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Stretching and progressive resistance exercise in children with cerebral palsy: a randomized controlled trial
Fosdahl MA, Jahnsen R, Kvalheim K, Holm I
Pediatric Physical Therapy 2019 Jul;31(3):264-271
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; 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: To evaluate the effect of stretching and progressive resistance exercise on range of motion and muscle strength in children with cerebral palsy. METHODS: Thirty-seven children with spastic bilateral cerebral palsy and Gross Motor Function Classification System levels I to III were randomized to an intervention and a comparison group. The intervention included stretching of hamstrings and progressive resistance exercise, targeting the lower extremities for 16 weeks, followed by a 16-week maintenance program. Passive and active popliteal angle and muscle strength were evaluated at 0, 16, and 32 weeks. RESULTS: After 16 weeks nonsignificant improvements were found in passive, active popliteal angle and quadriceps and hamstrings strength. CONCLUSION: A 16-week stretching and progressive resistance exercise program followed by a 16-week maintenance program showed nonsignificant improvements in passive, active popliteal angle and muscle strength for the intervention group.
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