%0 Journal Article %1 Brouwer1998 %A Brouwer, B. %A Wheeldon, R. K. %A Stradiotto-Parker, N. %A Allum, J. %D 1998 %J Dev Med Child Neurol %K Adolescent; Analysis of Variance; Casts, Surgical; Cerebral Palsy; Child; Child, Preschool; Electromyography; Exercise; Female; Follow-Up Studies; Humans; Male; Muscle, Skeletal; Psychomotor Agitation; Reflex, Stretch; Treatment Outcome %N 3 %P 168--175 %T Reflex excitability and isometric force production in cerebral palsy: the effect of serial casting. %V 40 %X During passive dorsiflexion, the angle of stretch-reflex onset was earlier in the dorsiflexion range for children with spastic cerebral palsy (CP) (N=10) compared with controls (P<0.001) at comparable velocities of stretch. Isometric plantar-flexor force was lower in children with CP (P<0.0001) and a leftward shift in the length-tension curve reflected that peak forces were produced in greater plantar flexion in children with CP than in controls (P<0.0001). Seven children with CP underwent 3 weeks of serial casting resulting in increased dorsiflexion at postcasting and at 6 weeks follow-up (P<0.002). There was no associated loss in plantar-flexor strength (P>0.32), but increased reflex threshold (P<0.03) and a decline in restraint to imposed stretch (P<0.002) were evident. A rightward shift in the length-tension curve illustrated that peak tension was generated in dorsiflexion rather than plantar flexion following casting (P<0.001). The gains were still evident at follow-up although generally to a lesser extent.

@article{Brouwer1998, abstract = {During passive dorsiflexion, the angle of stretch-reflex onset was earlier in the dorsiflexion range for children with spastic cerebral palsy (CP) (N=10) compared with controls (P<0.001) at comparable velocities of stretch. Isometric plantar-flexor force was lower in children with CP (P<0.0001) and a leftward shift in the length-tension curve reflected that peak forces were produced in greater plantar flexion in children with CP than in controls (P<0.0001). Seven children with CP underwent 3 weeks of serial casting resulting in increased dorsiflexion at postcasting and at 6 weeks follow-up (P<0.002). There was no associated loss in plantar-flexor strength (P>0.32), but increased reflex threshold (P<0.03) and a decline in restraint to imposed stretch (P<0.002) were evident. A rightward shift in the length-tension curve illustrated that peak tension was generated in dorsiflexion rather than plantar flexion following casting (P<0.001). The gains were still evident at follow-up although generally to a lesser extent.}, added-at = {2014-07-19T19:12:25.000+0200}, author = {Brouwer, B. and Wheeldon, R. K. and Stradiotto-Parker, N. and Allum, J.}, biburl = {https://www.bibsonomy.org/bibtex/22faca171e47733d9d4aaa7ce2452eba7/ar0berts}, groups = {public}, interhash = {744156a934fae0c1001b9441c1d86ba8}, intrahash = {2faca171e47733d9d4aaa7ce2452eba7}, journal = {Dev Med Child Neurol}, keywords = {Adolescent; Analysis of Variance; Casts, Surgical; Cerebral Palsy; Child; Child, Preschool; Electromyography; Exercise; Female; Follow-Up Studies; Humans; Male; Muscle, Skeletal; Psychomotor Agitation; Reflex, Stretch; Treatment Outcome}, month = Mar, number = 3, pages = {168--175}, pmid = {9566653}, timestamp = {2014-07-19T19:12:25.000+0200}, title = {Reflex excitability and isometric force production in cerebral palsy: the effect of serial casting.}, username = {ar0berts}, volume = 40, year = 1998 }