%0 Journal Article %1 Damiano1998 %A Damiano, D. L. %A Abel, M. F. %D 1998 %J Arch Phys Med Rehabil %K Biomechanics; Cerebral Palsy; Child; Exercise Therapy; Gait; Humans; Muscle, Skeletal; Treatment Outcome; Weight Lifting %N 2 %P 119--125 %T Functional outcomes of strength training in spastic cerebral palsy. %V 79 %X OBJECTIVE: To determine clinical effectiveness of strength training in children with spastic cerebral palsy. DESIGN: Prospective before and after trial in which subjects participated in a 6-week strength training program. All received before and after isometric strength evaluation of eight muscle groups in both lower extremities with a hand-held dynamometer, 3-D gait analysis at free and fast speeds, administration of the Gross Motor Function Measure (GMFM), and assessment of energy expenditure during gait. SETTING: Pediatric rehabilitation center at a tertiary care hospital. PATIENTS: Eleven children met inclusion criteria for participation. Six had spastic diplegia, were limited community ambulators, and demonstrated less than 50\% of normal muscle strength. Five had spastic hemiplegia and demonstrated a 20\% strength asymmetry in at least two muscles across extremities. RESULTS: Each group had significant strength gains in the muscles targeted. The entire cohort had higher gait velocity primarily as a result of increased cadence, with greater capacity to walk faster. GMFM Dimension 5 also improved, with no change in energy expenditure. Asymmetry in strength improved in hemiplegia, with no change in asymmetry in support times or joint motion across extremities. CONCLUSIONS: This study reinforced the relationship of strength to motor function in cerebral palsy and further demonstrated the effectiveness of strengthening in this population.

@article{Damiano1998, abstract = {OBJECTIVE: To determine clinical effectiveness of strength training in children with spastic cerebral palsy. DESIGN: Prospective before and after trial in which subjects participated in a 6-week strength training program. All received before and after isometric strength evaluation of eight muscle groups in both lower extremities with a hand-held dynamometer, 3-D gait analysis at free and fast speeds, administration of the Gross Motor Function Measure (GMFM), and assessment of energy expenditure during gait. SETTING: Pediatric rehabilitation center at a tertiary care hospital. PATIENTS: Eleven children met inclusion criteria for participation. Six had spastic diplegia, were limited community ambulators, and demonstrated less than 50\% of normal muscle strength. Five had spastic hemiplegia and demonstrated a 20\% strength asymmetry in at least two muscles across extremities. RESULTS: Each group had significant strength gains in the muscles targeted. The entire cohort had higher gait velocity primarily as a result of increased cadence, with greater capacity to walk faster. GMFM Dimension 5 also improved, with no change in energy expenditure. Asymmetry in strength improved in hemiplegia, with no change in asymmetry in support times or joint motion across extremities. CONCLUSIONS: This study reinforced the relationship of strength to motor function in cerebral palsy and further demonstrated the effectiveness of strengthening in this population.}, added-at = {2014-07-19T19:17:21.000+0200}, author = {Damiano, D. L. and Abel, M. F.}, biburl = {https://www.bibsonomy.org/bibtex/2ad4cde84c9c473fb7a76898824d73eac/ar0berts}, groups = {public}, interhash = {ffaacae97ae75214558369bff3e9fa5c}, intrahash = {ad4cde84c9c473fb7a76898824d73eac}, journal = {Arch Phys Med Rehabil}, keywords = {Biomechanics; Cerebral Palsy; Child; Exercise Therapy; Gait; Humans; Muscle, Skeletal; Treatment Outcome; Weight Lifting}, month = Feb, number = 2, pages = {119--125}, pii = {S0003-9993(98)90287-8}, pmid = {9473991}, timestamp = {2014-07-19T19:17:21.000+0200}, title = {Functional outcomes of strength training in spastic cerebral palsy.}, username = {ar0berts}, volume = 79, year = 1998 }