The Effects of Functional Progressive Strength and Power Training in Children With Unilateral Cerebral Palsy

Pediatr Phys Ther. 2019 Jul;31(3):286-295. doi: 10.1097/PEP.0000000000000628.

Abstract

Purpose: The purpose of this study was to investigate the effects of a novel functional strength and power-training program on gait and gross motor function in participants with unilateral cerebral palsy.

Methods: This 12-week trial of functional strength and power training included 30 participants with cerebral palsy, randomly assigned to the experimental or comparison group. The primary outcomes, 1-minute walk test, muscle power, and the Gross Motor Function Measure, were assessed at baseline and 12 weeks after the intervention. Secondary outcomes included dynamic balance as measured by Timed Up and Go, muscle strength, and 1-repetition maximum measures.

Results: Significantly greater improvements were seen in the experimental group for muscle power, Gross Motor Function Measure E score, and 1-minute walk test (P < .05), as well as for dynamic balance, 1-repetition maximum, and muscle strength.

Conclusion: Functional strength training combined with plyometric exercises improved gait and gross motor function, dynamic balance, muscle strength, and power.

Video abstract: For more insights from the authors, access Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A254.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Cerebral Palsy / rehabilitation*
  • Child
  • Female
  • Gait / physiology
  • Humans
  • Male
  • Movement / physiology*
  • Muscle Strength / physiology
  • Plyometric Exercise
  • Resistance Training / methods*
  • Treatment Outcome
  • Walk Test