Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Taflampas, Gerasimos; Kilbride, Cherry; Levin, Wendy J.; Lavelle, Grace; Ryan, Jennifer M

doi:10.1080/01942638.2017.1400490

Cited by 11 publications

(7 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Strength or resistance training is one of the most frequently used interventions among physiotherapists to manage lower‐limb function in adolescents with CP 6 . In order for the findings to be clinically meaningful and to inform clinical decision making, it is essential to examine the effects of resistance training under ‘real world’ clinical settings.…”

Section: Discussionmentioning

confidence: 99%

“…Strength or resistance training is one of the most frequently used interventions among physiotherapists to manage lower‐limb function in adolescents with CP 6 . Despite the potential for progressive resistance training to improve strength and gait efficiency among adolescents with CP, there is little evidence to date to support its effect on any level of functioning, as classified by the World Health Organization’s International Classification of Functioning, Disability and Health framework 7 .…”

mentioning

confidence: 99%

See 1 more Smart Citation

Progressive resistance training for adolescents with cerebral palsy: the STAR randomized controlled trial

Ryan

Lavelle

Theis

et al. 2020

Develop Med Child Neuro

Self Cite

View full text Add to dashboard Cite

AIM To evaluate the effect of progressive resistance training of the ankle plantarflexors on gait efficiency, activity, and participation in adolescents with cerebral palsy (CP). METHOD Sixty-four adolescents (10-19y; 27 females, 37 males; Gross Motor Function Classification System [GMFCS] levels I-III) were randomized to 30 sessions of resistance training (10 supervised and 20 unsupervised home sessions) over 10 weeks or usual care. The primary outcome was gait efficiency indicated by net nondimensional oxygen cost (NNcost). Secondary outcomes included physical activity, gross motor function, participation, muscle strength, muscle and tendon size, and muscle and tendon stiffness. Analysis was intention-to-treat. RESULTS Median attendance at the 10 supervised sessions was 80% (range 40-100%). There was no between-group difference in NNcost at 10 (mean difference: 0.02, 95% confidence interval [CI]-0.07 to 0.11, p=0.696) or 22 weeks (mean difference:-0.08, 95% CI-0.18 to 0.03, p=0.158). There was also no evidence of between-group differences in secondary outcomes at 10 or 22 weeks. There were 123 adverse events reported by 27 participants in the resistance training group.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Progressive resistance training for adolescents with cerebral palsy: the STAR randomized controlled trial

Ryan

Lavelle

Theis

et al. 2020

Develop Med Child Neuro

Self Cite

View full text Add to dashboard Cite

show abstract

“…Owing to the risks of neurosurgery and side effects of pharmacological intervention, PT becomes the central part of rehabilitation for children with CP. [ 13 , 14 ] Among them, hydrotherapy promotes children's voluntary and passive movement in the water through the resistance, buoyancy, static pressure, and warming effects of water, which is beneficial to improve human blood circulation and relax the muscles of the whole body, thereby promoting the alleviation of muscle spasm and the reduction of muscle tension, and then improves the children's balance ability, expands the joint range of motion. [ 15 ] Numerous studies have pointed out that the potential of hydrotherapy programs have significant benefits for children with CP.…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, PT as a treatment for CP is developing rapidly, which is a special treatment method based on physical factors such as sound, electricity, light, force, water, magnetism, and thermal power. Owing to the risks of neurosurgery and side effects of pharmacological intervention, PT becomes the central part of rehabilitation for children with CP [13,14] . Among them, hydrotherapy promotes children's voluntary and passive movement in the water through the resistance, buoyancy, static pressure, and warming effects of water, which is beneficial to improve human blood circulation and relax the muscles of the whole body, thereby promoting the alleviation of muscle spasm and the reduction of muscle tension, and then improves the children's balance ability, expands the joint range of motion [15] .…”

Section: Introductionmentioning

confidence: 99%

Combined effect of hydrotherapy and transcranial direct-current stimulation on children with cerebral palsy

Chen

Zhu

et al. 2021

Medicine

View full text Add to dashboard Cite

Background: Cerebral palsy (CP) is a neurodevelopmental disorder caused by a brain injury resulting in poor coordination and motor control deficits, which is one of the most common physical disabilities in children. CP brings a heavy burden on families and society and becomes a significant public health issue. In recent years, hydrotherapy, and transcranial direct current stimulation (tDCS) as a physical therapy for CP is developing rapidly. When hydrotherapy and tDCS are used to treat separately, it has positive therapeutic effect in children with CP. The development of new therapies in combination with physical rehabilitation approaches is critical to optimize functional outcomes. tDCS has attracted interest in this context, because of significant functional improvements have been demonstrated in individuals with brain injuries after a short period of cerebral stimulation. Since the onset of this work, tDCS has been used in combination with constraint-induced therapy, virtual reality therapy to potentiate the treatment effect. Up to now, there are no studies on the effect of a combined application of hydrotherapy and tDCS in children with CP. We will conduct a 2-arm parallel clinical trial to investigate the effect of a combined application of tDCS and hydrotherapy. Methods and analysis: This study is an outcome assessor and data analyst-blinded, randomized, controlled superiority trial during the period from October 2021 to December 2023. CP patients meeting the inclusion criteria will be allocated in a 1:1 ratio into the treatment group (hydrotherapy plus tDCS), or the control group (treatment as usual). All participants will receive 30 sessions of treatment over 10 weeks. The primary outcomes will be the difference in the Gross Motor Function Assessment and Pediatric Balance Scale during rest and activity. The secondary outcomes will be the difference in adverse effects between the control and treatment groups. Conclusions: This study aims to estimate the efficacy of a combined application of tDCS and hydrotherapy in patients with CP. Trial Registration: This study protocol was registered in Chinese ClinicalTrials.gov, ID: ChiCTR2100047946.

show abstract

“…From experience of school based clinical services, common therapy interventions such as providing advice to children, families, and school staff, positioning, resolving equipment, and orthotic issues, and providing group rather than individual therapy may all increase in frequency when resources are limited. Yet from this research, it seems that the limited time school‐based physical therapists have available, would be better devoted to activity based individual therapy with the child.…”

mentioning

confidence: 99%

Should school‐based physical therapists be more targeted in their interventions for children with disabilities?

Knox¹

2018

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

Cited by 11 publications

References 23 publications

Progressive resistance training for adolescents with cerebral palsy: the STAR randomized controlled trial

Progressive resistance training for adolescents with cerebral palsy: the STAR randomized controlled trial

Combined effect of hydrotherapy and transcranial direct-current stimulation on children with cerebral palsy

Should school‐based physical therapists be more targeted in their interventions for children with disabilities?

Contact Info

Product

Resources

About