OBJECTIVE: To investigate the effect of a postoperative strength-training program on the walking of children with cerebral palsy (CP). DESIGN: Randomized controlled trial. SETTING: Hospital rehabilitation department. PARTICIPANTS: Thirty-nine children with CP (age range, 6-16 y). After orthopedic surgery, the control group (n=20) followed a conventional physiotherapy (PT) program, and the strength-training group (n=19) followed a strength-training program in addition to the conventional PT. Twenty-nine age-matched healthy children were used as references. INTERVENTION: A 9-month strength-training program. MAIN OUTCOME MEASURES: Spatiotemporal, kinematic, and kinetic parameters during gait analysis were analyzed before (E0) and 1 year after (E1) the surgery. For 22 children, a 2-year postoperative gait analysis (E2) took place as well. RESULTS: At E1, several kinematic and kinetic parameters improved, although there was no significant difference between the groups. Spatiotemporal parameters showed a worsening at E1 and a recovery to preoperative values at E2. CONCLUSIONS: The examined parameters may be more substantially influenced by factors such as the surgery outcome and the variability of pathologic characteristics than by the strength-training program per se. However, a more significant effect of the strength-training may appear if more intense and short-term training protocols are used, considering factors such as patients' motivations, ages, and postoperative statuses.
%0 Journal Article
%1 Patikas2006a
%A Patikas, Dimitrios
%A Wolf, Sebastian I
%A Mund, Katrin
%A Armbrust, Petra
%A Schuster, Waltraud
%A D?derlein, Leonhard
%D 2006
%J Arch Phys Med Rehabil
%K Adolescent; Cerebral Palsy; Child; Exercise Movement Techniques; Gait; Humans; Muscle, Skeletal; Physical Therapy Modalities; Range of Motion, Articular; Time Factors; Treatment Outcome; Walking
%N 5
%P 619--626
%R 10.1016/j.apmr.2006.01.023
%T Effects of a postoperative strength-training program on the walking ability of children with cerebral palsy: a randomized controlled trial.
%U http://dx.doi.org/10.1016/j.apmr.2006.01.023
%V 87
%X OBJECTIVE: To investigate the effect of a postoperative strength-training program on the walking of children with cerebral palsy (CP). DESIGN: Randomized controlled trial. SETTING: Hospital rehabilitation department. PARTICIPANTS: Thirty-nine children with CP (age range, 6-16 y). After orthopedic surgery, the control group (n=20) followed a conventional physiotherapy (PT) program, and the strength-training group (n=19) followed a strength-training program in addition to the conventional PT. Twenty-nine age-matched healthy children were used as references. INTERVENTION: A 9-month strength-training program. MAIN OUTCOME MEASURES: Spatiotemporal, kinematic, and kinetic parameters during gait analysis were analyzed before (E0) and 1 year after (E1) the surgery. For 22 children, a 2-year postoperative gait analysis (E2) took place as well. RESULTS: At E1, several kinematic and kinetic parameters improved, although there was no significant difference between the groups. Spatiotemporal parameters showed a worsening at E1 and a recovery to preoperative values at E2. CONCLUSIONS: The examined parameters may be more substantially influenced by factors such as the surgery outcome and the variability of pathologic characteristics than by the strength-training program per se. However, a more significant effect of the strength-training may appear if more intense and short-term training protocols are used, considering factors such as patients' motivations, ages, and postoperative statuses.
@article{Patikas2006a,
abstract = {OBJECTIVE: To investigate the effect of a postoperative strength-training program on the walking of children with cerebral palsy (CP). DESIGN: Randomized controlled trial. SETTING: Hospital rehabilitation department. PARTICIPANTS: Thirty-nine children with CP (age range, 6-16 y). After orthopedic surgery, the control group (n=20) followed a conventional physiotherapy (PT) program, and the strength-training group (n=19) followed a strength-training program in addition to the conventional PT. Twenty-nine age-matched healthy children were used as references. INTERVENTION: A 9-month strength-training program. MAIN OUTCOME MEASURES: Spatiotemporal, kinematic, and kinetic parameters during gait analysis were analyzed before (E0) and 1 year after (E1) the surgery. For 22 children, a 2-year postoperative gait analysis (E2) took place as well. RESULTS: At E1, several kinematic and kinetic parameters improved, although there was no significant difference between the groups. Spatiotemporal parameters showed a worsening at E1 and a recovery to preoperative values at E2. CONCLUSIONS: The examined parameters may be more substantially influenced by factors such as the surgery outcome and the variability of pathologic characteristics than by the strength-training program per se. However, a more significant effect of the strength-training may appear if more intense and short-term training protocols are used, considering factors such as patients' motivations, ages, and postoperative statuses.},
added-at = {2014-07-19T20:59:37.000+0200},
author = {Patikas, Dimitrios and Wolf, Sebastian I and Mund, Katrin and Armbrust, Petra and Schuster, Waltraud and D?derlein, Leonhard},
biburl = {https://www.bibsonomy.org/bibtex/2f60108a9046708142316f2cc8b2b2ece/ar0berts},
doi = {10.1016/j.apmr.2006.01.023},
groups = {public},
interhash = {e086cb9cee058af05327322abae8d1ca},
intrahash = {f60108a9046708142316f2cc8b2b2ece},
journal = {Arch Phys Med Rehabil},
keywords = {Adolescent; Cerebral Palsy; Child; Exercise Movement Techniques; Gait; Humans; Muscle, Skeletal; Physical Therapy Modalities; Range of Motion, Articular; Time Factors; Treatment Outcome; Walking},
month = May,
number = 5,
pages = {619--626},
pii = {S0003-9993(06)00110-9},
pmid = {16635623},
timestamp = {2014-07-19T20:59:37.000+0200},
title = {Effects of a postoperative strength-training program on the walking ability of children with cerebral palsy: a randomized controlled trial.},
url = {http://dx.doi.org/10.1016/j.apmr.2006.01.023},
username = {ar0berts},
volume = 87,
year = 2006
}