Pediatric Physical Therapy

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Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e31818b7ccd
Research Report

Systematic Review of Progressive Strength Training in Children and Adolescents with Cerebral Palsy Who Are Ambulatory

Mockford, Margaret MSc, MCSP; Caulton, Janette M. MSc, MCSP

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Abstract

Purpose: To capture and analyze the evidence concerning the effects of progressive strength training on function and gait in children and adolescents with cerebral palsy (CP) who are ambulatory.

Method: A language-inclusive search was conducted for controlled or noncontrolled studies of strength training for subjects with CP who were ambulatory and aged 4 to 20 years, using objective outcome measures. Quality was assessed with the Maastricht-Amsterdam List. Data were extracted and analyzed.

Results: The 13 included articles favored treatment without significant adverse effects. Function and gait improved more following isotonic rather than isokinetic training, and in younger rather than older subjects.

Conclusions: Function and gait improvements were greater in preadolescents.

© 2008 Lippincott Williams & Wilkins, Inc.

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