| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Article |
University of Virginia, Charlottesville 22903, USA.
BACKGROUND AND PURPOSE. Despite evidence of weakness in children with cerebral palsy, the use of strength training in this population remains controversial. SUBJECTS. Fourteen children with spastic diplegia, ranging in age from 6 to 14 years (X = 9.1, SD = 2.5), participated in a bilateral quadriceps femoris muscle strengthening program. METHODS. The children exercised three times per week for 6 weeks using ankle weights at loads of approximately 65% of each child's maximum isotonic force production. The maximal voluntary contraction of the quadriceps femoris muscles was measured before, at the midpoint of, and immediately following the exercise program at 30, 60, and 90 degrees of knee flexion. Gait analyses were performed before and after the strengthening program to determine whether quadriceps femoris muscle strengthening influenced gait. RESULTS. Children with spastic diplegia can increase quadriceps femoris muscle strength through heavy resistance exercise. Repeated-measures analysis of variance and multivariate analysis of variance procedures were used to assess changes in force and in gait variables. Improvement in the degree of crouch at initial floor contact at the freely selected speed and an increase in stride length at free and fast speeds were found. CONCLUSION AND DISCUSSION. These findings suggest that resistance exercise is an effective treatment strategy and as such should be considered as one component in the habilitation of children with cerebral palsy.
This article has been cited by other articles:
|
|
 |
|
  S. K. Stackhouse, S. A. Binder-Macleod, C. A. Stackhouse, J. J. McCarthy, L. A. Prosser, and S. C. K. Lee Neuromuscular Electrical Stimulation Versus Volitional Isometric Strength Training in Children With Spastic Diplegic Cerebral Palsy: A Preliminary Study Neurorehabil Neural Repair, December 1, 2007; 21(6): 475 - 485. [Abstract] [PDF]
|
|
|
|
 |
|
 O. Verschuren, M. Ketelaar, J. W. Gorter, P. J. M. Helders, C. S. P. M. Uiterwaal, and T. Takken Exercise Training Program in Children and Adolescents With Cerebral Palsy: A Randomized Controlled Trial Arch Pediatr Adolesc Med, November 1, 2007; 161(11): 1075 - 1081. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. G Fowler, T. H. Kolobe, D. L Damiano, D. E Thorpe, D. W Morgan, J. E Brunstrom, W. J Coster, R. C Henderson, K. H Pitetti, J. H Rimmer, et al. Promotion of Physical Fitness and Prevention of Secondary Conditions for Children With Cerebral Palsy: Section on Pediatrics Research Summit Proceedings Physical Therapy, November 1, 2007; 87(11): 1495 - 1510. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J.M. Rodda, H.K. Graham, G.R. Nattrass, M.P. Galea, R. Baker, and R. Wolfe Correction of Severe Crouch Gait in Patients with Spastic Diplegia with Use of Multilevel Orthopaedic Surgery J. Bone Joint Surg. Am., December 1, 2006; 88(12): 2653 - 2664. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. D. Sanger, D. Chen, M. R. Delgado, D. Gaebler-Spira, M. Hallett, J. W. Mink, and the Taskforce on Childhood Motor Disorders Definition and Classification of Negative Motor Signs in Childhood Pediatrics, November 1, 2006; 118(5): 2159 - 2167. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Ohata, T. Tsuboyama, N. Ichihashi, and S. Minami Measurement of Muscle Thickness as Quantitative Muscle Evaluation for Adults With Severe Cerebral Palsy Physical Therapy, September 1, 2006; 86(9): 1231 - 1239. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Unger, M. Faure, and A. Frieg Strength training in adolescent learners with cerebral palsy: a randomized controlled trial Clinical Rehabilitation, June 1, 2006; 20(6): 469 - 477. [Abstract] [PDF]
|
|
|
|
|
|
K. W Nolan, L. L Cole, and G. S Liptak Use of Botulinum Toxin Type A in Children With Cerebral Palsy Physical Therapy, April 1, 2006; 86(4): 573 - 584. [Full Text] [PDF]
|
|
|
|
|
|
M. A Fragala-Pinkham, S. M Haley, J. Rabin, and V. S Kharasch A Fitness Program for Children With Disabilities Physical Therapy, November 1, 2005; 85(11): 1182 - 1200. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F Morton, M. Brownlee, and A. K McFadyen The effects of progressive resistance training for children with cerebral palsy Clinical Rehabilitation, March 1, 2005; 19(3): 283 - 289. [Abstract] [PDF]
|
|
|
|
|
|
M. K Kaminker, L. A Chiarello, M. E O'Neil, and C. G. Dichter Decision Making for Physical Therapy Service Delivery in Schools: A Nationwide Survey of Pediatric Physical Therapists Physical Therapy, October 1, 2004; 84(10): 919 - 933. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. M. Wind, R. M. Schwend, and J. Larson Sports for the Physically Challenged Child J. Am. Acad. Ortho. Surg., March 1, 2004; 12(2): 126 - 137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S W Blundell, R B Shepherd, C M Dean, R D Adams, and B M Cahill Functional strength training in cerebral palsy: a pilot study of a group circuit training class for children aged 4-8 years Clinical Rehabilitation, January 1, 2003; 17(1): 48 - 57. [Abstract] [PDF]
|
|
|
|
 |
|
 M. Stanger and S. Oresic Rehabilitation Approaches for Children With Cerebral Palsy: Overview J Child Neurol, January 1, 2003; 18(1_suppl): S79 - S88. [Abstract] [PDF]
|
|
|
|
|
|
D. J Bartlett and R. J Palisano Physical Therapists' Perceptions of Factors Influencing the Acquisition of Motor Abilities of Children With Cerebral Palsy: Implications for Clinical Reasoning Physical Therapy, March 1, 2002; 82(3): 237 - 248. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. R Harris Challenging Myths in Physical Therapy Physical Therapy, June 1, 2001; 81(6): 1180 - 1182. [Full Text]
|
|
|
|
|
|
E. G Fowler, T. W Ho, A. I Nwigwe, and F. J Dorey The Effect of Quadriceps Femoris Muscle Strengthening Exercises on Spasticity in Children With Cerebral Palsy Physical Therapy, June 1, 2001; 81(6): 1215 - 1223. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J Bartlett and R. J Palisano A Multivariate Model of Determinants of Motor Change for Children With Cerebral Palsy Physical Therapy, June 1, 2000; 80(6): 598 - 614. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. L. Albright Intrathecal Baclofen in Cerebral Palsy Movement Disorders J Child Neurol, November 1, 1996; 11(1_suppl): S29 - S35. [Abstract] [PDF]
|
|
|
|
|
|
M. J. Barry Physical Therapy Interventions for Patients With Movement Disorders due to Cerebral Palsy J Child Neurol, November 1, 1996; 11(1_suppl): S51 - S60. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
