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High-intensity, short-period, early postoperative muscle training has a superior effect on maximal weight lifted by the knee extensors and integrated EMG/weight lifted compared with regular raining. These findings are in accordance with more rapid neuronal adaptation by a high intensity rehabilitation programme.

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ICCIntraclass correlation coefficient ROM Range of motion SDD Smallest detectable difference sEMG Surface electromyography SLR Straight leg raise AIM Preventing restrictions to lower limb movement is part of the treatment given to children with cerebral palsy (CP). Such restrictions can be assessed using the 'straight leg raise' (SLR) test. This study investigated the interrater reliability and practicability of the SLR test in children with CP.METHOD Experienced physiotherapists examined 23 children with CP (6-18y; eight females, 15 males) twice. The SLR hip range of motion (ROM) was measured using an electrogoniometer, and the test was rated based on sensitizing manoeuvres and biceps femoris muscle activity. Practicability was investigated by evaluating children's subjective feedback on the tolerable ROM. INTERPRETATION The SLR test proved to be reliable and practicable in children with CP and might improve clinical reasoning processes. Lower limb movement restrictions in these children may partly be related to limitations in sciatic nerve mobility. Further studies should investigate if the SLR test could estimate activities in children with CP. RESULTS

Patients with good motor ability at admission were discharged earlier and more frequently to home. These findings might be of importance for preoperative physiotherapeutic care and might help to improve care planning as well as more accurately predict the access to inpatients beds and the allocation of resources.