The Range of Motion of Long Term Knee Contractures of Four Spastic Cerebral Palsied Children:

McPherson, James M.; Arends, Trese Gallagher; Michaels, Mary; Trettin, Karen

doi:10.1300/j006v04n01_04

Cited by 15 publications

(9 citation statements)

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“…The intervention in three studies was passive muscle stretch. [57][58][59] Serial casting was the intervention in the other five studies. 38,44,[60][61][62] The author evaluated the quality of each individual article as levels I-V, according to the criteria of Guyatt, Sackett and Cook 63 and then graded the strength of the evidence for each intervention according to the Centre for Evidence Based Medicine's criteria.…”

Section: Passive Stretching To Improve Rommentioning

confidence: 99%

“…The study by Miedaner and Renander 59 supported a grade B recommendation for manual passive stretch: when held for 20-30 s for five repetitions twice a week it was found to be as effective as the same intervention provided five times per week. A grade C recommendation for PROM held for 60 s for five repetitions three times a week for reduction of knee flexion contractures came from the study by McPherson et al 58 The study by Lespargot et al 59 provided a grade C recommendation for stretching of adductor muscles 5-7 h per day to prevent adductor contractures.…”

Section: Passive Stretching To Improve Rommentioning

confidence: 99%

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Review of selected physical therapy interventions for school age children with disabilities

Effgen¹,

McEwen²

2008

Physical Therapy Reviews

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Objectives: According to the United States Individuals with Disabilities Education Improvement Act of 2004 (PL 108-446), 1 physical therapy for children with disabilities should be 'based on peer-reviewed research to the extent practicable'. This is consistent with the current strong emphasis on evidence-based practice in physical therapy. The purpose of this paper is to report on those physical therapy procedural interventions used for children with disabilities that have been the topic of a systematic review. Methods: Systematic reviews of common physical therapy interventions used with school age children with disabilities were located by searching several databases. Results: Fifteen systematic reviews of the following interventions were found: adapted seating for children with cerebral palsy; conductive education; constraint-induced movement therapy; lower extremity casting, orthoses and splints for children with neurological disorders; neurodevelopmental treatment; partial body weight supported treadmill training; passive stretching to improve range of motion; strengthening for children with cerebral palsy; and weight-bearing interventions for children with cerebral palsy. The findings of these reviews are summarised. Discussion: The body of peer-reviewed research in physical therapy available to provide guidance for decisions about services for children with disabilities is limited. The newest interventions appear to have the strongest and most recent research support. In contrast, traditional, common interventions for children with disabilities, such as neurodevelopmental treatment and passive range of motion, have been the focus of sufficient research to justify systematic reviews, but have little evidence to support their effectiveness. Areas for further research are indicated.

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Section: Passive Stretching To Improve Rommentioning

confidence: 99%

Section: Passive Stretching To Improve Rommentioning

confidence: 99%

Review of selected physical therapy interventions for school age children with disabilities

Effgen¹,

McEwen²

2008

Physical Therapy Reviews

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“…14,16,[19][20][21] Two studies showed an increase in range of movement poststretching (of level III 21 and level I 16 evidence). 14,16,[19][20][21] Two studies showed an increase in range of movement poststretching (of level III 21 and level I 16 evidence).…”

Section: Change In Range Of Movementsmentioning

confidence: 99%

The effectiveness of passive stretching in children with cerebral palsy

Pin¹,

Dyke²,

Chan³

2006

Dev Med Child Neurol

167

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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.

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“…However, as passive joint ROM may also be affected by spasticity, it is imperative not to provoke the stretch reflex as this may turn the examination into a test of dynamic spasticity [8,30,31]. Passive joint ROM is traditionally used, as active joint ROM may be affected by lack of selective motor control, weakness and spasticity.…”

Section: Discussionmentioning

confidence: 99%

The static examination of children and young adults with cerebral palsy in the gait analysis laboratory: technique and observer agreement

Keenan¹,

Rodda²,

Wolfe³

et al. 2004

Journal of Pediatric Orthopaedics, Part B

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The assessment of ambulant children with spastic cerebral palsy frequently includes an evaluation in the motion analysis laboratory, consisting of a standardized physical examination and instrumented gait analysis. We therefore designed a repeatability study to evaluate observer agreement of five joint range of motion parameters, in 20 patients with cerebral palsy aged 5-25 years. These five parameters are some of the most important measurements made during the static examination in the gait laboratory. Intra-observer agreement was high (concordance correlation coefficient range, 0.67 -0.96), and using Bland and Altman analysis it was clinically acceptable with 95% limits of agreement of all parameters close to within +/- 10degrees. The level of inter-observer agreement was less satisfactory, particularly in hip flexion deformity.

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The Range of Motion of Long Term Knee Contractures of Four Spastic Cerebral Palsied Children:

Cited by 15 publications

References 0 publications

Review of selected physical therapy interventions for school age children with disabilities

Review of selected physical therapy interventions for school age children with disabilities

The effectiveness of passive stretching in children with cerebral palsy

The static examination of children and young adults with cerebral palsy in the gait analysis laboratory: technique and observer agreement

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