Muscle strength enhancement following home-based virtual cycling training in ambulatory children with cerebral palsy

Abstract Objective This study was undertaken with the aim to compare the effects of home-based habilitation programmes with the effects of hospital-based habilitation programme for children with cerebral palsy (CP) on motor performance and daily functioning. Patients and methods The study was conducted on a sample of 60 children with cerebral palsy. First group included 30 children, 5 to 12 years old, who had a continued physical home treatment and education in public/special school. The second group consisted of 30 children, from Banja Luka region, who continued inpatient habilitation programme and training. Habilitation outcomes were analysed by measuring muscle tone (using original Tardieu Scale), muscle strength, range of motion (ROM), gross motor functions (gross motor function measure-88) and the Barthel Index of activities of daily living (ADL). Results The proportion of clinically significant change in gross motor functions, ADLs, ROM and muscle strength didn't show major differences between the two groups. Conclusion There were no significant differences in effectiveness between home-based and hospital-based habilitation programmes according to the treatment outcomes. The effectiveness of home-based programme increases when supplemented by frequent consultations with the rehabilitation team members and occasional out-patient physical therapy treatment, education as well as counselling and support for parents.

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RESPIRATORY MUSCLE STRENGTH IN CHILDREN WITH CEREBRAL PALSY

10.26226/morressier.57d034d0d462b80292383406 ◽

2016 ◽

Author(s):

Baki Umut TUGAY

Keyword(s):

Cerebral Palsy ◽

Muscle Strength ◽

Respiratory Muscle ◽

Respiratory Muscle Strength ◽

Children With Cerebral Palsy

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Effect of an interval rehabilitation program with home-based, vibration-assisted training on the development of muscle and bone in children with cerebral palsy – an observational study

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2020-0080 ◽

2020 ◽

Vol 33 (8) ◽

pp. 1083-1092 ◽

Cited By ~ 1

Author(s):

Ibrahim Duran ◽

Kyriakos Martakis ◽

Christina Stark ◽

Leonie Schafmeyer ◽

Mirko Rehberg ◽

...

Keyword(s):

Cerebral Palsy ◽

Bone Growth ◽

Muscle Growth ◽

Rehabilitation Program ◽

Whole Body ◽

Cross Sectional ◽

Home Based ◽

Children With Cerebral Palsy ◽

One Year ◽

Intensive Rehabilitation

AbstractObjectivesIn children with cerebral palsy (CP), the most common cause of physical impairment in childhood, less muscle and bone growth has been reported, when compared with typically developing children. The aim of this study was to evaluate the effect of an intensive rehabilitation program including physiotherapy in combination with 6 months of home-based, vibration-assisted training on muscle and bone growth in children with CP.MethodsWe included children with CP, who participated in a rehabilitation program utilizing whole-body vibration (WBV). Muscle mass was quantified by appendicular lean mass index (App-LMI) and bone mass by total-body-less-head bone mineral content (TBLH-BMC) assessed by Dual-energy X-ray absorptiometry (DXA) at the beginning of rehabilitation and one year later. To assess the functional muscle-bone unit, the relation of TBLH-BMC to TBLH lean body mass (TBLH-LBM) was used.ResultsThe study population included 128 children (52 females, mean age 11.9 ± 2.7). App-LMI assessed in kg/m2 increased significantly after rehabilitation. The age-adjusted Z-score for App-LMI showed no significant change. TBLH-BMC assessed in gram increased significantly. The Z-scores for TBLH-BMC decreased lesser than expected by the evaluation of the cross-sectional data at the beginning of rehabilitation. The parameter $\frac{TBLH-BMC}{TBLH-LBM}$ did not change relevantly after 12 months.ConclusionsMuscle growth and to a lesser extent bone growth could be increased in children with CP. The intensive rehabilitation program including WBV seemed to have no direct effect on the bone, but the observed anabolic effect on the bone, may only been mediated through the muscle.

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