Journal of Physical Therapy and Health Promotion
Journal of Physical Therapy and Health Promotion(PTHP)
ISSN:2376-1601(Print)
ISSN:2376-1636(Online)
Frequency: Annually
Website: www.bowenpublishing.com/pthp/
Quadriceps Muscle Strength and Growth Motor Function in Children with Spastic Diplegic Cerebral Palsy
Abstract:
Purpose: To identify quadriceps muscle strength and Growth Motor abilities in children with diplegic cerebral palsy (CP). Methods: Thirty children with diplegic CP ranged in age between six and eight participated. They were classified equally into control and study groups. A physical therapy program conducted for the control group. The same program was given to the study group while wearing the therapeutic suit. Hand Held Dynamometer was used and the Gross Motor Function Measure (GMFM) in the two groups before and after four successive weeks of conducting of the treatment programs. Results: The post-treatment results revealed a statistically significant difference between both group regarding quadriceps strength and GMFM in favour to the study group. And the quadriceps muscle strength in diplegic CP children positively correlate with the improvement in motor ability. Conclusion: Quadriceps muscle strength can be used to improve growth motor ability.
Keywords:Cerebral Palsy; Diplegia; Quadriceps Muscle Strength; Motor Ability
Author: Asmaa Osama Sayed

References:

  1. M Bax, M Goldstein, P Rosenbaum, A Leviton, N Paneth, B Dan, B Jacobsson, and D Damiano; Executive Committee for the Definition of Cerebral Palsy, “Proposed definition and classification of cerebral palsy, April 2005,” Developmental Medicine & Child Neurology, vol. 47, pp. 571-576, 2005.
  2. DMM Romeo, M. Cioni, M. Scoto, L. Mazzone, F. Palermo, and MG Romeo, “Neuromotor development in infants with cerebral palsy investigated by the Hammersmith Infant Neurological Examination during the first year of age,” European Journal of Paediatric Neurology, vol. 12, pp. 24-31, 2008.
  3. DL Damiano, M. Abel, M. Romness, D. Oeffinger, C. Tylkowski, G. Gorton, A. Bagley, D. Nicholson, D. Barnes, J. Calmes, K. Richard, and S. Rogers, “Comparing functional profiles of children with hemiplegic and diplegic cerebral palsy in GMFCS Levels I and II: are separate classifications needed?,” Developmental Medicine & Child Neurology, vol. 48, pp. 797-803, 2006.
  4. VA Scholtes, AJ Dallmeijer, EA Rameckers, O. Verschuren, E. Tempelaars, M. Hensen, and JG Becher, “Lower limb strength training in children with cerebral palsy – a randomized controlled trial protocol for functional strength training based on progressive resistance exercise principles,” BMC Pediatrics, vol. 8, no. 41, pp. 1471-2431, 2008.
  5. MH Woollacott and A. Shumway-Cook, “Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance?,” Neural Plast, vol. 12(2-3), pp. 211-219, 2005.
  6. HS Rosenbaum, PL Bartlett, DJ Palisano, RS Walter, and AD Avery Russell, “Stability and decline in gross motor function among children and youth with cerebral palsy aged 2 to 21 years,” Dev Med Child Neurol., vol. 51(4), pp. 295-302, 2009.
  7. S. Bar-Haim, N. Harrie, M. Belokopytov, A. Frank, L. Copeliovitch, J. Kaplanski, and E. Lahat, “Comparison of the efficacy of adli suit and neurodevelopmental treatment in children with cerebral palsy,” Dev Med Child Neurol., vol. 48(5), pp. 325-330, 2006.
  8. AR Turner, “The efficacy of Adeli suit treatment in children with cerebral palsy,” Dev Med Child Neurol., vol. 48(5), pp. 324, 2006.
  9. R. Koscielny, “Strength training and cerebral palsy,” Cerebral Palsy Magazine, vol. 2(1), pp. 12-14, June 2004.
  10. GS Liptak, “Complementary and alternative therapies for cerebral palsy,” Ment Retard Dev Disabil Res Rev., vol. 11(2), pp. 156-163, 2005.
  11. DL Damiano, JR Wingert, CJ Stanley, and L. Curatalo, “Contribution of hip joint proprioception to static and dynamic balance in cerebral palsy: a case control study,” J Neuroeng Rehabil., vol. 10(1), pp. 57, 2013.
  12. C. Lidbeck, K. Tedroff, and A. Bartonek, “Muscle strength does not explain standing ability in children with bilateral spastic cerebral palsy: a cross sectional descriptive study,” BMC Neurology, vol. 15(1), pp. 1-7, 2015.
  13. LF Van Vulpen, S De Groot, JG Becher, GS De Wolf, and AJ Dallmeijer, “Feasibility and test-retest reliability of measuring lower-limb strength in young children with cerebral palsy,” Eur J Phys Rehabil Med., vol. 49, pp. 803-813, 2013.
  14. CM idbeck, EM Gutierrez-Farewik, E. Brostrom, and A. Bartonek, “Postural orientation during standing in children with bilateral cerebral palsy,” Pediatr Phys Ther., vol. 26, pp. 223-229, 2014.
  15. S.E. Rosenbaum, C. Glenton, and A.D. Oxman, “Summary-of-findings tables in Cochrane reviews improved understanding and rapid retrieval of key information,” J Clin Epi., vol. 63, pp. 620-626, 2010.
  16. D.J. Rennie, S.F. Attfield, R.E. Morton, F.J. Polak, and J. Nicholson, “An evaluation of lycra garments in the lower limb using 3-D gait analysis and functional assessment (PEDI),” Gait and Post, vol. 12, pp. 1-6, 2000.
  17. J-M Gracies, J.E. Marosszeky, R. Renton, J. Sandanam, S.C. Gandevia, and D. Burke, “Short-Term Effects of Dynamic Lycra splints on upper Limb in Hemiplegic Patients,” Arch Med Phys Rehabil., vol. 81, pp. 1547-1555, 2000.
  18. DJ Russel and JW Gorter, “Assessing functional differences in gross motor skills in children with cerebral palsy who use an ambulatory aid or orthoses: can the GMFM-88 help?,” Developmental Medicine & Child Neurology, vol. 47, pp. 464-467, 2005.
  19. SA Hassani, JA Krzak, AA Flanagan, AB Bagley, GA Gorton, AD Romness, CE Tylkowski, MD Abel, BF Johnson, and D. Oeffingere, “Assessment of Strength and Function in Ambulatory Children with Cerebral Palsy by GMFCS Level and Age: A Cross-Sectional Study,” Critical Reviews™ in Physical and Rehabilitation Medicine, vol. 23(1-4), pp. 1-14, 2011.
  20. A Ferrari, A Sghedoni, S Alboresi, E Pedroni, and F Lombardi, “New definitions of 6 clinical signs of perceptual disorder in children with cerebral palsy: an observational study through reliability measures,” Eur J Phys Rehabil Med., vol. 50, pp. 709-716, 2014.
  21. DL Damiano, AS Arnold, KM Steele, and SL Delp, “Can strength training predictably improve gait kinematics? A pilot study on the effects of hip and knee extensor strengthening on lower-extremity alignment in cerebral palsy,” Physical Therapy, vol. 90, no. 2, pp. 269-279, 2010.
  22. P. Hamer, J. Alderson, and D. Lioyd, “Neuromuscular adaptations to eccentric strength training in children and adolescents with cerebral palsy,” Developmental Medicine & Child Neurology, vol. 52, no. 4, pp. 358-363, 2010.
  23. N. Thompson, J. Stebbins, M. Seniorou, and D. Newham, “Muscle strength and walking ability in diplegic cerebral palsy: implications for assessment and management,” Gait Posture, vol. 33, pp. 321-325, 2011.
  24. VA Scholtes, JG Becher, A. Comuth, H. Dekkers, DL Van, and AJ Dallmeijer, “Effectiveness of functional progressive resistance exercise strength training on muscle strength and mobility in children with cerebral palsy: a randomized controlled trial,” Developmental Medicine & Child Neurology, vol. 52, no. 6, pp. 107-113, 2010.
  25. M. Örtqvist, Å. Bartonek, E. Gutierrez-Farewik, and E. Brostrom, “Knee muscle strength - A challenge to measure,” Eur J Physiother, vol. 16, pp. 33-46, 2014.
  26. SA Ross and JR Engsberg, “Relationships between Spasticity, Strength, Gait, and the GMFM-66 in Persons with Spastic Diplegia Cerebral Palsy,” Archives of Physical Medicine and Rehabilitation, vol. 88, pp. 1114-1120, 2007.