Functional strength training in child with cerebral palsy GMFCS IV: Case report

被引:11
作者
dos Santos, Adriana Neves [1 ]
Neves da Costa, Carolina Souza [1 ]
Baldessar Golineleo, Maria Terezinha [1 ]
Cicuto Ferreira Rocha, Nelci Adriana [1 ]
机构
[1] Univ Fed Sao Carlos, Dept Physiotherapy, Neuropediat Sect, BR-13565905 Sao Carlos, SP, Brazil
关键词
Cerebral Palsy; exercises; rehabilitation; motor activity; strength; PROGRESSIVE RESISTANCE EXERCISE; PHYSICAL-THERAPY; ADOLESCENTS; PERFORMANCE; DEFICITS; ABILITY; PEOPLE; HIP;
D O I
10.3109/17518423.2012.731085
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To evaluate the effectiveness of a functional strength training. Case report: A nine-year-old child with Cerebral Palsy (CP) classified as level IV according to Gross Motor Function Classification System participated in the study. Assessments were at baseline, five weeks and 10 weeks post-intervention. Lower-extremity muscles strength was evaluated with an isokinetic dynamometer. Also, Gross Motor Function Measure (GMFM-88) and Timed up & Go (TUG) tests were assessed. A functional strength training protocol, four sessions a week, for 10 weeks was applied. Results: Following functional strength training, it improvements were found in hip, knee and ankle muscles strength, as well as increase in GMFM-88 score and decrease in time for TUG test performance. Positives outcomes from functional strength training were obtained beyond improvements in strength, since improvements in functional motor performance were also achieved. Conclusion: Therefore, individualized, specific and functional strength training seems to be an alternative to rehabilitation of children with CP with high level of functional disability.
引用
收藏
页码:308 / 314
页数:7
相关论文
共 28 条
[1]   Effectiveness of physical therapy interventions for children with cerebral palsy: A systematic review [J].
Anttila, Heidi ;
Autti-Ramo, Ilona ;
Suoranta, Jutta ;
Makela, Marjukka ;
Malmivaara, Antti .
BMC PEDIATRICS, 2008, 8 (1)
[2]   STRENGTH DEFICITS ALSO PREDICT GAIT PERFORMANCE IN PATIENTS WITH STROKE [J].
BOHANNON, RW .
PERCEPTUAL AND MOTOR SKILLS, 1991, 73 (01) :146-146
[3]   Evidence for a non-linear relationship between leg strength and gait speed [J].
Buchner, DM ;
Larson, EB ;
Wagner, EH ;
Koepsell, TD ;
deLateur, BJ .
AGE AND AGEING, 1996, 25 (05) :386-391
[4]  
Carr J.H., 1998, NEUROLOGICAL REHABIL
[5]   Relationship between knee extension force and stand-up performance in community-dwelling elderly women [J].
Corrigan, D ;
Bohannon, RW .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2001, 82 (12) :1666-1672
[6]   Association between isometric muscle strength and gait joint kinetics in adolescents and young adults with cerebral palsy [J].
Dallmeijer, A. J. ;
Baker, R. ;
Dodd, K. J. ;
Taylor, N. F. .
GAIT & POSTURE, 2011, 33 (03) :326-332
[7]   Can Strength Training Predictably Improve Gait Kinematics? A Pilot Study on the Effects of Hip and Knee Extensor Strengthening on Lower-Extremity Alignment in Cerebral Palsy [J].
Damiano, Diane L. ;
Arnold, Allison S. ;
Steele, Katherine M. ;
Delp, Scott L. .
PHYSICAL THERAPY, 2010, 90 (02) :269-279
[8]   A randomized clinical trial of strength training in young people with cerebral palsy [J].
Dodd, KJ ;
Taylor, NF ;
Graham, HK .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2003, 45 (10) :652-657
[9]   A systematic review of the effectiveness of strength-training programs for people with cerebral palsy [J].
Dodd, KJ ;
Taylor, NF ;
Damiano, DL .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (08) :1157-1164
[10]   Ankle spasticity and strength in children with spastic diplegic cerebral palsy [J].
Engsberg, JR ;
Ross, SA ;
Olree, KS ;
Park, TS .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2000, 42 (01) :42-47