Measuring levels of muscle fatigue in spastic cerebral palsy

Ratel, Sébastien; Doré, Éric; Duché, Pascale

doi:10.1111/dmcn.14046

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…The severity and symptoms of the disease may vary in different patients according to the cause of the disease [19]. Spastic CP was associated with any increase in sarcomere length and fascicle diameter, collagen content, and a reduction in the number of satellite cells within the spastic CP muscle [20,21].…”

Section: Muscle and Cpmentioning

confidence: 99%

A Mini Review on Cerebral Palsy and Its Implications in Dentistry

2018

OBDS

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The most common motor disability that is caused due to a progressive brain injury or lesion in childhood is known as Cerebral Palsy (CP). It is primarily an infirmity of posture and muscular tone that occurs as a result of an injury to the developing brain like hypoxia which is non progressive in nature. The history of CP dates back to 1843 where Sir William John Little was credited with its first description. He also coined the term 'cerebral palsy' in 1889. Census from around the world in population-based studies reports that overall birth prevalence of CP is approximately two per 1,000 live births. CP results in impaired motor function thereby affecting the overall oral health. Hence, awareness regarding the care and treatment of these patients amongst dentists is imperative. This review aims at studying the various aspects of CP as well as highlighting the role of the dentist in the treatment of the patients suffering from this condition. It also provides information regarding the implications of CP on dental health.

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Section: Muscle and Cpmentioning

confidence: 99%

A Mini Review on Cerebral Palsy and Its Implications in Dentistry

2018

OBDS

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“…Gait speed, stride length, step width, and stance time are important factors for an effective gait [ 14 , 15 ]. Lower limb muscle fatigue is commonly observed in patients with cerebral palsy and drastically affects their gait abilities and distances [ 16 , 17 ]. Usually, patients with cerebral palsy receive physiotherapy treatment for long periods; however, decreased muscle strength of the lower limbs has been shown to be associated with impaired gait function in children with cerebral palsy.…”

Section: Introductionmentioning

confidence: 99%

Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial

Guérin¹,

Sijobert²,

Zaragoza³

et al. 2023

JMIR Res Protoc

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Background Cerebral palsy is the most common brain injury in the pediatric population. Patients with cerebral palsy present different affectations such as decreased muscle strength, gait deviations, impaired proprioception, and spasticity. Isokinetic strengthening programs combined with intensive rehabilitation may improve muscle strength and therefore gait efficiency. Objective The primary aim of this randomized controlled trial is to compare the effect of an intensive rehabilitation combined with a nonfunctional isokinetic progressive strengthening program to an intensive rehabilitation alone on gait parameters and muscle strength in patients with cerebral palsy. Another goal of this study is to determine whether adding an isokinetic program to intensive rehabilitation is more effective than intensive rehabilitation alone at decreasing spasticity and improving joint position sense in patients with cerebral palsy. Methods A total of 30 adolescents with spastic diplegia cerebral palsy (Gross Motor Function Classification System levels I to III) will be randomized, by an independent researcher, into a 3-week intensive rehabilitation and isokinetic progressive strengthening group or an intensive rehabilitation control group. Gait parameters, muscle strength, spasticity, and knee joint position sense will be assessed. These variables will be evaluated at baseline (T0) and at the end of the intervention (T1). The intensive rehabilitation will consist of physiotherapy sessions twice a day and hydrotherapy and virtual reality gait training once a day. The isokinetic training group will have a total of 9 supervised isokinetic strength training sessions focusing on knee flexors and extensors with different execution speeds. Results The protocol has been accepted by the French National Ethics Committee in October 2022. The inclusion of patients will start in November 2022. Conclusions The combination of intensive rehabilitation with an isokinetic program on knee flexors and extensors has not been studied yet. The findings of this study may determine if an isokinetic strength training program of knee flexors and extensors is beneficial for the improvement of gait parameters, muscle strength, spasticity, and joint position sense in adolescents with spastic diplegia. International Registered Report Identifier (IRRID) PRR1-10.2196/43221

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“…As a consequence, abnormal gait patterns [ 8 ] with wasting of mechanical energy and co-activation and co-contractions of muscles develop. This makes walking less energy efficient in children with CP [ 9 , 10 ], even in Gross Motor Function Classification System (GMFCS) level I [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy

et al. 2022

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Fatigue during walking is a common complaint in cerebral palsy (CP). The primary purpose of this study is to investigate muscle fatigue from surface electromyography (sEMG) measurements after a treadmill-based fatigue protocol with increasing incline and speed in children with CP with drop foot. The secondary purpose is to investigate whether changes in sagittal kinematics of hip, knee and ankle occur after fatigue. Eighteen subjects with unilateral spastic CP performed the protocol while wearing their ankle-foot orthosis and scored their fatigue on the OMNI scale of perceived exertion. The median frequency (MF) and root mean square (RMS) were used as sEMG measures for fatigue and linear mixed effects model were applied. The MF was significantly decreased in fatigued condition, especially in the affected leg and in the tibialis anterior and peroneus longus muscle. The RMS did not change significantly in fatigued condition, while the OMNI fatigue score indicated patients felt really fatigued. No changes in sagittal kinematics of hip, knee and ankle were found using statistical non-parametric mapping. In conclusion, the current fatigue protocol seems promising in inducing fatigue in a population with CP with drop foot and it could be used to expand knowledge on muscle fatigue during walking in CP.

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Measuring levels of muscle fatigue in spastic cerebral palsy

Abstract: This commentary is on the original article by Eken et al. on pages 212–218 of this issue.

Cited by 4 publications

References 4 publications

A Mini Review on Cerebral Palsy and Its Implications in Dentistry

A Mini Review on Cerebral Palsy and Its Implications in Dentistry

Combining Intensive Rehabilitation With a Nonfunctional Isokinetic Strengthening Program in Adolescents With Cerebral Palsy: Protocol for a Randomized Controlled Trial

Lower limb muscle fatigue after uphill walking in children with unilateral spastic cerebral palsy

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