Calf Muscle Strength and Standing Efficiency in Children with Spastic Diplegia

“…Traditional physiotherapy techniques or approaches, which include stretching exercises [17], range of motion exercises, and strengthening exercises [18,19], were applied to improve gross motor functions in CP children. in the current era, therapists follow evidence-based approaches, like neurodevelopmental treatment (Bobath) [20][21][22], Rood approach [23], proprioceptive neuromuscular facilitation, sensory integration [24], constraint-induced movement therapy, and aquatic therapy [25], in treating children with spastic diplegic CP.…”

Section: Introductionmentioning

confidence: 99%

A multicenter, double blind, randomized controlled trial of functional strength training on gross motor function among children with spastic diplegic cerebral palsy

Gurusamy¹,

Balaji²,

Agrahara³

2022

Physiother Quart.

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Introduction.Strength training has shown benefits in rehabilitating children with spastic diplegic cerebral palsy (CP); nonfunctional activities are less significant in improving gross motor function. There is dearth of evidence concerning the benefits of functional strength training (FST) among children with spastic diplegic CP. Hence, we aimed to compare the benefits of FST and conventional physiotherapy (CPT) in this group. Methods. overall, 40 children with spastic diplegic CP with Gross Motor Function Classification System levels i, ii, and iii were recruited by simple random sampling (Random Number Generator) to participate in this 2-group pretest-posttest, multicentre, double-blind randomized controlled study. The children were randomly divided into 2 groups: FST group and CPT group. Both groups received an active training program of 45-60 minutes for 6 weeks with a 2-month follow-up without intervention. The 88-item Gross Motor Function Measure (GMFM-88) dimensions d, E, and goal total score were recorded at baseline, after the 6-week intervention, and after the 2-month follow-up. Results. FST group demonstrated significant differences in ); p = 0.038], E [11.8 (3.1-20.4); p = 0.009], and goal total score [9.4 (3.3-15.6); p = 0.003] when compared with CPT group after the 6-week intervention. Similarly, a significant difference was noted in GMFM-88 goal total score [6.3 (0.1-12.4); p = 0.046] after the 2-month follow-up. There were no differences in GMFM-88 dimensions d [3.9 (-2.5 to 10.5); p = 0.222] or E [8.6 (-0.3 to 17.4); p = 0.059] after the 2-month follow-up. Conclusions. Six-week FST improved standing, walking, running, and jumping in children with spastic CP. FST had a carry-over effect of strength gained in functional performance.

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Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives

et al. 2019

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An objective analysis of the human movement can help both clinical assessment and sports performance. Kinovea is a free 2D motion analysis software that can be used to measure kinematic parameters. This low-cost technology has been used in sports sciences, as well as in the clinical and research fields. One interesting tool is that it can measure an object (or person) passing in front of the camera, taking into account the perspective between the camera and the recorded object. Although it has been validated as a tool to assess time-related variables, few studies assessed its validity compared to a Gold Standard; furthermore, its reliability in different perspectives has not been previously assessed. The main objective of this study is to determine the validity of the Kinovea software compared to AutoCAD, and its intra and inter-rater reliability in obtaining coordinates data; a second objective is to compare their results at 4 different perspectives (90°, 75°, 60° and 45°) and to assess the inter and intra rater reliability at each perspective. For this purpose, a wire structure figure in the shape of a human lower limb was designed and measured in AutoCAD; it was then recorded during a pendular motion with a video-camera placed at distance of 5 m and analyzed with Kinovea in the 4 perspectives (90°, 75°, 60° and 45°). Each frame was examined by three observers who made two attempts. A multiple approach was applied involving the analysis of the systematic error, with a two-way ANOVA 2x4; the relative reliability with Intraclass Correlation Coefficient (ICC) and the Coefficient of Variance (CV) (95% confidence interval); and the absolute reliability with the Standard Error (SE). The results indicate that the Kinovea software is a valid and reliable tool that is able to measure accurately at distances up to 5 m from the object and at an angle range of 90°–45°. Nevertheless, for optimum results an angle of 90° is suggested.

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Calf Muscle Strength and Standing Efficiency in Children with Spastic Diplegia

Cited by 3 publications

References 12 publications

Validity and Reliability of the Kinovea Program in Obtaining Angular and Distance Dimensions

Validity and Reliability of the Kinovea Program in Obtaining Angular and Distance Dimensions

A multicenter, double blind, randomized controlled trial of functional strength training on gross motor function among children with spastic diplegic cerebral palsy

Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives

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