Strength training can be enjoyable and beneficial for adults with cerebral palsy

Allen, Jenni; Dodd, Karen; Taylor, Nicholas F.; McBurney, Helen; Larkin, Helen

doi:10.1080/09638280410001712378

Cited by 49 publications

(35 citation statements)

References 24 publications

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“…It is also possible that resistance training improved the confidence that participants had in their mobility, an interpretation consistent with qualitative analysis. 24 Another possible explanation is that progressive resistance training did improve some aspects of walking that were not detected by the outcomes used in our trial. However, a broad range of measures of mobility were used.…”

Section: Discussionmentioning

confidence: 81%

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Taylor

Dodd

Baker

et al. 2013

Develop Med Child Neuro

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107

152

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AIM The aim of this study was to investigate whether individualized resistance training improves the physical mobility of young people with cerebral palsy (CP).METHOD Forty-eight participants with spastic diplegic CP (26 males, 22 females; mean age 18y 1mo, SD 1y 11mo) classified as level II or III on the Gross Motor Function Classification System were allocated randomly to progressive resistance training or usual-care control. Resistance training was completed twice weekly for 12 weeks at a community gymnasium under the supervision of a physiotherapist. Exercises were based on instrumented gait analysis and targeted muscles contributing to walking difficulties. Outcomes at 12 weeks and 24 weeks included objective measures of mobility (6-min walk test, instrumented gait analysis, and Gross Motor Function Measure dimensions D and E), participant-rated measures of mobility (Functional Mobility Scale and Functional Assessment Questionnaire), and muscle performance. RESULTSThe strength of targeted muscles increased by 27% (95% CI 8-46%) compared with control group. There were no between-group differences in any objective measure of mobility at 12 weeks (6-min walk test: mean difference 0.1m; 95% CI À21 to 21m) or at 24 weeks. Participant-rated mobility improved (Functional Mobility Scale at 5m: mean 0.6 units; 95% CI 0.1-1.1 units; Functional Assessment Questionnaire: 0.8 units; 95% CI 0.1-1.6 units) compared with control group at 12 weeks.

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Section: Discussionmentioning

confidence: 81%

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Taylor

Dodd

Baker

et al. 2013

Develop Med Child Neuro

Self Cite

107

152

View full text Add to dashboard Cite

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“…Improvements attaining statistical significance at 5% in self-reported functional mobility were reported in the young people with bilateral CP after the same 12-week resistance training programme (Functional Assessment Questionnaire mean difference: 0.8 units (95%CI 0.1-1.6); Functional Mobility Scale at 5 m mean difference: 0.6 units (95%CI 0.1-1.1) [12]. Also, increases in walking distance and the ability to perform physical activities such as jumping up or doing squats after progressive resistance training have been reported by people with CP in previous qualitative studies [26,27].…”

Section: Discussionmentioning

confidence: 92%

The effects of progressive resistance training on daily physical activity in young people with cerebral palsy: a randomised controlled trial

Bania

Dodd

Baker

et al. 2015

Disability and Rehabilitation

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Purpose: To examine if individualised resistance training increases the daily physical activity of adolescents and young adults with bilateral spastic cerebral palsy (CP).Method: Young people with bilateral spastic CP were randomly assigned to intervention or to usual care. The intervention group completed an individualised lower limb progressive resistance training programme twice a week for 12 weeks in community gymnasiums. The primary outcome was daily physical activity ( number of steps, and time sitting and lying). Secondary outcomes included muscle strength measured with a one-repetition maximum (1RM) leg press and reverse leg press. Outcomes were measured at baseline, 12 weeks, and 24 weeks. Results:From the 36 participants with complete data at 12 weeks there were no between-group differences for any measure of daily physical activity. There was a likely increase in leg press strength in favour of the intervention group (mean difference 11.8 kg; 95%CI: -1.4 to 25.0). No significant adverse events occurred during training. Conclusions:A short-term resistance training programme that may increase leg muscle strength was not effective in increasing daily physical activity. Other strategies are needed to address the low daily physical activity levels of young people with bilateral spastic CP.3

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“…Interventions, such as counseling and relaxation techniques, may help to achieve better lifestyles both for themselves and their child (2,40). Education about the prognosis, aging with a disability, and expectations of an exercise program are important in order to prevent frustration and to keep their expectations reasonable (41).…”

Section: Discussionmentioning

confidence: 99%

“…In the study by Allen et al (41), enjoyment was a key benefit of the strength-training program for adults with CP (9), which is a factor that can promote adherence and persistence. As discussed above, greater adherence is seen in the more functionally impaired groups.…”

Section: Discussionmentioning

confidence: 99%

Adherence to Home Exercise Program among Caregivers of Children with Cerebral Palsy

Başaran¹,

Karadavut²,

Üneri³

et al. 2014

Turk J Phys Med Rehab

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ÖzetAmaç: Bu çalışmanın amacı, Serebral Palsili (SP) çocukların bakıcılarının ev egzersiz programına uyumunu etkileyen faktörleri belirlemektir. Gereç ve Yöntemler: Yüz kırk yedi SP'li çocuğun bakıcısı çalışmaya dahil edildi. Bakıcıların egzersiz programına uyumları bir anket ile belirlendi. Çocukların ve bakıcılarının sosyo-demografik verileri, aile özellikleri, çocukların SP tipi ve Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS) seviyeleri, bakıcıların ruh sağlığı ve tükenmişlik ölçeklerine ait verilerin tümünün bakıcıların uyum durumu ile ilişkili olup olmadığı araştırıldı. Bulgular: Univariate testlerde istatistiksel olarak anlamlı verilerin [çocukların yaşı, ağırlığı, KMFSS seviyesi, bakıcıların yaşı ve Maslach emosyonel tükenme (EE) skoru] egzersiz programına uyumu tahmin gücünü belirlemek için lojistik regresyon modeli ile analiz edildi. Sonuç: Serebral palsili çocukların fonksiyonel limitasyonlarının ciddiyeti bakıcıların ev egzersiz programına uyumlarını arttırırken, bakıcıların tükenmişlikleri uyumu olumsuz etkilemektedir. Bu nedenle bakıcıların sosyal ve medikal olarak desteklenmeleri başarılı ev egzersiz programları için gereklidir. Anahtar Kelimeler: Egzersiz, serebral palsi, bakıcı, ruh sağlığı, tükenmişlik, özbildirim, uyum AbstractObjective: The objective of this study is to determine the factors that affect the adherence to home exercise programs among caregivers of children with cerebral palsy (CP). Methods: The caregivers of 147 children with CP were recruited for the study. The adherence status of the caregivers to an exercise program was assessed by a survey. The sociodemographic data of both children and caregivers; family characteristics, CP type, and Gross Motor Function Classification System (GMFCS) level of the disabled child; and inventories related to mental health and burnout of the caregivers were evaluated to determine whether these data were related with the adherence status or not. Results: Using statistically significant parameters in univariate tests [age, weight, and GMFCS level of the children and age and Maslach emotional exhaustion (EE) score of the caregiver], a logistic regression model was constructed to predict the adherence to exercise programs. GMFCS level and Maslach EE score were statistically significant independent factors that predicted the adherence to home exercise programs. Conclusion: The severity of the functional limitation of children with CP seems to enhance the adherence of caregivers to home exercise programs, while the burnout of caregivers has a negative impact. Caregivers should be supported socially and medically for a successful home exercise program.

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Strength training can be enjoyable and beneficial for adults with cerebral palsy

Cited by 49 publications

References 24 publications

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

Progressive resistance training and mobility‐related function in young people with cerebral palsy: a randomized controlled trial

The effects of progressive resistance training on daily physical activity in young people with cerebral palsy: a randomised controlled trial

Adherence to Home Exercise Program among Caregivers of Children with Cerebral Palsy

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