The Effectiveness of Classroom Passive Stretching Programs for Increasing or Maintaining Passive Range of Motion in Non-Ambulatory Children:

Miedaner, James A.; Renander, Jean

doi:10.1080/j006v07n03_03

Cited by 9 publications

(27 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the PROM protocol was based on the literature related to people with cerebral palsy, 7,19 research with people without neuromusculoskeletal deficits indicate that stretching for one 30-second stretch 5 times per week is effective. 26,27 Although this amount cannot be generalized to people with neuromusculoskeletal impairments, it may be worth investigating.…”

Section: Discussionmentioning

confidence: 99%

“…7,19 In both studies, the PROM exercises consisted of moving an extremity passively to the end of the PROM and holding this position for 20 to 60 seconds, then repeating this stretch 5 times. Researchers studying people with and without neuromusculoskeletal impairments have found that one 30-second stretch 5 days a week is as effective in increasing hamstring muscle length as one 60-second stretch or three 30-or 60-second stretches.…”

Section: Passive Range Of Motion Programmentioning

confidence: 99%

“…Although the reliability of goniometry for measuring joint limitations due to contractures has been questioned, 28,29 investigators often have used a goniometer to measure the joint PROM of people with cerebral palsy. 7,19 To promote consistency in measurements, the 16 measurement sessions for each participant were done on the same day of the week and at the same time of day, with the participant lying on a firm, vinyl-covered, high-low mat table. Semipermanent marks were made on each participant's bony landmarks with a laundry marker to identify the goniometer's fulcrum, stationary arm, and measurement arm positions.…”

Section: Goniometric Measurementsmentioning

confidence: 99%

“…10,11 In 2 studies, researchers found at least minimal benefits to PROM exercises for young people with cerebral palsy. 7,19 Over a 2-year period, McPherson et al 7 examined the effects of PROM exercises and positioning on knee flexion contractures of 4 participants between 10 to 18 years of age. During the first year of the study, the participants received PROM exercises 3 times a day at school and twice a week at home.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Effect of Passive Range of Motion Exercises on Lower-Extremity Goniometric Measurements of Adults With Cerebral Palsy: A Single-Subject Design

Cadenhead¹,

McEwen

Thompson

2002

Physical Therapy

View full text Add to dashboard Cite

Background and Purpose. People with spastic cerebral palsy often receive passive stretching that is intended to maintain or increase joint passive range of motion (PROM) even though the effectiveness of these exercises has not been definitively demonstrated. The purpose of this study was to determine the effect of PROM exercises on 6 adults with spastic quadriplegia and contractures. Participants. Four men and 2 women (Xϭ31 years of age, rangeϭ20 -44 years) who lived in an institution for people with mental retardation participated in the study. Methods. The authors used 2 multiple baseline designs. Three participants (group 1) received lower-extremity PROM exercises during phase A; PROM exercises were discontinued during phase B. Three participants (group 2) did not receive PROM exercises during phase A; PROM exercises were initiated during phase B. Data were analyzed using visual analysis and the C statistic. Results. Results varied with the method of analysis; however, phase A and phase B measurements, overall, did not differ for either group. Discussion and Conclusion. This study demonstrated use of a single-subject design to measure the effect of PROM exercises on adults with cerebral palsy. The authors concluded that the PROM exercise protocol did not have an effect on the lower-extremity goniometric measurements of the participants.[Cadenhead SL, McEwen IR, Thompson DM. Effect of passive range of motion exercises on lower-extremity goniometric measurements of adults with cerebral palsy: a single-subject design. Phys Ther. 2002;82:658 -669.]

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Passive Range Of Motion Programmentioning

confidence: 99%

Section: Goniometric Measurementsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Effect of Passive Range of Motion Exercises on Lower-Extremity Goniometric Measurements of Adults With Cerebral Palsy: A Single-Subject Design

Cadenhead¹,

McEwen

Thompson

2002

Physical Therapy

View full text Add to dashboard Cite

show abstract

“…Previous research investigating stretching in human populations has demonstrated increases in joint range of motion (ROM) (McPherson et al, 1984;Miedaner and Renander, 1987), and decreased joint stiffness in response to long-term stretching (Kubo, et al, 2002;McPherson et al, 1984;Nakamura et al, 2012;O'Dwyer et al, 1994). Often, such decreases in MTU stiffness are interpreted to be reflective of changes in muscle stiffness.…”

Section: Introductionmentioning

confidence: 99%

Does long-term passive stretching alter muscle–tendon unit mechanics in children with spastic cerebral palsy?

Theis

Korff

Mohagheghi

2015

Clinical Biomechanics

View full text Add to dashboard Cite

DisclaimerThe University of Gloucestershire has obtained warranties from all depositors as to their title in the material deposited and as to their right to deposit such material.The University of Gloucestershire makes no representation or warranties of commercial utility, title, or fitness for a particular purpose or any other warranty, express or implied in respect of any material deposited.The University of Gloucestershire makes no representation that the use of the materials will not infringe any patent, copyright, trademark or other property or proprietary rights.The University of Gloucestershire accepts no liability for any infringement of intellectual property rights in any material deposited but will remove such material from public view pending investigation in the event of an allegation of any such infringement. PLEASE SCROLL DOWN FOR TEXT. AbstractBackground: Cerebral Palsy causes motor impairments during development and many children may experience excessive neural and mechanical muscle stiffness. The clinical assumption is that excessive stiffness is thought to be one of the main reasons for functional impairments in cerebral palsy. As such, passive stretching is widely used to reduce stiffness, with a view to improving function. However, current research evidence on passive stretching in cerebral palsy is not adequate to support or refute the effectiveness of stretching as a management strategy to reduce stiffness and/or improve function. The purpose was to identify the effect of six weeks passive ankle stretching on muscle-tendon unit parameters in children with spastic cerebral palsy.Methods: Thirteen children (8-14 y) with quadriplegic/diplegic cerebral palsy were randomly assigned to either an experimental group (n=7) or a control group (n=6). The experimental group underwent an additional six weeks of passive ankle dorsiflexion stretching for 15 minutes (per leg), four days per week, whilst the control group continued with their normal routine, which was similar for the two groups. Measures of muscle and tendon stiffness, strain and resting length were acquired pre and post intervention.Findings: The experimental group demonstrated a 3° increase in maximum ankle dorsiflexion. This was accompanied by a 13% reduction in triceps surae muscle stiffness, with no change in tendon stiffness. Additionally, there was an increase in fascicle strain with no changes in resting length, suggesting muscle stiffness reductions were a result of alterations in intra/extra-muscular connective tissue.Interpretation: The results demonstrate that stretching can reduce muscle stiffness by altering fascicle strain but not resting fascicle length.

show abstract

The effectiveness of passive stretching in children with cerebral palsy

Pin¹,

Dyke²,

Chan³

2006

Dev Med Child Neurol

167

View full text Add to dashboard Cite

Passive stretching is widely used for individuals with spasticity in a belief that tightness or contracture of soft tissues can be corrected and lengthened. Evidence for the efficacy of passive stretching on individuals with spasticity is limited. The aim of this review was to evaluate the evidence on the effectiveness of passive stretching in children with spastic cerebral palsy. Seven studies were selected according to the selection criteria and scored against the Physiotherapy Evidence Database scale. Effect size and 95% confidence intervals were calculated for comparison. There was limited evidence that manual stretching can increase range of movements, reduce spasticity, or improve walking efficiency in children with spasticity. It appeared that sustained stretching of longer duration was preferable to improve range of movements and to reduce spasticity of muscles around the targeted joints. Methods of passive stretching were varied. Further research is required given the present lack of knowledge about treatment outcomes and the wide use of this treatment modality.

show abstract

The Effectiveness of Classroom Passive Stretching Programs for Increasing or Maintaining Passive Range of Motion in Non-Ambulatory Children:

Cited by 9 publications

References 6 publications

Effect of Passive Range of Motion Exercises on Lower-Extremity Goniometric Measurements of Adults With Cerebral Palsy: A Single-Subject Design

Effect of Passive Range of Motion Exercises on Lower-Extremity Goniometric Measurements of Adults With Cerebral Palsy: A Single-Subject Design

Does long-term passive stretching alter muscle–tendon unit mechanics in children with spastic cerebral palsy?

The effectiveness of passive stretching in children with cerebral palsy

Contact Info

Product

Resources

About