Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Phys Med Rehabil. 1998 Feb;79(2):119-25.

Functional outcomes of strength training in spastic cerebral palsy.

Author information

1
Department of Orthopedics, University of Virginia Health Sciences Center, Charlottesville, USA.

Abstract

OBJECTIVE:

To determine clinical effectiveness of strength training in children with spastic cerebral palsy.

DESIGN:

Prospective before and after trial in which subjects participated in a 6-week strength training program. All received before and after isometric strength evaluation of eight muscle groups in both lower extremities with a hand-held dynamometer, 3-D gait analysis at free and fast speeds, administration of the Gross Motor Function Measure (GMFM), and assessment of energy expenditure during gait.

SETTING:

Pediatric rehabilitation center at a tertiary care hospital.

PATIENTS:

Eleven children met inclusion criteria for participation. Six had spastic diplegia, were limited community ambulators, and demonstrated less than 50% of normal muscle strength. Five had spastic hemiplegia and demonstrated a 20% strength asymmetry in at least two muscles across extremities.

RESULTS:

Each group had significant strength gains in the muscles targeted. The entire cohort had higher gait velocity primarily as a result of increased cadence, with greater capacity to walk faster. GMFM Dimension 5 also improved, with no change in energy expenditure. Asymmetry in strength improved in hemiplegia, with no change in asymmetry in support times or joint motion across extremities.

CONCLUSIONS:

This study reinforced the relationship of strength to motor function in cerebral palsy and further demonstrated the effectiveness of strengthening in this population.

PMID:
9473991
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center