[en] Introduction: Infantile cerebral palsy (CPI) is a group of movement and postural disorders with multifactorial etiology which affects infants for the first year of life. Spastic CPI is the most common, and is mainly characterized by the presence of spasticity, hyperreflexia, decrease of de voluntary movement, as well as to cognitive impairments. Objectives: The main objective of this study is designed a physiotherapy protocol for patients with CP (spastic diplegic) with the aim to strengthening lower limbs, improve standing balance and gait, as well as, improve the gross motor function, exercise tolerance , tone, functionality and quality of live. It will be to go in depth to determine if the treadmill gait reeducation generates greatest benefits in the variables mentioned above. Material and Methods: A physiotherapy intervention protocols has been designed, to carry out on a sample of 12 children diagnosed with spastic CPI (diplegic) with ages between 6-13 years, who are in levels I-II of the Gross Motor Function Classification System (GMFCS). It will be work with two groups (control group and experimental group). The both subjects' groups will receive the same physiotherapy intervention (joins mobilizations, postural conscience, transfers and therapeutic exercise: lower limbs strength work, "central core" musculature strengthening, balance work and weigh transfers), and in addiction a reeducation gait protocol will be carried out. The difference between the two groups, is that the control group will receive over ground gait reeducation, and the experimental group will receive treadmill gait reeducation. (3 sessions/week, lasting 90 minutes) The variables and measurement instruments used are: lower limbs muscular strength (dynamometer), balance (Pediatric Balance Scale), gait, gross motor function (Gross Motor Function Measure-66), exercise tolerance (Borg Scale), muscular tone (Modified Ashworth Scale) functionality (Wee-Functional Independence Measure), and quality of live (Quality of Live Cerebral Palsy).

[gl] Introdución: A parálise cerebral infantil (PCI) é un conxunto de trastornos do movemento e da postura de etioloxía multifactorial que afecta a nenos dende o primeiro ano de vida. A PCI espástica é a máis común, e se caracteriza principalmente pola presenza de espasticidade, hiperreflexia, e disminución do movemento voluntario, así como de alteracións a nivel cognitivo. Obxectivos: O objexctivo xeral de este estudo é deseñar un protocolo de fisioterapia para pacientes con PCI (diplexia espática), coa finalidade de fortalecer os membros inferiores, mellorar o equilibrio en bipedestación e a marcha, así como, mellorar a función motora grosa, a tolerancia ao exercicio, o tono, a funcionalidade e a calidade de vida. Profundizarase en determinar se a reeducación da marcha en cinta rodante xenera maiores beneficios nas variables citadas anteriormente. Material e métodos: Deséñase un protocolo de intervención de fisioterapia para levar a cabo nunha mostra de 12 nenos diagnosticados de PCI espástica (diplexia), con idades entre 6-13 anos que se encontren nun nivel I-II da escala Gross Motor Function Classification System (GMFCS). Traballarase con dous grupos (grupo control e grupo experimental). Os dous grupos de suxeitos recibirán a mesma intervención de fisioterapia (movilización articulares, concienciación postural, transferencias e exercicio terapéutico: traballo de forza de MM.II, fortalecemento da muscuclatura do "core central", traballo de equilibrio e transferencias de peso), e ademáis, levarase a cabo un protocolo de reeducación da marcha. A diferenza da intervención entre os dous grupos, céntrase en que o grupo control realizará una reeducación da marcha no chan, e o grupo experimental realizará unha reeducación da marcha en cinta rodante. (3 sesións/semana dunha duración de 90 minutos). As variables e os instrumentos de medida empregados son: a forza muscular de MM.II (dinamómetro), equilibrio (Pediatric Balance Scale), marcha, función motora grosa (Gross Motor Function Measure-66, a tolerancia ao exercicio (Escala de Borg), o tono muscular (Escala de Ashworth Modificada), funcionalidade (Wee-Functional Independence Measure), e a calidade de vida (Quality of Live Cerebral palsy).