Effectiveness of Functional Power Training on Walking Ability in Young Children With Cerebral Palsy: Study Protocol of a Double-Baseline Trial. Issue 3 (July 2017)

• Record Type: Journal Article
• Authors: van Vulpen, Liesbeth F.; de Groot, Sonja; Rameckers, Eugene A. A.; Becher, Jules G.; Dallmeijer, Annet J.
• Is Part Of: Pediatric physical therapy. Volume 29:Issue 3(2017:Autumn)
• Publication Date: 2017-07
• Subjects: cerebral palsy -- gait -- high-velocity training -- muscle strength -- plantar flexor muscles -- power training -- walking; Physical therapy for children -- Periodicals; 615.820832
• DOI: 10.1097/PEP.0000000000000424
• Languages: English
• ISSNs: 0898-5669

Abstract

Abstract : Purpose: To evaluate the effect of functional high-velocity resistance (power) training to improve walking ability of young children with cerebral palsy. Methods: Twenty-two children with bi- or unilateral spastic cerebral palsy, Gross Motor Function Classification System levels I and II, aged 4 to 10 years will be recruited. A double-baseline design will be used to compare a 14-week functional power training (3 times a week) program with a 14-week usual care period and a 14-week follow-up period. The power exercises will be loaded and performed at 50% to 70% of the maximum unloaded speed. Load will be increased when exercises are performed faster than 70% of the unloaded speed. Primary outcomes will be sprinting capacity (15-m Muscle Power Sprint Test) and goal attainment scaling score of walking-related treatment goals. Secondary outcomes will be walking speed (1-min walk test), endurance (10-m shuttle run test), gross motor function, lower-limb strength, and parent-reported mobility. Abstract : This presents a double-baseline protocol for examining the effect of functional high velocity (power) training on children with spastic cerebral palsy compared to usual care.