scholarly journals Upper Extremity Muscle Strength in Children With Unilateral Spastic Cerebral Palsy: A Bilateral Problem?

2020 ◽  
Vol 100 (12) ◽  
pp. 2205-2216
Author(s):  
Koen J F M Dekkers ◽  
Eugene A A Rameckers ◽  
Rob J E M Smeets ◽  
Andrew M Gordon ◽  
Lucianne A W M Speth ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Elbow Flexion ◽  
Cross Sectional Study ◽  
Spastic Cerebral Palsy ◽  
Pinch Strength ◽  
Wrist Flexion ◽  
Cross Sectional ◽  
Flexion Extension ◽  
Arm Strength

Abstract Objective The objective was to investigate whether muscle strength in the nonaffected and affected upper extremities (UEs) in children (7–12 years) with unilateral spastic cerebral palsy (USCP) differs from that in children with typical development (TD). Methods A cross-sectional study design was used. Isometric arm strength (wrist flexion, wrist extension with flexed and extended fingers, elbow flexion/extension) was assessed in 72 children (mean age = 9.3 [SD = 1.9] years) with USCP, and isometric grip/pinch strength was assessed in 86 children (mean age = 9.3 [SD = 1.8] years) with USCP. Arm/grip/pinch strength was assessed in 120 children (mean age = 9.5 [SD = 1.7] years) with TD. Arm strength was measured with a hand-held dynamometer, and grip/pinch strength was measured with a calibrated, modified (digitized) grip dynamometer and a pinch meter. The nonaffected UE of children with USCP was compared with the preferred UE of children with TD because both sides represent the preferred UE. The affected UE was compared with the nonpreferred UE of children with TD, as both sides represent the nonpreferred UE. Results In all measurements except for grip strength of the preferred UE, children with USCP were weaker than children with TD. Conclusions In children with USCP, muscle strength weakness exists in both UEs. Impact When unimanual or bimanual ability limitations are present in children with unilateral cerebral palsy, investigation of the muscle strength of the nonaffected UE should be part of the assessment.

scholarly journals Muscle strength and functional capacity of elderly people engaged in two types of strength training

2020 ◽  
Vol 33 ◽  
Author(s):  
Daniel Vicentini de Oliveira ◽  
Naelly Renata Saraiva Pivetta ◽  
Fabiana Cristina Scherer ◽  
José Roberto Andrade do Nascimento Júnior
Keyword(s):  
Muscle Strength ◽  
Elderly People ◽  
Latin American ◽  
Upper Limb ◽  
Functional Capacity ◽  
Weight Training ◽  
Elbow Flexion ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional

Abstract Introduction: Regular physical activity is one of the main ways of avoiding compromised functional capacity and gaining muscle mass. Objective: investigate the differences in muscle strength and functional capacity of elderly people engaged in two types of strength exercises. Method: a cross-sectional study of 80 seniors of both sexes, 40 of whom engaged in weight training and 40 from the Fitness Zone in the city of Maringá, Paraná, state. A sociodemographic questionnaire, the sitting-rising and elbow flexion tests, and the functional capacity tests of the Latin American Development Maturity Group (GDLAM) were applied. The data were analyzed using the Shapiro-Wilk, Mann-Whitney “U” and Spearman’s correlation tests (p<0.05). Results: Most seniors who performed well in the sitting and rising test, rising from a chair and moving around the house and rising from the dorsal decubitus position engaged in weight training (p=0.001). Those engaged in weight training exhibited better upper limb strength and functional capacity in all the tests performed (p <0.05). Muscle strength is inversely related to functional capacity, that is, the better the result in the upper and lower limb muscle strength tests, the better the functional capacity of the elderly engaged in weight training. Conclusion: According to the results obtained, older people who engage in weight training display better upper limb strength and functional capacity than seniors from the Fitness Zone.

scholarly journals CEREBRAL PALSY;

2014 ◽  
Vol 21 (06) ◽  
pp. 1166-1170
Author(s):  
Naeem Mohammad Mansha ◽  
Sumair Anwar ◽  
Itaat Ullah Khan Afridi ◽  
Shazia Maqbool
Keyword(s):  
Cerebral Palsy ◽  
Developmental Delay ◽  
Postural Balance ◽  
Cross Sectional Study ◽  
Spastic Cerebral Palsy ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Different Types ◽  
The Brain

Background: Cerebral Palsy is a disorder of movement and postural balance due to insult to the brain. The injury to the developing brain may be prenatal, natal or postnatal. The diagnosis is clinical mainly. The spastic Cerebral Palsy is classified into monoplegic, hemiplegic, diplegic, and quadriplegic types. There is a difference in the frequency of these types of Cerebral Palsy in different studies. The patterns of various forms of Cerebral Palsy emerge gradually with a delay in developmental milestones. A spectrum of associated developmental disabilities has been found to be common in these children. Management is through a multi-disciplinary approach. Objectives: To find out the frequency of different types of Cerebral Palsy and degree of associated developmental delay. Methodology: A cross sectional study was carried out for a period of six months (October 1, 2006 to March 31, 2007) at The Children’s Hospital & Institute of Child Health Lahore. 100 Cases diagnosed as Cerebral Palsy on clinical basis were assessed for the type of cerebral palsy and the degree of associated developmental delay. Results: Out of the total 100 patients 54% had quadriplegia, 32% had diplegia, 10% had himiplegia and 4% had monoplegia. The total fifty-four cases of quadriplegic cerebral palsy 54 had developmental delay and amongst them 4 (7%) had mild delay, 16 (30%) had moderate delay while 34 (63%) had severe delay. Amongst the total forty-six other three types of cerebral palsy 12 (26%) had mild delay, 6 (13%) had moderate delay and 28 (61%) had severe delay. The P-value was >0.05. Conclusions: Quadriplegic is the commonest type of CP, associated with the factors (peri-natal more than socio-demographic) and had significant effect on the developmental parameters.

scholarly journals Correction: Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study. J. Clin. Med. 2020, 9, 28

2020 ◽  
Vol 9 (2) ◽  
pp. 569
Author(s):  
Tadashi Ito ◽  
Koji Noritake ◽  
Hiroshi Sugiura ◽  
Yasunari Kamiya ◽  
Hidehito Tomita ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Physical Function ◽  
Cross Sectional Study ◽  
Spastic Cerebral Palsy ◽  
Sectional Study ◽  
Cross Sectional ◽  
Deviation Index ◽  
Gait Deviation Index

The authors wish to make the following corrections to this paper [...]

scholarly journals Muscle function and quality of life are not impaired in familial hypocalciuric hypercalcemia: a cross-sectional study on physiological effects of inactivating variants in the calcium-sensing receptor gene (CASR)

2013 ◽  
Vol 169 (3) ◽  
pp. 349-357 ◽  
Author(s):  
Niels Frederik Breum Jakobsen ◽  
Lars Rolighed ◽  
Peter H Nissen ◽  
Leif Mosekilde ◽  
Lars Rejnmark
Keyword(s):  
Muscle Strength ◽  
Postural Stability ◽  
Cross Sectional Study ◽  
Familial Hypocalciuric Hypercalcemia ◽  
Sectional Study ◽  
Calcium Sensing Receptor ◽  
Cross Sectional ◽  
Calcium Sensing ◽  
Flexion Extension

BackgroundFamilial hypocalciuric hypercalcemia (FHH) is often due to inactivating variants in the calcium-sensing receptor (CASR) gene causing chronically elevated plasma calcium levels with inappropriately normal or elevated parathyroid hormone levels. In patients with primary hyperparathyroidism, the state of hyperparathyroid hypercalcemia is associated with reduced muscle strength and impaired quality of life (QoL).ObjectiveTo study whether FHH affects muscle function, postural stability, and QoL.DesignIn a cross-sectional study, we investigated muscle strength (handgrip, elbow flexion/extension, and knee flexion/extension), balance function, physical activity, and QoL in 50 patients with FHH and in a similar number of age- and gender-matched population-based healthy controls. All but one of the FHH cases had genetically verified inactivating variants in theCASRgene.ResultsStudied subjects (n=100, 68% females) had a mean age of 56.0 years. Muscle strength as assessed by measuring maximum force and maximum force production did not differ between the groups. Neither did groups differ in terms of QoL, physical activity, or postural stability, as assessed during normal standing with eyes open, normal standing with eyes closed, semi-tandem standing, or tandem standing. Adjustment for vitamin D status (plasma 25-hydroxyvitamin D levels) and BMI did not change results.ConclusionDespite a state of chronic hypercalcemia, muscle strength, balance function, and QoL are not impaired in patients with FHH. Our findings are reassuring for patients with FHH as they should not be considered as having a severe disease.

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