%0 Journal Article %1 Unger2006 %A Unger, Marianne %A Faure, Mary %A Frieg, Annette %D 2006 %J Clin Rehabil %K Adolescent; Analysis of Variance; Body Image; Cerebral Palsy; Education, Special; Female; Gait Disorders, Neurologic; Humans; Male; Muscle Spasticity; School Health Services; Self Concept; South Africa; Weight Lifting %N 6 %P 469--477 %T Strength training in adolescent learners with cerebral palsy: a randomized controlled trial. %V 20 %X OBJECTIVE: To evaluate the impact of an eight-week strength training program targeting multiple muscle groups using basic inexpensive free weights and resistance devices, on gait and perceptions of body image and functional competence. DESIGN: A randomized control trial. SETTING: A school for children with special needs in a disadvantaged suburb in Cape Town. SUBJECTS: Thirty-one independently ambulant senior learners with spastic cerebral palsy (19 males, 12 females; aged 13-18 years; 15 diplegics and 16 hemiplegics). Intervention: Eight-week strength training programme in circuit format executed during school hours, one to three times per week for 40-60 min per session. Programmes were individually designed and included 8-12 exercises selected from a 28-station circuit to target upper and lower limbs and trunk. Twenty-one subjects took part in the strength training programme and were compared with 10 control subjects. MAIN OUTCOME MEASURES: Three-dimensional gait analysis and a questionnaire were used to evaluate the various parameters of gait and perceptions of body image and functional competence respectively. Results were analysed using repeated measures ANOVA and bootstrap analysis. RESULTS: The experimental group differed significantly from the control group for measure of crouch gait (sum of the ankle, knee and hip angles at midstance) (P= 0.05) and perceptions of body image (P= 0.01). Walking velocity, cadence and stride length as well as perceptions of functional ability did not change significantly after training. CONCLUSION: Participation in a school-based strength training programme targeting multiple muscle groups can lead to improved degree of crouch gait and improve perception of body image.

@article{Unger2006, abstract = {OBJECTIVE: To evaluate the impact of an eight-week strength training program targeting multiple muscle groups using basic inexpensive free weights and resistance devices, on gait and perceptions of body image and functional competence. DESIGN: A randomized control trial. SETTING: A school for children with special needs in a disadvantaged suburb in Cape Town. SUBJECTS: Thirty-one independently ambulant senior learners with spastic cerebral palsy (19 males, 12 females; aged 13-18 years; 15 diplegics and 16 hemiplegics). Intervention: Eight-week strength training programme in circuit format executed during school hours, one to three times per week for 40-60 min per session. Programmes were individually designed and included 8-12 exercises selected from a 28-station circuit to target upper and lower limbs and trunk. Twenty-one subjects took part in the strength training programme and were compared with 10 control subjects. MAIN OUTCOME MEASURES: Three-dimensional gait analysis and a questionnaire were used to evaluate the various parameters of gait and perceptions of body image and functional competence respectively. Results were analysed using repeated measures ANOVA and bootstrap analysis. RESULTS: The experimental group differed significantly from the control group for measure of crouch gait (sum of the ankle, knee and hip angles at midstance) (P= 0.05) and perceptions of body image (P= 0.01). Walking velocity, cadence and stride length as well as perceptions of functional ability did not change significantly after training. CONCLUSION: Participation in a school-based strength training programme targeting multiple muscle groups can lead to improved degree of crouch gait and improve perception of body image.}, added-at = {2014-07-19T21:50:19.000+0200}, author = {Unger, Marianne and Faure, Mary and Frieg, Annette}, biburl = {https://www.bibsonomy.org/bibtex/22253f99e57c23d2bf5413f8f0112f3aa/ar0berts}, groups = {public}, interhash = {8cf25c48af976d02e3147712cbcd514c}, intrahash = {2253f99e57c23d2bf5413f8f0112f3aa}, journal = {Clin Rehabil}, keywords = {Adolescent; Analysis of Variance; Body Image; Cerebral Palsy; Education, Special; Female; Gait Disorders, Neurologic; Humans; Male; Muscle Spasticity; School Health Services; Self Concept; South Africa; Weight Lifting}, month = Jun, number = 6, pages = {469--477}, pmid = {16892929}, timestamp = {2014-07-19T21:50:19.000+0200}, title = {Strength training in adolescent learners with cerebral palsy: a randomized controlled trial.}, username = {ar0berts}, volume = 20, year = 2006 }