Muscle Strengthening in Children and Adolescents With Spastic Cerebral Palsy: Considerations for Future Resistance Training Protocols

Verschuren, Olaf; Ada, Louise; Maltais, Désirée B.; Gorter, Jan Willem; Scianni, Aline Alvim; Ketelaar, Marjolijn

doi:10.2522/ptj.20100356

Cited by 120 publications

(94 citation statements)

References 34 publications

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“…[6][7][8] Previous reports not based on randomized controlled designs may have overestimated the effect that resistance training can have on improving mobility. 1,5 The progressive resistance training programme that led to strength increases in our trial fulfilled key requirements of resistance training including training intensity, frequency, and duration 10,22 and was effective in its intended purpose of increasing muscle strength. In addition, participants showed high levels of adherence to the intervention and demonstrated evidence of progression.…”

Section: Discussionmentioning

confidence: 99%

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Taylor

Dodd

Baker

et al. 2013

Develop Med Child Neuro

103

152

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AIM The aim of this study was to investigate whether individualized resistance training improves the physical mobility of young people with cerebral palsy (CP).METHOD Forty-eight participants with spastic diplegic CP (26 males, 22 females; mean age 18y 1mo, SD 1y 11mo) classified as level II or III on the Gross Motor Function Classification System were allocated randomly to progressive resistance training or usual-care control. Resistance training was completed twice weekly for 12 weeks at a community gymnasium under the supervision of a physiotherapist. Exercises were based on instrumented gait analysis and targeted muscles contributing to walking difficulties. Outcomes at 12 weeks and 24 weeks included objective measures of mobility (6-min walk test, instrumented gait analysis, and Gross Motor Function Measure dimensions D and E), participant-rated measures of mobility (Functional Mobility Scale and Functional Assessment Questionnaire), and muscle performance. RESULTSThe strength of targeted muscles increased by 27% (95% CI 8-46%) compared with control group. There were no between-group differences in any objective measure of mobility at 12 weeks (6-min walk test: mean difference 0.1m; 95% CI À21 to 21m) or at 24 weeks. Participant-rated mobility improved (Functional Mobility Scale at 5m: mean 0.6 units; 95% CI 0.1-1.1 units; Functional Assessment Questionnaire: 0.8 units; 95% CI 0.1-1.6 units) compared with control group at 12 weeks.

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Section: Discussionmentioning

confidence: 99%

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Taylor

Dodd

Baker

et al. 2013

Develop Med Child Neuro

103

152

View full text Add to dashboard Cite

show abstract

“…Progressive resistance training under the supervision of qualified professionals can offer a safe, effective and worthwhile method for reversing this undesirable trend, while encouraging participation in resistance training as an ongoing lifestyle choice. The importance of effective education by qualified professionals is essential,4 5 40 41 as positive early experiences in physical education have been associated with lifelong physical activity 42…”

Section: Introductionmentioning

confidence: 99%

Position statement on youth resistance training: the 2014 International Consensus

et al. 2013

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The current manuscript has been adapted from the official position statement of the UK Strength and Conditioning Association on youth resistance training. It has subsequently been reviewed and endorsed by leading professional organisations within the fields of sports medicine, exercise science and paediatrics. The authorship team for this article was selected from the fields of paediatric exercise science, paediatric medicine, physical education, strength and conditioning and sports medicine.

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“…Some studies acknowledged small sample size or convenience samples, research instruments lacking specificity. The cross-sectional nature and lack of baseline data in some studies hampered ability to test improvement over time (Verschuren et al, 2011). Some articles addressed important information about physical activity but did not elaborate on how this information could be used in practice.…”

Section: Discussionmentioning

confidence: 94%

Physical Activity Among Adolescents with Cerebral Palsy: An Integrative Review

Koldoff

Holtzclaw

2015

Journal of Pediatric Nursing

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Muscle Strengthening in Children and Adolescents With Spastic Cerebral Palsy: Considerations for Future Resistance Training Protocols

Abstract: for resistance training protocols, based on this evidence and appropriate to children with CP, are provided to help guide both future research and clinical practice for resistance training in children with CP.

Cited by 120 publications

References 34 publications

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Position statement on youth resistance training: the 2014 International Consensus

Physical Activity Among Adolescents with Cerebral Palsy: An Integrative Review

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