Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial

Bryant, Elizabeth; Pountney, Teresa; Williams, Heather; Edelman, Natalie

doi:10.1177/0269215512453061

Cited by 38 publications

(119 citation statements)

References 22 publications

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“…An exercise therapy may consist of several types of training such as strength training, fitness training, static weight bearing and passive stretching ( 2 ). Though it has been proven to have its effect on muscular strength, volume and significantly increase motor ability of patients with CP, the type and duration of exercise therapy programme that should be prescribed to these patients remain unclear ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

Six Months Guided Exercise Therapy Improves Motor Abilities and White Matter Connectivity in Children with Cerebral Palsy

Samsir

Zakaria

Razak

et al. 2020

MJMS

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Background: Diffusion magnetic resonance imaging (dMRI) provides the state of putative connectivity from lesioned areas to other brain areas and is potentially beneficial to monitor intervention outcomes. This study assessed the effect of a 6 months guided exercise therapy on motor abilities and white matter diffusivity in the brains of cerebral palsy (CP) children. Methods: This is a single arm pre- and post-test research design involving 10 spastic CP children, aged 8–18 years and whose Gross Motor Function Classification System Expanded and Revised (GMFCS-E & R) at least Level 21 with the ability to ambulate independently. They were recruited from Paediatric Neurology Clinic, Hospital Universiti Sains Malaysia (HUSM) from December 2015–December 2016. All participants underwent 6 months of therapist-guided exercise session comprising progressive strength training at a frequency of twice a week, 1 h duration per session. The effect of exercise on motor abilities was assessed using the Gross Motor Function Measures (GMFM)-88. Six out of the 10 children consented for dMRI. Probabilistic tractography of the corticospinal tract (CST) was performed to determine the connectivity index of the tracts pre- and post-intervention. Results: All the participants displayed statistically significant increment in GMFM88 scores pre- to post-exercise intervention. This improvement was concurrent with increased connectivity index in the CST of upper limbs and lower limbs in the brain of these children. Conclusion: Our findings demonstrated that 6 months guided exercise therapy improves motor abilities of CP children concurrent with strengthening the connectivities of the motor pathways in the brain.

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Section: Introductionmentioning

confidence: 99%

Six Months Guided Exercise Therapy Improves Motor Abilities and White Matter Connectivity in Children with Cerebral Palsy

Samsir

Zakaria

Razak

et al. 2020

MJMS

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“…The importance of this case study is discussed in relation to other CP survivors and the maintenance of their functional capacities. Several studies indicate that exercise can increase muscular strength, gait speed, and stride length in children with CP [3,4,7,8], but little research has been conducted on adults with CP. Similarly, little is known about the psychological effects of exercise on adults with CP, such as their perception or self-belief to overcome exercise barriers.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies show that exercise can improve motor skills and overall quality of life (QOL) in children with CP. For example, Bryant and colleagues showed that a six-week exercise intervention was able to improve gross motor function in children with CP [3]. In another study, researchers investigated the effects of constraint-induced movement therapy (CIMT) on hand skills and muscle recruitment of children with spastic hemiplegic CP [8].…”

Section: Introductionmentioning

confidence: 99%

Psycho-physiological benefits in a rehabilitative exercise program: a cerebral palsy case study

Wiggins¹,

Hauser²

2015

asms

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The purpose of this case study was to determine whether an individualized 12-week rehabilitative exercise program involving a wheelchair bound cerebral palsy (CP) participant could improve self-efficacy regarding barriers to exercise, while also increasing their range of motion and flexibility. Methods: Participant was a 51 year old female with Spastic Quadriplegia CP (also known as Spastic Tetraplegia). Activity sessions were designed around a wholebody experience, with five flexibility and five exercise stations utilized one time per week, for approximately 30 minutes per session. Several initial baseline/pretest assessments were taken for range of motion in the knee and elbow (knee flexion/extension; elbow flexion/extension) using a hand-held goniometer. Selfefficacy related to exercise barriers was assessed at baseline and 12 weeks. Additionally, post-test physical assessments were taken after the 12-week program, and compared with baseline measures. Results: Psychologically, the subject showed a dramatic overall increase from 56 to 102 points, almost doubling her total self-efficacy to overcome barriers score (possible range of score = 0 to 120). The subject specifically recorded positive increases in efficacy to overcome exercise barriers on all 12 questions. Results also

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“…On the other hand, lower limb rehabilitation generally consists on gross motor activities involving repetitive and coordinated movements with both limbs (walking, cycling, etc. ), what sometimes does not require a conscious effort (Balemans et al, 2013;Bryant et al, 2012;Chen et al, 2012;Damiano, 2006;Leunkeu, Shepard & Ahmaidi, 2012;Mattern-Baxter et al, 2013), resulting in improvements in gait performance and gross motor ability (Baxter et al, 2013;Damiano, 1995;DiBiaso & Lewis, 2013;Johnson et al, 2011;Willoughby, Dodd, Shields & Foley, 2010). However, it is necessary to distinguish between the different types of training (strengthening, aerobic training) in order to provide a clearer picture of how each training modality may benefit people with CP.…”

Section: Discussionmentioning

confidence: 99%

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Quesada¹,

Lucas-Cuevas²,

Llana-Belloch³

et al. 2014

JPES

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Abstract:Regardless the advances in medical science, it seems that the prevalence of cerebral palsy (CP) has been increasing during the last forty years. Cerebral palsy is associated with muscle weakness and impaired circulation that leads to muscle spasticity and deficits in motor control, thereby limiting the individual's ability to perform not only leisure, social or occupational activities but also basic daily tasks. In this sense, exercise is gaining popularity as an intervention choice for this population. Literature aiming to improve the quality of life of patients suffering from cerebral pathologies such as cerebral palsy has observed that both strength and aerobic training lead to significant benefits that improve the quality of life of these patients via a reduction in dependency, muscular deficits and improved cardiorespiratory capacity.

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Can a six-week exercise intervention improve gross motor function for non-ambulant children with cerebral palsy? A pilot randomized controlled trial

Abstract: This study provides preliminary evidence that exercising on a bike or treadmill may provide short-term improvements in gross motor function for non-ambulant children with cerebral palsy. This needs to be tested in a large-scale randomized trial.

Cited by 38 publications

References 22 publications

Six Months Guided Exercise Therapy Improves Motor Abilities and White Matter Connectivity in Children with Cerebral Palsy

Six Months Guided Exercise Therapy Improves Motor Abilities and White Matter Connectivity in Children with Cerebral Palsy

Psycho-physiological benefits in a rehabilitative exercise program: a cerebral palsy case study

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