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Effect of strength and aerobic training in children with cerebral palsy |
Unnithan VB, Katsimanis G, Evangelinou C, Kosmas C, Kandrali I, Kellis E |
Medicine and Science in Sports and Exercise 2007 Nov;39(11):1902-1909 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
PURPOSE: The aim of this study was to evaluate the effectiveness of a strength and aerobic interval training program on arm-cranking economy, aerobic capacity, and gross motor function in children and adolescents with spastic diplegic cerebral palsy (CP). METHODS: Seven subjects (five females, two males; mean age 15.9, range 14 to 18 yr) participated in a 12-wk aerobic interval and strength training program, three times per week, 70 min per session. The aerobic interval training required the subjects to perform 60-m uphill walking repetitions. Six individuals (four females, two males; mean age 15.7, range 14 to 17 yr) who did not receive the training program served as controls. Pre- and postexercise tests were performed to assess changes in arm-cranking economy, aerobic capacity, and gross motor function. RESULTS: The results demonstrated significant (p < 0.05) reductions in the oxygen cost of arm cranking (mean +/- SD pre 13.2 +/- 3.22 mL/kg/min, post 12.7 +/- 3.38 mL/kg/min) and %VO2peak (pre 75.8 +/- 3.55%, post 61.8 +/- 7.47%) in the training group. Significant (p < 0.05) increases in aerobic capacity (pre 17.5 +/- 4.45 mL/kg/min, post 20.8 +/- 5.93 mL/kg/min) were also noted for the training group. Significant (p < 0.05) improvements in gross motor function measures were also noted in the training group (pre 30.35%, post 33.85%). CONCLUSION: These findings demonstrate that the application of a 12-wk strength and aerobic interval training program reduced the oxygen cost of arm cranking, improved aerobic capacity, and improved gross motor function in children and adolescents with CP.
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