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Effect of muscle strength training in children and adolescents with spastic cerebral palsy: A systematic review and meta-analysis.
- Source :
-
Clinical Rehabilitation . Jan2022, Vol. 36 Issue 1, p4-14. 11p. - Publication Year :
- 2022
-
Abstract
- Objective: This systematic review and meta-analysis investigates the effects of strength training program in children and adolescents with cerebral palsy to improve function, activity, and participation. Data sources: Five electronic databases (MEDLINE-Pubmed, Cochrane Library, PEDro, CINAHL, and SPORTDiscus) were systematically searched for full-text articles published from inception to 30 June 2021. Review methods: Randomized controlled trials were included, who compared: (i) child population with spastic cerebral palsy population between 0 and 22 years; (ii) studies in which a muscle strength training program was performed and included dosing information; (iii) studies comparing strength training with other physical therapy technique(s) or untreated control group. Studies with similar outcomes were pooled by calculating standardized mean differences. Risk of bias was assessed with Cochrane Collaboration's tool for assessing the risk of bias and PROSPERO's registration number ID: CRD42020193535. Results: Twenty-seven studies, comprising 847 participants with spastic cerebral palsy. The meta-analyses demonstrated significant standardized mean differences in favor of strength training program compared to other physical therapy technique(s) or untreated control group(s) for muscle strength at the knee flexors, at the knee extensor, at the plantarflexors, maximum resistance, balance, gait speed, GMFM (global, D and E dimension) and spasticity. Conclusion: A strength training program has positive functional and activity effects on muscle strength, balance, gait speed, or gross motor function without increasing spasticity for children and adolescents with cerebral palsy in Gross Motor Function Classification System levels I, II, and III when adequate dosage and specific principles are utilized. [ABSTRACT FROM AUTHOR]
- Subjects :
- *KNEE physiology
*ONLINE information services
*CINAHL database
*META-analysis
*MEDICAL databases
*CONFIDENCE intervals
*RANGE of motion of joints
*FUNCTIONAL status
*SYSTEMATIC reviews
*PHYSICAL therapy
*EXERCISE physiology
*CHILDREN with cerebral palsy
*ACTIVITIES of daily living
*SPORTS
*EXERCISE
*MUSCLE strength
*CEREBRAL palsy
*MEDLINE
*INFORMATION storage & retrieval systems
*RESEARCH bias
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 36
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 154828020
- Full Text :
- https://doi.org/10.1177/02692155211040199