Functional outcomes of strength training in spastic cerebral palsy
Deutscher übersetzter Titel: | Funktionsgewinn durch Krafttraining bei spastischer Zerebralparese |
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Autor: | Damiano, D.L.; Abel, M.F. |
Erschienen in: | Archives of physical medicine and rehabilitation |
Veröffentlicht: | 79 (1998), 2, S. 119-125, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0003-9993, 1532-821X |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199805301788 |
Quelle: | BISp |
Abstract des Autors
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. Verf.-Referat