Muscle Performance and Gross Motor Function of Children With Spastic Cerebral Palsy

Abstract

SUMMARY The purpose of this study was to determine whether, and to what extent, performance on a measure of motor function (Gross Motor Function Measure, GMFM) was related to the physiological fitness of children with cerebral palsy (CP). Two elements of physiological function were measured: aerobic power and anaerobic power of the arms and legs. 15 boys and eight girls aged between seven and 13.9 years with spastic CP participated in the study. There was a good relationship between the standing and walking, running and jumping sub‐sections and the total score of the GMFM on one hand, and anaerobic capacity of the legs on the other. However, the relationships for the arms were limited, indicating that the GMFM is not a suitable tool for providing information about aerobic fitness in children with CP, or about anaerobic power of the arms. RÉSUMÉ Performance musculaire et fonction motrice globale chez les enfants avec I.M.C. spastique Le but de cette étude était de déterminer si, et dans quelle mesure, les performances des fonctions motrices globales (Mesure de la fonction motrice globale = GMFM) étaient reliées à létat physiologique des enfants I.M.C. Deux éléments de fonction physiologique furent mesurés: la puissance en aérobie et la puissance en anaérobie des bras et jes jambes. 5 garçons et hurt filles, ǎgés de sept à 13.9 ans participèrent à létude. II y une bonne relation entre les sous‐sections de tenue, de marche, de course et de saut et le score total GMFM d'une part, et la capacité des jambes en anaérobie d'autre part. En revanche, les relations pour le bras furent médiocres, indiquant que la GMFM n'est pas un outil utilisable pour fournir des informations sur l'adaptabilité aérobique des enfants I.M.C., ou sur la puissance des bras en anaérobie. ZUSAMMENFASSUNG Muskelleistung und grobmotorische Funktion bei Kindern mit spastischer Cerebralparese Es war das Ziel dieser Studie festzustellen, ob und bis zu welchem Grad ein Zusammenhang zwischen Leisung irn Bereich einer motorischen Funktion (Gross Motor Function Measure, GMFM) und physiologischer Fitness von Kindern mit Cerebralparese (CP) bestand. Es wurden zwei Elemente der physiologischen Funktion gemessen: aerobe Kraft und anaerobe Kraft der Arme und Beine. 15 Jungen und acht Mádchen im Alter von sieben bis 13‐9 Jahren mit spastischer CP nahmen an der Studie teil. Es fand sich eine klare Beziehung zwischen den Untergruppe Stehen und Gehen, Rennen und Springen und dem Gesamtscore des GMFM einerseits und der anaeroben Leistung der Beine andererseits. Die Relationen für die Arme waren jedoch begrenzt, was bedeutet, daß das GMFM nicht geeignet ist, Informationen über anaerobe Fitness bei Kindern mit CP oder über aǹaerobe Kraft der Arme zu liefern. RESUMEN Realización muscular y función motora grosera en nin̂os con parálisis cerebral espastica El propóstito de este estudio fue el determinar si, y en qué extensión, la realizacion en la medición de la función motora (Medición de la Función Motora Grosera, MFMG) estaba en relación ...

The Reliability and Concurrent Validity of the GMFCS for Children with Cerebral Palsy

“…Rater B had 8 months of experience in the evaluation and treatment of children with CP (the newly trained PT), while rater K had 12 years of experience in pediatric physical therapy (the Expert PT). A number of studies [14][15][16] have used videotapes of patients to permit multiple raters to observe the same performance. According to Gross and Conrad 17) , videotaping permits less biased estimates of reliability.…”

Aprendizagem motora em crianças com paralisia cerebral

“…Stokes 2 cita que os distúrbios de postura e movimento podem ser definidos como a falta de capacidade do corpo em enfrentar com eficiência os efeitos da gravidade e de relacionar-se com a superfície da terra por meio da base de apoio. Desta forma, a PC causa dificuldades variáveis na coordenação da ação muscular, com resultante incapacidade da criança em manter posturas e realizar movimentos normais 1,[3][4][5][6][7] . Neste sentido, os indiví-duos apresentam alterações motoras complexas sendo que os déficits primários descritos por Papavasiliou 8 são: tônus muscular anormal influenciando a postura e movimento; alteração do balance e coordenação; diminuição de força; perda do controle motor seletivo com problemas secundários de contraturas e deformidades ósseas.…”

Energy efficiency in gait, activity, participation, and health status in children with cerebral palsy

“…4 Although increasing levels of impairment would appear to be associated with increasing levels of activity limitations, there are conflicting reports in the literature with regard to the strength of this relationship. [5][6][7][8] More recently, the relationship between measures of activity limitations and participation restrictions and/or health status have been explored in an attempt to understand the day-to-day implications of living with functional limitations. [9][10][11][12][13][14][15][16] Three studies to date 15,17,18 have investigated the relationship between energy efficiency of gait and other aspects of health and lifestyle.…”