Relations between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy

被引:10
作者
Eken, Maaike M. [1 ,2 ]
Houdijk, Han [2 ,3 ]
Doorenbosch, Caroline A. M. [1 ,4 ]
Kiezebrink, Francisca E. M. [2 ]
van Bennekom, Coen A. M. [2 ,5 ]
Harlaar, Jaap [1 ]
Dallmeijer, Annet J. [1 ]
机构
[1] Vrije Univ Amsterdam, Med Ctr, MOVE Res Inst Amsterdam, Dept Rehabil Med, Amsterdam, Netherlands
[2] Heliomare Rehabil Res & Dev, Wijk Aan Zee, Netherlands
[3] Vrije Univ Amsterdam, Med Ctr, MOVE Res Inst Amsterdam, Fac Behav & Movement Sci,Dept Human Movement Sci, Amsterdam, Netherlands
[4] Univ Appl Sci, Acad Human Kinet Technol, The Hague, Netherlands
[5] Univ Amsterdam, Acad Med Ctr, Coronel Inst Occupat Hlth, Amsterdam, Netherlands
关键词
GROSS MOTOR FUNCTION; PHYSICAL-ACTIVITY; VOLUNTARY CONTRACTIONS; YOUNG-ADULTS; CHILDREN; RELIABILITY; PERFORMANCE; STRENGTH; VALIDITY; PAIN;
D O I
10.1111/dmcn.13083
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
AIM To investigate the relation between muscle endurance and subjectively reported fatigue, walking capacity, and participation in mildly affected adolescents with cerebral palsy (CP) and peers with typical development. METHOD In this case-control study, knee extensor muscle endurance was estimated from individual load-endurance curves as the load corresponding to a 15-repetition maximum in 17 adolescents with spastic CP (six males, 11 females; age 12-19y) and 18 adolescents with typical development (eight males, 10 females; age 13-19y). Questionnaires were used to assess subjectively reported fatigue (Pediatric Quality of Life Inventory Multidimensional Fatigue Scale) and participation (Life-Habits questionnaire). Walking capacity was assessed using the 6-minute walk test. Relations were determined using multiple regression analyses. RESULTS Muscle endurance related significantly to subjectively reported fatigue and walking capacity in adolescents with CP, while no relations were found for adolescents with typical development (subjectively reported fatigue: regression coefficient beta [95% confidence intervals] for CP=23.72 [6.26 to 41.18], for controls=2.72 [-10.26 to 15.69]; walking capacity b for CP=125m [-87 to 337], for controls=2m [-86 to 89]). The 15-repetition maximum did not relate to participation in adolescents with CP. INTERPRETATION Subjectively reported fatigue and reduced walking capacity in adolescents with CP are partly caused by lower muscle endurance of knee extensors. Training of muscle endurance might contribute to reducing the experience of fatigue and improving walking capacity. Reduced muscle endurance seems to have no effect on participation.
引用
收藏
页码:814 / 821
页数:8
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