Increasing ankle strength to improve gait and function in children with cerebral palsy: A pilot study

Pediatric Physical Therapy

Volumn 18, Issue 4, 2006, Pages 266-275

  Engsberg, Jack R ^a   Ross, Sandy A ^b   Collins, David R ^c  

^a SAINT LOUIS UNIVERSITY   (United States)

^b MARYVILLE UNIVERSITY   (United States)

^c WASHINGTON UNIVERSITY   (United States)

Author keywords

Biomechanics; Cerebral palsy rehabilitation; Child; Exercise therapy methods; Gait; NIH extramural research support; Physical therapy methods; Quality of life; Skeletal muscle; Treatment outcome; Weight lifting physiology

Indexed keywords

ANKLE; ARTICLE; CEREBRAL PALSY; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DYNAMOMETRY; FEMALE; FUNCTION TEST; GAIT; HEALTH PROGRAM; HUMAN; ISOKINETIC EXERCISE; JUMPING; KINEMATICS; MALE; MOTOR PERFORMANCE; MUSCLE STRENGTH; PILOT STUDY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RUNNING; SCHOOL CHILD; SKELETAL MUSCLE; SPASTIC PARAPLEGIA; STATISTICAL SIGNIFICANCE; VELOCITY; WALKING;

ADOLESCENT; ANKLE; CEREBRAL PALSY; CHILD; COHORT STUDIES; EXERCISE THERAPY; FEMALE; GAIT; HUMANS; MALE; MUSCLE STRENGTH; MUSCLE, SKELETAL; PILOT PROJECTS; QUALITY OF LIFE; TREATMENT OUTCOME;

EID: 33751197717     PISSN: 08985669     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.pep.0000233023.33383.2b     Document Type: Article

References (28)

1. Damiano DL, Vaughan CL, Abel MF. Muscle response to heavy resistance exercise in children with spastic cerebral palsy. Dev Med Child Neurol. 1995;37:731-739.
2. Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995;75:658-667.
3. Damiano DL, Wiley ME. Lower-extremity strengthprofles in spastic cerebral palsy. Dev Med Child Neurol. 1998 1998;100-107.
4. Engsberg JR, Ross SA, Park TS. Changes in ankle spasticity and strength following selective dorsal rhizotomy and physical therapy for spastic cerebral palsy. J Neurosurg. 1999;91:727-732.
5. Engsberg JR, Ross SA, Olree KS, et al. Ankle spasticity and strength in children with spastic diplegic cerebral palsy. Dev Med Child Neurol. 2000;42:42-47.
6. Hansen R, Longrich E, Longrich M. The physical therapy approach to speech problems in spasticity and athetosis. Physiother Rev. 1947;96-103.
7. Damiano DL, Martellotta TL, Sullivan DJ, et al. Muscle force production and functional performance in spastic cerebral palsy: relationship of cocontraction. Arch Phys Med Rehabil. 2000;81:895-900.
8. Ross SA, Engsberg JR. Relation between spasticity and strength in individuals with spastic diplegic cerebral palsy. Dev Med Child Neurol. 2002;44:148-157.
9. Bobath B. The treatment of neuromuscular disorders by improving patterns of co-ordination. Physiotherapy. 1969;55:18-22.
10. Bobath, B. Abnormal Postural Reflex Activity Caused By Brain Lesion. Rockville, Md: Aspen Publishing; 1985.
11. Andersson C, Grooten W, Hellsten M, et al. Adults with cerebral palsy: walking ability after progressive strength training. Dev Med Child Neurol. 2003;45:220-228.
12. Dodd KJ, Taylor NF, Graham HK. A randomized clinical trial of strength training in young people with cerebral palsy. Dev Med Child Neurol. 2003;45:652-657.
13. MacPhail HE, Kramer JF. Effect of isokinetic strength-training on functional ability and walking efficiency in adolescents with cerebral palsy. Dev Med Child Neurol. 1995;37:763-75.
14. Carmick J. Clinical use of neuromuscular electrical stimulation for children with cerebral palsy, part 1: lower extremity. Phys Ther. 1993;73:505-21-513/29.
15. Comeaux P, Patterson N, Rubin M, Meiner R. Effect of Neuromuscular Electrical Stimulation During Gait in Children with Cerebral Palsy. Pediatr Phys Ther. 1997;9:103-109.
16. Johnson LM, Nelson MJ, McCormack CM, et al. The effect of plantarflexor muscle strengthening on the gait and range of motion at the ankle in ambulant children with cerebral palsy: a pilot study. NZ J Physiother. 1998;8-14.
17. Sale DG. Neural adaptation to resistance training. Med Sci Sports Exerc. 1988;20:S135-S145.
18. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67:206-207.
19. Engsberg JR, Olree KS, Ross SA, et al. Quantitative clinical measure of spasticity in children with cerebral palsy. Arch Phys Med Rehabil. 1996;77:594-599.
20. Engsberg JR, Lenke LG, Uhrich ML, et al. Comparison of Gait and Trunk Range of Motion in Adolescents with Idiopathic Thoracic Scoliosis Undergoing Anterior or Posterior Spinal Fusion. Spine. 2003;28:1993-2000.
21. Andrews JG. Biomechanical analysis of human motion. Kinesiology VI. 1974;32-42.
22. Winter DA. Biomechanics of Human Movement. New York: Wiley; 1979:65-87.
23. Russell, DJ, Rosenbaum, PL, Gowland, C, et al. Manual for the Gross Motor Function Measure. 2nd ed. Cambridge: Cambridge University Press; 1993.
24. Russell DJ, Avery LM, Rosenbaum PL, et al. Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther. 2000;80:873-885.
25. Tuzson AE, Granata KP, Abel MF. Spastic velocity threshold constrains functional performance in cerebral palsy. Arch Phys Med Rehabil. 2003;84:1363-1368.
26. Varni JW, Burwinkle TM, Jacobs JR, et al. The PedsQL in type 1 and type 2 diabetes: reliability and validity of the Pediatric Quality of Life Inventory Pi-by-no Core Scales and type 1 Diabetes Module. Diabetes Care. 2003;26:631-637.
27. Varni JW, Burwinkle TM, Sherman SA, et al. Health-related quality of life of children and adolescents with cerebral palsy: hearing the voices of the children. Dev Med Child Neurol. 2005;47:592-597.
28. Thomas SS, Aiona MD, Pierce R, et al. Gait changes in children with spastic diplegia after selective dorsal rhizotomy. J Pediatr Orthop. 1996;16:747-752.