scholarly journals Effectiveness of resistance strength training in children and adolescents with ≥30% total body surface area: A systematic review

2016 ◽  
Vol 72 (1) ◽  
Author(s):  
Yolandi Brink ◽  
Heather Brooker ◽  
Emmari Carstens ◽  
Cary A. Gissing ◽  
Candice Langtree ◽  
...  

Purpose: Children and adolescents with burn injuries are at risk of living with social, educational, physical and psychological impairments. The systematic review aimed to ascertain the effectiveness of resistance strength training on muscle strength and lean body mass (LBM) in children and adolescents with burn injuries.Method: Five databases were searched. Randomised controlled trials with an intervention defined as a supervised, individualised resistance exercise programme were sought. The outcomes included muscle strength and/or LBM. The PEDro scale was used to describe the methodological quality. Comparable data were combined using RevMan©.Results: Seven papers were included in the review with an average methodological appraisal score of 5.7/11. Comparable data were combined for muscle strength and LBM. The meta-analysis revealed no significant clinical difference between the exercise and standard care groups after 3 months of strength training for both muscle strength (p = 0.43) and LBM (p = 0.60).Conclusions: There is no conclusive evidence to support the benefit of strength training for children and adolescents with burns injuries in terms of muscle strength and LBM. However, it appears that isokinetic training might benefit children and adolescents with burns, but more studies investigating the effect of isokinetic training are required.Keywords: burns, children, adolescents, strengthening

2020 ◽  
Vol 30 (5) ◽  
pp. 837-848 ◽  
Author(s):  
Birk Mygind Grønfeldt ◽  
Jakob Lindberg Nielsen ◽  
Rune Mygind Mieritz ◽  
Hans Lund ◽  
Per Aagaard

2020 ◽  
Vol 72 (12) ◽  
pp. 1703-1718 ◽  
Author(s):  
Chun‐De Liao ◽  
Hung‐Chou Chen ◽  
Yu‐Chi Kuo ◽  
Jau‐Yih Tsauo ◽  
Shih‐Wei Huang ◽  
...  

Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 202-208
Author(s):  
Belén Lagares Vázquez ◽  
Jose Antonio Rebollo

  El objetivo de este estudio fue realizar una revisión sistemática para conocer el estado actual de los efectos del entrenamiento de fuerza a partir de dispositivos elásticos en niños y adolescentes. La búsqueda se realizó en las bases de datos Web of Science y Pubmed. De los 38 resultados iniciales, se seleccionaron 8 artículos que cumplían los criterios de elegibilidad establecidos con anterioridad. Para realizar esta revisión sistemática se empleó la declaración PRISMA. Los resultados mostraron mejoras en la fuerza muscular y en diversas variables de salud y rendimiento. El entrenamiento con estos dispositivos obtuvo mejoras en la capacidad de sprint, salto vertical, cambio de dirección y sentadilla. Además, también se hallaron mejoras en la composición corporal, en el equilibrio, en la prevención de lesiones y una mayor adherencia al programa de ejercicio físico. En la actualidad existe una disminución de la fuerza muscular en población infantil y adolescente a nivel mundial. Esta situación puede derivar en problemas adversos para la salud. El entrenamiento de fuerza con bandas elástica se presenta como una herramienta útil y eficaz tanto en el contexto escolar como deportivo. No obstante, son necesarios más estudios que muestren los beneficios del entrenamiento de fuerza a partir de este recurso con el fin de establecer estrategias para mejorar la salud y calidad de vida en esta población.  Abstract. The aim of this study was to carry out a systematic review to determine the current status of the effects of resistance training using elastic devices in children and adolescents. The search was performed in the Web of Science and Pubmed databases. Of the 38 initial results, 8 articles were selected that met the previously established eligibility criteria. The PRISMA statement was used to conduct this systematic review. The results showed improvements in muscle strength and in various health and performance variables. Training with these devices obtained improvements in sprint, vertical jump, change of direction and squat. In addition, improvements in body composition, balance, injury prevention and increased adherence to the physical exercise programme were also found. There is currently a worldwide decline in muscle strength in children and adolescents. This situation can lead to adverse health problems. Strength training with elastic bands is presented as a useful and effective tool in both school and sports contexts. However, more studies are needed to show the benefits of strength training from this resource in order to establish strategies to improve health and quality of life in this population.


2020 ◽  
Vol 29 (1) ◽  
pp. 335-356 ◽  
Author(s):  
Renata Mancopes ◽  
Sana Smaoui ◽  
Catriona M. Steele

Purpose Expiratory muscle strength training (EMST) is increasingly utilized in dysphagia rehabilitation; however, little is known about the effects of this approach on swallowing function or physiology. We conducted a systematic review to appraise and synthesize evidence regarding the effects of EMST on videofluoroscopic measures of swallowing in individuals with medical diagnoses, in which dysphagia is a concern. Method A literature search was conducted according to Cochrane guidelines. Of 292 nonduplicate articles, 11 were judged to be relevant for review. These underwent detailed review for study quality, risk of bias evaluation, and synthesis of swallowing outcomes. Results The selected articles described EMST in a variety of patient populations using either the EMST150 or the Phillips Threshold positive expiratory pressure device. The typical protocol involved five sets of five breaths through the device (25 breaths/day), 5 days per week for 4 weeks. Exercise loads were set between 50% and 75% depending on the population, and treatment was typically supervised by a clinician weekly. The Penetration–Aspiration Scale was the most commonly reported videofluoroscopic outcome measure. Conclusions differed as to whether or not swallowing improved following a course of EMST. Differences in videofluoroscopy protocols, methods of summarizing participant performance, and statistical approaches across studies meant that meta-analysis of swallowing outcomes could not be completed. Conclusion This review failed to find clear evidence regarding the effects of EMST on videofluoroscopic measures of swallowing. Heterogeneity in the etiologies and baseline severity of dysphagia across studies and in the methods used to measure swallowing outcomes was a particular barrier to data synthesis.


2021 ◽  
pp. 026921552110401
Author(s):  
Javier Merino-Andrés ◽  
Agustín García de Mateos-López ◽  
Diane L Damiano ◽  
Alberto Sánchez-Sierra

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.


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