Strength Training in People with Cerebral Palsy

Özal, Cemil; Turker, Duygu; Korkem, Duygu

doi:10.5772/64638

Cited by 4 publications

(3 citation statements)

References 107 publications

(172 reference statements)

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“…The muscles of children with CP have an increased amount of collagen, which hinders movement. This increase in collagen is responsible for contracture development, thereby affecting the passive viscoelastic features of muscle and exerting an impact on the internal resistance of muscle when passive movement of the joint is performed [ 16 ]. A weak agonist muscle may not allow full lengthening of the spastic antagonist muscle, leading to contracture development, and an increase in passive tension leads to muscle weakness [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Functional Progressive Resistance Exercise on Lower Extremity Structure, Muscle Tone, Dynamic Balance and Functional Ability in Children with Spastic Cerebral Palsy

Cho

Lee

2020

Children

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The purpose of this study was to investigate the effects of functional progressive resistance exercise (FPRE) on muscle tone, dynamic balance and functional ability in children with spastic cerebral palsy. Twenty-five subjects were randomized into two groups: the FPRE group (n = 13) and the control group (n = 12). The experimental group participated in an FPRE program for 30 min per day, three times per week for six weeks. Knee extensor strength, rehabilitative ultrasound imaging (RUSI), muscle tone, dynamic balance, and functional ability was evaluated. The results showed statistically significant time × group interaction effects on the dominant side for knee extensor strength and cross-sectional area (CSA) in RUSI (p < 0.05). On both sides for thickness of the quadriceps (TQ) in RUSI, muscle tone and dynamic balance were statistically significant time × group interaction effects (p < 0.05). Additionally, knee extensor strength, CSA, TQ in RUS, muscle tone, dynamic balance and gross motor function measure (GMFM) in functional ability were significantly increased between pre- and post-intervention within the FPRE group (p < 0.05). The results suggest that FPRE is both feasible and beneficial for improving muscle tone, dynamic balance and functional ability in children with spastic cerebral palsy.

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Section: Introductionmentioning

confidence: 99%

Effect of Functional Progressive Resistance Exercise on Lower Extremity Structure, Muscle Tone, Dynamic Balance and Functional Ability in Children with Spastic Cerebral Palsy

Cho

Lee

2020

Children

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“…Insufficient tonus of the internal intercostal muscles, oblique abdominal muscles, and the diaphragm fibres (sternal part) lower the sternum at inspiration. This, in turn, together with insufficient chest decompression, flattens breathing, increases the breathing rate, reduces ventilatory capacity, and leads to abnormal chest wall development [14].…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic excursion and pulmonary function in children with cerebral palsy – comparative study

Thomas¹,

Narayan²,

Alaparthi³

et al. 2023

Physiother Quart.

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Introduction. Cerebral palsy (CP) is a common paediatric disorder occurring in about 2 to 2.5 per1000 live births. Studies have reported that children with cerebral palsy have a high incidence of respiratory problems, with limited evidence regarding diaphragmatic impairment. Thus, the study aims to analyse and compare the diaphragmatic excursion and pulmonary function in children with CP compared to the typically developing children. Methods. The sample size was calculated as 38, divided into groups of typically developed children ( 19) and spastic CP children ( 16). An experienced radiologist assessed the diaphragmatic excursion. The respiratory parameters were assessed using a portable Pulmonary Function Test machine. Results. A positive significance was seen in the pulmonary function test values (p = 0.00) and diaphragmatic excursion (p = 0.00), showing better values among the typically developed children than the CP group. Conclusions. The study concludes that children with CP have a reduction in diaphragm excursion and poorer pulmonary values than typically developing children, making them prone to respiratory diseases, thus requiring early intervention.

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“…The impairment in strength in children with CP can be due to both the disturbed neural mechanisms and the muscle tissue changes. In children with CP, the central input that stimulates the motor neurons of the muscles is decreased due to pyramidal tract damage, also the child is unable to activate the high-threshold motor unit groups necessary for maximum voluntary contraction [27]. Modlesky and Zhang [28] suggested that CP have smaller muscles that contain less contractile tissue and more fat, which interfere with force generation and contribute to significant muscle weakness.…”

Section: Discussionmentioning

confidence: 99%

Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study

et al. 2021

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Background In children with spastic diplegia, efficient use of the upper extremity especially the hands play an important role in participation in daily living. Hands can perform heavy activities and also enable to perform extremely gentle, skillful, and precise activities. Inadequate hand strength and fine motor skills may lead to functional limitations. This study was planned to investigate the pinch grip strength and fine manual control in children with spastic diplegic cerebral palsy and to determine if there is a relation between them. Thirty children with diplegic cerebral palsy and 30 normal developed children from both sexes between 5 and 10 years old were included in this study as diplegic and control groups. For all children, pinch grip strength measured by Baseline Mechanical Pinch Gauge and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition used to evaluate fine manual control. Results Children with diplegic cerebral palsy have significant impairment in the pinch grip strength (tip, tripod, and key) and the fine manual control (fine motor precision and integration) compared to their healthy peers of the same age. There was large positive significant correlation (r > 0.5, p < 0.05) between tip and tripod pinch strength, and fine motor precision and medium positive significant correlation (r = 0.47, p < 0.05) between key pinch and fine motor precision in children with spastic diplegia. Also, there was large positive significant correlation between tip pinch and fine motor integration (r = 0.54, p < 0.05). The correlations are small and medium positive between tripod and key pinch strength, and fine motor integration respectively but they are not statistically significant. Conclusions Pinch grip strength and fine manual skills are affected in children with spastic diplegia. Also, there is a significant correlation between the pinch strength and activities require precise control of the hand.

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Strength Training in People with Cerebral Palsy

Cited by 4 publications

References 107 publications

Effect of Functional Progressive Resistance Exercise on Lower Extremity Structure, Muscle Tone, Dynamic Balance and Functional Ability in Children with Spastic Cerebral Palsy

Effect of Functional Progressive Resistance Exercise on Lower Extremity Structure, Muscle Tone, Dynamic Balance and Functional Ability in Children with Spastic Cerebral Palsy

Diaphragmatic excursion and pulmonary function in children with cerebral palsy – comparative study

Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study

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