5(12.0) - > 67.98(7.76) (N = 11)

Z = 2.764, p = 0.0114*

63.12(6.62)- > 66.16(5.16)(N = 5)

Z = 1.019, p = 0.5214

 Strengthc

25.9(9.5)- > 30.2(12.0)(N = 11)

Z = 1.387, p = 0.304

45.9(17.5)- > 40.7(13.8)(N = 6)

Z = −1.476, p = 0.260

Cognitive tests

 Detectiond

83.3(10.9)- > 83.1(10.0)(N = 11)

z = −0.048, p = 1.0

98.3(8.5)- > 95.7(7.3)(N = 6)

Z = −0.648, p = 0.933

 Identificationd

87.4(8.0)- > 87.5(9.6)(N = 11)

Z = 0.032, p = 1.0

94,2(6.3)- > 95.3(6.7)(N = 6)

Z = 0.345, p = 0.993

 1-back (speed/accuracy)d

959(139)/82.3(9.4)->

962(214)/82.0(7.9)(N = 11)

Z = 0.199, p = 0.999 / Z = −0.190, p = 0.999

768(163)/91.3(12.7)->

753(198)/91.7(9.4)(N = 6)

Z = 0.473, p = 0.978 / Z = −0.039, p = 1.00

 Chasee

1.02(0.23)- > 1.15(0.23)(N = 11)

Z = 2.057, p = 0.140

1.54(0.23)- > 1.48(0.22)(N = 6)

Z = −0.646, p = 0.934

 Mazed

99.6(6.5)- > 103.2(6.4)(N = 11)

Z = 1.721, p = 0.279

101.3(3.7)- > 105.2(5.1)(N = 6)

Z = 1.453, p = 0.438

 PAL

45.6(51.1)- > 32.0(62.9)(N = 11)

Z = −1.940, p = 0.181

15.3(15.8)- > 6.5(3.4)(N = 6)

Z = −1.122, p = 0.670

Psychological

 Overall

4.00(2,05)- > 4.63(2.41)(N = 11)

Z = 1.327, p = 0.524

5.5(2.42)- > 6.50(2.07)(N = 6)

Z = 1.484, p = 0.418

 Physical abilities

4.64(2.73)- > 4.45(2.73)(N = 11)

Z = −0.342, p = 0.993

5.83(2.93)- > 5.83(2.99)(N = 6)

Z = −0.083, p = 1.000

 Skills and abilities

4.54(2.25)- > 4.45(2.38)(N = 11)

Z = −0.216, p = 0.999

4.33(2.5)- > 5.67(2.16)(N = 6)

Z = 1.896, p = 0.198

 Mental well-being

4.09(2.21)- > 4.91(2.59)(N = 11)

Z = 1.457, p = 0.436

5.83(1.72)- > 6.67(1.96)(N = 6)

Z = 1.024, p = 0.736

 Relationship to parents

3.18(1.89)- > 4.18(2.36)(N = 11)

Z = 1.481, p = 0.420

7.33(1.63)- > 6.83(1.72)(N = 6)

Z = −0.516, p = 0.970

 Relationship to others

4.45(2.06)- > 5.27(2.37)(N = 11)

Z = 1.389, p = 0.481

7.67(0.82)- > 7.0(1.55)(N = 6)

Z = −0.804, p = 0.867

  1. Summary of all tests performed and the effect of the climbing intervention. Z-scores and p-values are obtained from the employed linear mixed models where four tests have been made, Pre1 vs Pre 2 and Pre 2 vs Post both in the CP and TD group. Only statistics from the pre2 vs post session are presented, but p-values are adjusted for multiple comparisons where the pre 1vs pre2 comparison is included.
  2. (Least/Most): indicate test of changes in the least or most affected hand. a Data from two time points only at day 3 and day 8 of the climbing intervention days. b Data from Pre1 and Post only due to technical issue with the measurement device at Pre2 test. c Data only from Pre2 and Post. d Tests for the combined score-measurements are shown here. The individual test of speed and accuracy are not presented here. None of them revealed significant differences when comparing the effect of the climbing intervention in any of the two groups. e The chase test revealed a significant improvement in number of clicks per sec. In the TD group between pre1 and pre2. o) p < 0.1, *) p < 0.05, **) p < 0.01, ***) p < 0.001. Correlation analyses was performed between the changes in the Sit-to-stand, ROM, RFD 0-100 ms and Coherence between FDI and APB measurements the improvements in the climbing abilities in the children with CP. However, none of correlations were significant