%0 Journal Article %1 Patikas2006 %A Patikas, Dimitrios %A Wolf, Sebastian I %A Armbrust, Petra %A Mund, Katrin %A Schuster, Waltraud %A Dreher, Thomas %A D?derlein, Leonhard %D 2006 %J Arch Phys Med Rehabil %K Adolescent; Cerebral Palsy; Child; Exercise Therapy; Female; Humans; Knee; Male; Postoper; Range of Motion, Articular; Walking; ative Period %N 9 %P 1161--1169 %R 10.1016/j.apmr.2006.05.014 %T Effects of a postoperative resistive exercise program on the knee extension and flexion torque in children with cerebral palsy: a randomized clinical trial. %U http://dx.doi.org/10.1016/j.apmr.2006.05.014 %V 87 %X OBJECTIVE: To investigate the effects of resistive exercise on the knee extension and flexion torque production during the rehabilitation period after multilevel orthopedic surgery. DESIGN: Randomized clinical trial. SETTING: Hospital rehabilitation department. PARTICIPANTS: Thirty-nine children with spastic diplegic cerebral palsy (CP) (age range, 6-16 y), randomly allocated to an exercise group (n=19) and a control group (n=20). All received conventional physiotherapy (PT), and the exercise group also followed a resistive exercise program. INTERVENTION: A 9-month standardized home-based resistive exercise program, which started about 3 months after the surgery. MAIN OUTCOME MEASURES: The Gross Motor Functional Measurement (GMFM) assessed before (E(0)) and 1 year (E(1)) after the surgery. The Modified Ashworth Scale and the isometric and isokinetic torque of the knee extensors and flexors were evaluated at E(0), E(1), and 6 months after the surgery. RESULTS: The knee extension and flexion moments had decreased 6 months after the surgery and recovered to the preoperative level 1 year after surgery. These changes were not group dependent. CONCLUSIONS: Additional long-term, home-based, low-cost resistive exercise that starts soon after the operation of patients with CP was not more beneficial than conventional PT only, in terms of strength and GMFM.

@article{Patikas2006, abstract = {OBJECTIVE: To investigate the effects of resistive exercise on the knee extension and flexion torque production during the rehabilitation period after multilevel orthopedic surgery. DESIGN: Randomized clinical trial. SETTING: Hospital rehabilitation department. PARTICIPANTS: Thirty-nine children with spastic diplegic cerebral palsy (CP) (age range, 6-16 y), randomly allocated to an exercise group (n=19) and a control group (n=20). All received conventional physiotherapy (PT), and the exercise group also followed a resistive exercise program. INTERVENTION: A 9-month standardized home-based resistive exercise program, which started about 3 months after the surgery. MAIN OUTCOME MEASURES: The Gross Motor Functional Measurement (GMFM) assessed before (E(0)) and 1 year (E(1)) after the surgery. The Modified Ashworth Scale and the isometric and isokinetic torque of the knee extensors and flexors were evaluated at E(0), E(1), and 6 months after the surgery. RESULTS: The knee extension and flexion moments had decreased 6 months after the surgery and recovered to the preoperative level 1 year after surgery. These changes were not group dependent. CONCLUSIONS: Additional long-term, home-based, low-cost resistive exercise that starts soon after the operation of patients with CP was not more beneficial than conventional PT only, in terms of strength and GMFM.}, added-at = {2014-07-19T20:59:36.000+0200}, author = {Patikas, Dimitrios and Wolf, Sebastian I and Armbrust, Petra and Mund, Katrin and Schuster, Waltraud and Dreher, Thomas and D?derlein, Leonhard}, biburl = {https://www.bibsonomy.org/bibtex/27c5cbb9ad52aa26457d392ca646f0b68/ar0berts}, doi = {10.1016/j.apmr.2006.05.014}, groups = {public}, interhash = {8c54c00415ba579f87967b2c6d02a84a}, intrahash = {7c5cbb9ad52aa26457d392ca646f0b68}, journal = {Arch Phys Med Rehabil}, keywords = {Adolescent; Cerebral Palsy; Child; Exercise Therapy; Female; Humans; Knee; Male; Postoper; Range of Motion, Articular; Walking; ative Period}, month = Sep, number = 9, pages = {1161--1169}, pii = {S0003-9993(06)00465-5}, pmid = {16935049}, timestamp = {2014-07-19T20:59:36.000+0200}, title = {Effects of a postoperative resistive exercise program on the knee extension and flexion torque in children with cerebral palsy: a randomized clinical trial.}, url = {http://dx.doi.org/10.1016/j.apmr.2006.05.014}, username = {ar0berts}, volume = 87, year = 2006 }