Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/33345
Title: Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis
Authors: van Vulpen, Liesbeth F.
de Groot, Sonja
RAMECKERS, Eugene 
Becher, Jules G.
Dallmeijer, Annet J.
Issue Date: 2021
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Source: Pediatric Physical Therapy, 33 (1) , p. 24 -30
Abstract: Purpose: To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy. Methods: Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods. Results: Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength. Conclusion: Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.
Notes: van Vulpen, LF (corresponding author), Amsterdam Rehabil Res Ctr Reade, POB 58271, NL-1040 HG Amsterdam, Netherlands.
l.v.vulpen@reade.nl; s.d.groot@reade.nl; eaa.rameckers@hetnet.nl;
jg.becher@vumc.nl; a.dallmeijer@vumc.nl
Other: van Vulpen, LF (corresponding author), Amsterdam Rehabil Res Ctr Reade, POB 58271, NL-1040 HG Amsterdam, Netherlands. l.v.vulpen@reade.nl; s.d.groot@reade.nl; eaa.rameckers@hetnet.nl; jg.becher@vumc.nl; a.dallmeijer@vumc.nl
Keywords: cerebral palsy;children;muscle strength;strength training;walking
Document URI: http://hdl.handle.net/1942/33345
ISSN: 0898-5669
e-ISSN: 1538-005X
DOI: 10.1097/PEP.0000000000000764
ISI #: WOS:000604011700013
Category: A1
Type: Journal Contribution
Validations: ecoom 2022
Appears in Collections:Research publications

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