%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 }