Effects of a postoperative strength-training program on the walking ability of children with cerebral palsy: a randomized controlled trial

Archives of Physical Medicine and Rehabilitation
Dimitrios PatikasLeonhard Döderlein

Abstract

To investigate the effect of a postoperative strength-training program on the walking of children with cerebral palsy (CP). Randomized controlled trial. Hospital rehabilitation department. 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. A 9-month strength-training program. 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. 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. 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 ...Continue Reading

References

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Citations

Nov 12, 2010·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Melodie KondratekAngela Garland
Aug 24, 2013·Journal of the American College of Surgeons·Martin L BlakelyUNKNOWN Pediatric Surgery Research Collaborative
Jun 9, 2009·Seminars in Pediatric Neurology·Ann Tilton
Oct 22, 2008·Pediatric Clinics of North America·A Nadire Berker, M Selim Yalçin
Aug 26, 2010·Physical & Occupational Therapy in Pediatrics·Liz MartinAdrienne Harvey
Jun 12, 2017·The Cochrane Database of Systematic Reviews·Jennifer M RyanNeil E O'Connell
Nov 13, 2007·American Journal of Physical Medicine & Rehabilitation·Olaf VerschurenJan Willem Gorter
Feb 5, 2009·Developmental Medicine and Child Neurology·Marlene SandlundCharlotte Häger-Ross
Jan 23, 2010·Physical Therapy·Eileen G FowlerUNKNOWN Physical Therapy Clinical Research Network (PTClinResNet)
Nov 30, 2018·Developmental Medicine and Child Neurology·Cristina Gómez-PérezJoan Vidal Samsó
Mar 29, 2019·Pediatrics·Noor Amirah AmirmudinJennifer M Ryan

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